心绞痛贴膏联合情志护理治疗冠心病稳定型心绞痛
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摘要
目的探讨心绞痛贴膏联合情志护理治疗冠心病稳定型心绞痛的临床疗效。方法选取100例于我院进行治疗的冠心病稳定型心绞痛患者,按随机数字表法将患者分为对照组和治疗组,各50例。对照组给予者常规治疗,治疗组在对照组的基础上应用心绞痛贴膏联合情志护理配合治疗,2组进行为期20 d的治疗。比较2组临床疗效、中医症状积分改变情况,对比治疗前后2组焦虑自评量表(SAS)、抑郁自评量表(SDS)的评分变化,并分析其对患者焦虑抑郁情绪的影响。结果治疗组中医症状积分降低较对照组更为明显(P <0.05);治疗后,2组SAS、SDS评分均降低,且相较对照组,治疗组降低更为显著(P <0.05);治疗组治疗后临床效果优于对照组(P <0.05)。结论心绞痛贴膏联合情志护理能够起到活血化瘀、疏肝行气、宁心安神之效,可以明显改善患者临床症状和体征,缓解患者焦虑、抑郁的情绪,对于冠心病稳定性心绞痛有较好的的治疗效果,值得临床推广应用。
Objective To investigate the therapeutic effect of angina pectoris plaster combined with emotional nursing on stable angina pectoris of coronary heart disease. Methods 100 patients of stable angina pectoris in our hospital were selected for experimental study and randomly divided into treatment group and control group with 50 cases in each group according to the table of random number. The control group was given conventional treatment,while the treatment group was treated with angina pectoris plaster combined with emotional nursing on the basis of the control group. Both groups were treated for 20 days. The improvement of clinical efficacy and TCM syndrome scores were compared; the self-rating anxiety scale(SAS) scores and self-rating depression scale(SDS) scores were observed; the influence of the treatment scheme on patients' anxiety and depression was analyzed. Results The TCM syndrome scores in both groups were decreased, and the treatment group decreased significantly compared with the control group(P < 0.05). The scores of SAS and SDS scale in both groups were decreased significantly after the treatment, and the treatment group decreased significantly compared with the control group(P < 0.05). The results showed that the clinical effect of the treatment group was better than that of the control group(P < 0.05).Conclusion The application of angina pectoris plaster combined with emotional nursing has the ef fects of promoting blood circulation, removing blood stasis, soothing the liver, promoting the circulation of qi, calming the heart and tranquilizing the mind, which can obviously improve the clinical symptoms and signs of patients, relieve anxiety and depression of patients, and has a good therapeutic ef fect on stable angina pectoris of coronary heart disease, and is worthy of clinical popularization and application.
Objective To investigate the therapeutic effect of angina pectoris plaster combined with emotional nursing on stable angina pectoris of coronary heart disease. Methods 100 patients of stable angina pectoris in our hospital were selected for experimental study and randomly divided into treatment group and control group with 50 cases in each group according to the table of random number. The control group was given conventional treatment,while the treatment group was treated with angina pectoris plaster combined with emotional nursing on the basis of the control group. Both groups were treated for 20 days. The improvement of clinical efficacy and TCM syndrome scores were compared; the self-rating anxiety scale(SAS) scores and self-rating depression scale(SDS) scores were observed; the influence of the treatment scheme on patients' anxiety and depression was analyzed. Results The TCM syndrome scores in both groups were decreased, and the treatment group decreased significantly compared with the control group(P < 0.05). The scores of SAS and SDS scale in both groups were decreased significantly after the treatment, and the treatment group decreased significantly compared with the control group(P < 0.05). The results showed that the clinical effect of the treatment group was better than that of the control group(P < 0.05).Conclusion The application of angina pectoris plaster combined with emotional nursing has the ef fects of promoting blood circulation, removing blood stasis, soothing the liver, promoting the circulation of qi, calming the heart and tranquilizing the mind, which can obviously improve the clinical symptoms and signs of patients, relieve anxiety and depression of patients, and has a good therapeutic ef fect on stable angina pectoris of coronary heart disease, and is worthy of clinical popularization and application.
引文
[1]王长城,朱华峰.中西医结合治疗冠心病心绞痛的临床研究[J].现代中西医结合杂志,2013,22(23):2552-2553.
