芪红汤对冠脉搭桥术后患者康复疗效的影响

作者	单位
范辉	新疆医科大学附属中医医院(新疆维吾尔自治区中医院)心脏中心
王晓峰	新疆医科大学附属中医医院(新疆维吾尔自治区中医院)心脏中心
高伟	新疆医科大学附属中医医院(新疆维吾尔自治区中医院)心脏中心
顾国军	新疆医科大学附属中医医院(新疆维吾尔自治区中医院)心脏中心
席耀明	新疆医科大学附属中医医院(新疆维吾尔自治区中医院)心脏中心
李峰	新疆医科大学附属中医医院(新疆维吾尔自治区中医院)心脏中心
黄浩	新疆医科大学附属中医医院(新疆维吾尔自治区中医院)心脏中心

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中文摘要:

目的评价芪红汤对冠脉搭桥术(CABG)后患者康复疗效的影响。方法72例行冠脉搭桥术患者依随机数字表分为治疗组(36例)和对照组(36例),对照组给予常规治疗,治疗组在常规治疗基础上加用芪红汤加减。1个月为1个疗程,共观察2个疗程。结果两组左心室射血分数治疗前后比较均有统计学意义(P<0.05),治疗后两组间比较差异无统计学意义(P>0.05)。两组6min步行试验治疗前后比较差异均有统计学意义(P<0.05),且治疗组优于对照组(P<0.05)。两组中医证候积分均下降(P<0.05),且治疗组下降幅度大于对照组(P<0.05)。SF-36量表评分,治疗组在总体健康、身体疼痛、活力、情感职能、精神健康、健康变化、生理职能等维度积分高于对照组(P<0.05)。结论芪红汤可以改善CABG术后患者中医临床症状,改善心功能,提高生活质量,促进术后康复。

英文摘要:

Objective To evaluate the clinical efficacy of Qihong Decoction(QHD)on rehabilitation of patients after coronary artery bypass grafting(CABG).MethodsSeventy-two patients after CABG were assigned to two groups by digital table,the 36 in the treatment group were treated with QHD combined with routine treatment,and the 36 in the control group received routine treatment alone.The treatment lasted for two months in all patients and the efficacy was assessed after treatment.ResultsAfter treatment,the left ventricular ejection fraction(LVEF)increased(P<0.05),6-min walking test was improved and score of TCM symptoms decreased in both groups,and inter-group comparisons showed no difference in the efficacy on LVEF,but a better efficacy was shown in the treatment group(P<0.05)on improvement of walking test and decrease of scores.Moreover,by SF-36 scale scoring,significantly higher scores were shown in the treatment group in domains of general health,pain sensation,vitality,role of emotion,mental health,health transition and physiological capacity(P<0.05).ConclusionQHD can improve the TCM symptoms and heart function of patients after CABG,enhance their quality of life and accelerate the rehabilitation process.

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