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益气扶正方对冠心病PCI术后康复期患者生活质量及心功能的影响
成 钰,李建宁,张瑞英
0
(宁晋县中西医结合医院,河北 宁晋,055550)
摘要:
目的:观察益气扶正方对冠心病经皮冠状动脉介入治疗(PCI)术后康复期患者生活质量及心功能的影响。方法:将80 例冠心病PCI术后患者随机分为治疗组和对照组,每组各40 例。术前术后对照组予西医常规治疗,治疗组在对照组基础上加用中药益气扶正方治疗。比较2组治疗前、治疗后6个月健康调查量表(SF-36)评分、西雅图心绞痛量表(SAQ)评分及心功能指标。结果:治疗后随访6个月,2组SF-36评分较治疗前均明显降低(P<0.05),且治疗组降低幅度明显大于对照组(P<0.05);2组SAQ的5个维度评分较治疗前均明显升高(P<0.05),且治疗组升高幅度均明显大于对照组(P<0.05);2组治疗后心功能的各项指标均较治疗前明显改善(P<0.05),且治疗组改善程度均优于对照组(P<0.05)。结论:中西医结合治疗可改善冠心病PCI术后康复期患者的心功能,提高其生活质量。
关键词:  冠心病  PCI术后  益气扶正法  心功能  生活质量
DOI:
Effect of Yiqi Fuzheng prescription on quality of life and cardiac function in patients with coronary heart disease in the rehabilitation stage after percutaneous coronary intervention
CHENG Yu,LI Jianning,ZHANG Ruiying
(Ningjin Integrated Traditional Chinese and Western Medical Hospital,Ningjin 055550,Hebei,China)
Abstract:
Objective:To investigate the effect of Yiqi Fuzheng prescription on quality of life and cardiac function in patients with coronary heart disease in the rehabilitation stage after percutaneous coronary intervention (PCI).Methods:A total of 80 patients with coronary heart disease after PCI were randomly divided into treatment group and control group,with 40 patients in each group.The patients in the control group were given conventional Western medicine treatment before and after PCI,and those in the treatment group were given the traditional Chinese medicine Yiqi Fuzheng prescription in addition to the treatment in the control group.The two groups were compared in terms of 36-Item Short-Form Health Survey (SF-36) score,Seattle Angina Questionnaire (SAQ) score,and cardiac function parameters before treatment and at 6 months after treatment.Results:The patients were followed up for 6 months after surgery.Both groups had a significant reduction in SF-36 score after treatment (P<0.05),and the treatment group had a significantly greater reduction than the control group (P<0.05).Both groups had significant increases in the scores of five dimensions of SAQ after treatment (P<0.05),and the treatment group had significantly greater increases than the control group (P<0.05).Both groups had significant improvements in cardiac function parameters after treatment (P<0.05),and the treatment group had significantly better improvements than the control group (P<0.05).Conclusion:In patients with coronary heart disease in the rehabilitation stage after PCI,integrated traditional Chinese and Western medicine therapy can improve their cardiac function and quality of life.
Key words:  coronary heart disease  percutaneous coronary intervention  Qi-tonifying and vital Qi-strengthening therapy  cardiac function  quality of life

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