摘要
目的观察八段锦联合芪参益气滴丸对冠脉支架置入术后患者的康复干预效果。方法将符合气虚血瘀证型的冠脉支架置入术后患者76例,应用随机数表法等分为观察组及对照组,观察组在支架术后规范药物治疗基础上配合八段锦及口服芪参益气滴丸干预,对照组采用支架术后规范药物治疗及口服芪参益气滴丸,并指导进行等时的有氧运动。4周后观察两组干预前后6 min步行能力测试、西雅图心绞痛量表(SAQ)、中国心血管病人生活质量评定问卷(CQQC)及中医证候评分变化并进行比较。结果干预4周后,观察组总有效率为97.37%,对照组总有效率为86.84%,观察组总有效率优于对照组(P<0.05),干预后两组6 min步行能力测试明显高于干预前(P<0.01),两组SAQ评分、CQQC评分均高于干预前(均P<0.05),观察组与对照组中医证候评分均明显下降(P<0.05),观察组与对照组在6 min步行能力测试比较上差异无统计学意义(P>0.05),但观察组在SAQ评分、CQQC评分上明显高于对照组(均P<0.05),观察组中医证候评分低于对照组(P<0.05)。结论八段锦联合芪参益气滴丸能明显改善冠脉支架术后气虚血瘀证患者的活动耐力、临床症状、整体生存状态及中医证候,且效果优于对照组,本疗法可作为简便有效的中医心脏康复方案进行推广应用。
Objective To observe the rehabilitation intervention effect of Baduanjin combined with Qishen Yiqi Dropping Pill on patients after coronary stent implantation.Methods 76 patients with coronary stent implantation of Qi deficiency and blood stasis syndrome were divided into the observation group and tye control group by random number table method.The observation group was treated with Baduanjin and Qishen Yiqi Dropping Pill on the basis of standard drug treatment after stent implantation while the control group was treated with standard drug treatment after stent implantation,Qishen Yiqi Dropping Pill orally and guided isochronal aerobic exercise.4 weeks later,the walking ability test,Seattle Angina Questionnaire(SAQ),Chinese Cardiovascular Quality of Life Questionnaire(CQQC)and Chinese Medicine Syndrome Score were observed and compared before and after the intervention in two groups.Results After 4 weeks of intervention,the total effective rate of the observation group was 97.37%,and that of the control group was 86.84%.The total effective rate of the observation group was better than that of the control group(P<0.05).The 6-minute walking ability test of the two groups after intervention was significantly higher than that before the intervention(P<0.01).The SAQ score and CQQC score of the two groups were higher than those before the intervention(P<0.05).The scores of TCM symptoms in the two groups significantly decreased(P<0.05).There was no significant difference between the observation group and the control group in the 6-minute walking ability test(P>0.05),but the SAQ and CQQC scores in the observation group were significantly higher than those in the control group(P<0.05).The TCM syndrome score in the observation group were lower than that in the control group(P<0.05).Conclusion Baduanjin combined with Qishen Yiqi Dropping Pill could significantly improve the activity endurance,clinical symptoms,overall survival status and TCM syndromes of patients with Qi deficiency and blood stasis syndrome after coronary stent implantation.The effect is better than that of the control group.This therapy can be promoted as a simple and effective TCM cardiac rehabilitation program.
作者
白如鑫
王雅慧
聂道芳
刘文红
Bai Ruxin;Wang Yahui;Nie Daofang;Liu Wenhong
出处
《中国疗养医学》
2019年第12期1250-1254,共5页
Chinese Journal of Convalescent Medicine
基金
解放军原总后卫生部保健专项课题(CWS14BJ46)
关键词
八段锦
芪参益气滴丸
冠脉支架置入术后
心脏康复
Baduanjin
Qishen Yiqi Dropping Pills
Coronary stent implantation
Cardiac rehabilitation
