中医五音疗法预防急性心肌梗死交感风暴的疗效观察
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摘要
目的:探讨中医五音疗法预防急性心肌梗死(AMI)交感风暴的临床疗效。方法:将110例AMI患者随机分为两组各55例。对照组采用预防急性心肌梗死交感风暴的常规方法,治疗组在此基础上配合中医五音疗法。观察两组交感风暴的发生率,记录患者治疗前后世界卫生组织生活质量量表(WHOQOL-100)评分及焦虑自评量表(SAS)评分。结果:治疗组脱落1例,54例完成研究,对照组55例完成研究;治疗组和对照组交感风暴发生率分别为7.41%、23.64%,治疗组低于对照组,差异有统计学意义(P<0.05);治疗组患者治疗后WHOQOL-100评分高于对照组,SAS评分低于对照组,差异均有统计学意义(P<0.05)。结论:中医五音疗法可有效预防急性心肌梗死交感风暴。
Objective: To explore the clinical effect of Traditional Chinese medicine five tone therapy on acute myocardial infarction(AMI) sympathetic storm. Methods: A total of 110 patients of AMI were randomly divided into two groups, 55 in each. The control group adopted the conventional method of preventing and controlling acute myocardial infarction sympathetic storm. The treatment group adopted Traditional Chinese medicine five tone therapy based on the same treatment as the control group. The incidence of sympathetic storms was observed in all groups, and the world health organization quality of life scale(whoqol-100) score and anxiety self-assessment scale(SAS) score before and after treatment were observed. Results: In the treatment group, 1 case dropped out, and 54 cases completed the study. In the control group, 55 cases completed the study. The incidence of sympathetic storm was 7.41% and 23.64% respectively in the treatment group and the control group, and the treatment group showed lower incidence than the control group, with statistically significant differences(P <0.05). After treatment, the treatment group showed higher Whoqol-100 score while lower SAS score than the control group, and the differences were statistically significant(P<0.05). Conclusions: Traditional Chinese medicine five tone therapy is an effective method to prevent acute myocardial infarction from sympathetic storm.
Objective: To explore the clinical effect of Traditional Chinese medicine five tone therapy on acute myocardial infarction(AMI) sympathetic storm. Methods: A total of 110 patients of AMI were randomly divided into two groups, 55 in each. The control group adopted the conventional method of preventing and controlling acute myocardial infarction sympathetic storm. The treatment group adopted Traditional Chinese medicine five tone therapy based on the same treatment as the control group. The incidence of sympathetic storms was observed in all groups, and the world health organization quality of life scale(whoqol-100) score and anxiety self-assessment scale(SAS) score before and after treatment were observed. Results: In the treatment group, 1 case dropped out, and 54 cases completed the study. In the control group, 55 cases completed the study. The incidence of sympathetic storm was 7.41% and 23.64% respectively in the treatment group and the control group, and the treatment group showed lower incidence than the control group, with statistically significant differences(P <0.05). After treatment, the treatment group showed higher Whoqol-100 score while lower SAS score than the control group, and the differences were statistically significant(P<0.05). Conclusions: Traditional Chinese medicine five tone therapy is an effective method to prevent acute myocardial infarction from sympathetic storm.
引文
[1]李元琪.浅论《黄帝内经》五音治疗思想及现代临床应用价值[J].浙江中医药大学学报,2014,38(12):1441-1443.
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[8]郑筱萸.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002:68-73.
[9]周仲瑛.中医内科学[M].北京:中国中医药出版社,2003:144-146.
[10]王艳.156例急性心肌梗死患者的护理体会[J].中国医药指南,2017,15(9):231.
[11]冯欧花.急性心肌梗死的常见临床病因及临床治疗[J].临床合理用药杂志,2015,8(20):95-96.
[12]吕明睿,张静.艾司洛尔治疗急性心肌梗死交感风暴的临床观察[J].中国社区医师(医学专业),2012,14(13):51.
[13]唐卫红,杨瑾昱,黄静.五行音乐配合太极拳对癌症患者心理困扰的影响[J].中医药导报,2017,23(9):37-39.
[14]罗美文,罗雪琴,谭志雄,等.耳穴贴压联合五音疗法对急性心肌梗死患者焦虑的影响[J].中国医学创新,2014,11(17):105-107.
[2]中华医学会心血管病学分会,中华心血管病杂志编辑委员会,《中国循环杂志》编辑委员会.急性心肌梗死诊断和治疗指南[J].中华心血管病杂志,2001,29(12):9-24.
[3]中华中医药学会.胸痹心痛中医诊疗指南[J].中国中医药现代远程教育,2011,9(23):106-107.
[4] Douglas P E,Camm A J,Martin B,et al. ACC/AHA/ESC 2006 guidelines for management of patients with ventricular arrhythmias and the prevention of sudden cardias death.A report of the American college of cardiology/American.heart association task force and the european society of cardiology committee for practice guidelines[J].Circulation,2006,48(5):385-484.
[5]方积乾,郝元涛,李彩霞.世界卫生组织生活质量量表中文版的信度与效度[J].中国心理卫生杂志,1999,13(4):203-205.
[6]《青少年心理健康》编辑部.焦虑自评量表(SAS)[J].青少年心理健康,2006,5(3):14-15.
[7]李德军,张素琴,李桂明.急性心肌梗死中医证型分布规律的研究[J].中医药导报,2016,22(7):52-53.
[8]郑筱萸.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002:68-73.
[9]周仲瑛.中医内科学[M].北京:中国中医药出版社,2003:144-146.
[10]王艳.156例急性心肌梗死患者的护理体会[J].中国医药指南,2017,15(9):231.
[11]冯欧花.急性心肌梗死的常见临床病因及临床治疗[J].临床合理用药杂志,2015,8(20):95-96.
[12]吕明睿,张静.艾司洛尔治疗急性心肌梗死交感风暴的临床观察[J].中国社区医师(医学专业),2012,14(13):51.
[13]唐卫红,杨瑾昱,黄静.五行音乐配合太极拳对癌症患者心理困扰的影响[J].中医药导报,2017,23(9):37-39.
[14]罗美文,罗雪琴,谭志雄,等.耳穴贴压联合五音疗法对急性心肌梗死患者焦虑的影响[J].中国医学创新,2014,11(17):105-107.