摘要
目的评价益气化痰通络法(芪红方)对冠脉搭桥术(CABG)后患者生活质量的影响。方法 132例CABG患者随机分为芪红组(66例)和常规组(66例),常规组给予常规治疗,芪红组在常规治疗基础上加用具有益气化痰通络功效的中药汤剂芪红方。1个月为1个疗程,3个疗程后观察疗效。结果治疗3个月后,2组中医症候积分均下降(P<0.05),SF-36量表评分结果显示芪红组患者的"身体疼痛"、"活力"、"情感职能"、"精神健康"、"健康变化"等维度积分明显高于常规组(P<0.05)。SAQ量表评分显示,芪红组患者的"躯体活动受限程度"、"心绞痛的稳定状态"、"心绞痛的发作情况"、"治疗满意程度"及"疾病认识程度"等维度积分明显低于常规组(P<0.05)。2组治疗后6 min步行试验距离较治疗前增多,差异有统计学意义(P<0.05),结论益气化痰通络法可以改善CABG术后患者临床症状和患者心功能情况,提高患者的生存质量,促进术后患者的康复过程。
Objective To evaluate the clinical efficiency of using the QiHong powder combined with rehabilitation therapy in Coronary Artery Bypass Grafting（CABG）.Methods One hundred and thirty two patients of CABG randomly were divided into treatment group（n=66） and control group（n=66）.Two groups were given rountine treatment,while in treatment group,a oral Qihong powder were added,one month was a course of treatment and two course of treatments were observed.Results After a 3-months treatment.There was significant differences in two groups before and after the therapy（P0.05）.Scoring of symptoms was decreased（P0.05）.The scores in terms of pain,vitality,role of emotion,mental health,health transition of patients in the experimental group according to SF-36 scale were significantly higher than those in the control group（P0.05）.The scores in terms of physical limitation,anginal stability,anginal frequency,treatment satisfaction and disease perception of patients in the experimental group according to SAQ scale were significantly higher than those in the control group（P0.05）.In terms of 6 min walking test,the function of heart left ventricular ejection fraction（LVEF） before and after the test,two groups were effective（P0.05）,but there were no statistical differences between two groups（P0.05）.Conclusion（1） the QiHong powder can improve the symptoms of CHF.（2） QiHong powder can improve the heart function judged by LVEF,the quality of life and the actual living ability of patients after CABG.
出处
《新疆医科大学学报》
CAS
2011年第7期677-681,共5页
Journal of Xinjiang Medical University
基金
新疆维吾尔自治区科技支疆项目(200991135)
关键词
益气化痰通络法
芪红方
冠状动脉搭桥术
生活质量
Qihong powder
coronary artery bypass grafting
clinical effect
quality of life