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[3]张红丽.补阳还五汤加味治疗老年冠心病稳定型心绞痛气虚血瘀证的临床疗效[J].内蒙古中医药,2017,36(2):33.
[4]陈灏珠,林果为,王吉耀.实用内科学(下册)[M].14版.北京:人民卫生出版社,2013:1337-1352.
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[6]王军如.中西医结合治疗冠心病稳定型心绞痛疗效分析[J].实用中医药杂志,2015,31(6):525-525,526.
[7]郎东.盐酸曲美他嗪治疗冠心病稳定型心绞痛的临床疗效观察[J].中国医药指南,2017,15(36):38-39.
[8]郭志强,杨秋娴,龙明,等.阿托伐他汀对冠心病患者血流动力学的影响观察[J].四川医学,2013,34(12):1884-1886.
[9]陈小妹.探讨整体护理干预对冠心病心绞痛患者生存质量的影响[J].中国保健营养旬刊,2014,24(1):127-128
[10]苗琳.优质护理在冠心痛护理中的应用效果观察[J].中外医疗,2014,33(7):141.
[11]张传玲,王永霞.血府逐瘀汤联合西药治疗气滞血瘀型稳定型心绞痛20例[J].中医研究,2014,27(7):20-21.
[12]杨琼芬,毕德飞,吴红波,等.瓜蒌薤白半夏汤联合硝酸甘油治疗冠心病心绞痛42例临床疗效观察[J].中国医药指南,2015,13(1):228.
[13]代升平,吴哲兵.中西医结合治疗稳定型心绞痛气虚血瘀证临床研究[J].实用中医药杂志,2017,33(6):647-648.
[14]王皓霖,石立鹏,杜旭勤,等.化痰祛瘀汤治疗冠心病稳定型心绞痛疗效及对血脂、血液流变学的影响[J].现代中西医结合杂志,2018,27(8):810-813.
[15]李宁.自拟养心补气汤辅助治疗冠心病稳定型心绞痛临床疗效观察[J].世界最新医学信息文摘(电子版),2017,17(68):95-96.
[16]王笑莹,张世鹰,舒华,等.陈新宇教授“阳微阴弦即胸痹而痛”理论应用举隅[J].中国中医急症,2016,25(5):819-820,838.
[17]赵磊.血府逐瘀汤加减治疗冠心病心绞痛临床观察[J].中国中医急症,2013,22(8):1415-1416.
[18]张志刚,边文贵.保元汤合血府逐瘀汤治疗气虚血瘀型冠心病临床观察[J].中西医结合心血管病电子杂志,2015,3(5):94-95.
[19]王红霞,麦苗,孙广晓,等.综合护理干预对冠心病心绞痛患者临床疗效及心理状态影响[J].医学临床研究,2014,31(2):220-222.
[20]陈淑艳.中医情志护理对冠心病心绞痛疗效的影响[J].长春中医药大学学报,2015,31(6):1248-1250.
[2]王慧云,赵军香.补阳还五汤联合西药治疗冠心病稳定型心绞痛的疗效及对血液流变学的影响[J].现代中西医结合杂志,2016,25(10):1089-1091.
[3]张红丽.补阳还五汤加味治疗老年冠心病稳定型心绞痛气虚血瘀证的临床疗效[J].内蒙古中医药,2017,36(2):33.
[4]陈灏珠,林果为,王吉耀.实用内科学(下册)[M].14版.北京:人民卫生出版社,2013:1337-1352.
[5]郑筱萸.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002:295.
[6]王军如.中西医结合治疗冠心病稳定型心绞痛疗效分析[J].实用中医药杂志,2015,31(6):525-525,526.
[7]郎东.盐酸曲美他嗪治疗冠心病稳定型心绞痛的临床疗效观察[J].中国医药指南,2017,15(36):38-39.
[8]郭志强,杨秋娴,龙明,等.阿托伐他汀对冠心病患者血流动力学的影响观察[J].四川医学,2013,34(12):1884-1886.
[9]陈小妹.探讨整体护理干预对冠心病心绞痛患者生存质量的影响[J].中国保健营养旬刊,2014,24(1):127-128
[10]苗琳.优质护理在冠心痛护理中的应用效果观察[J].中外医疗,2014,33(7):141.
[11]张传玲,王永霞.血府逐瘀汤联合西药治疗气滞血瘀型稳定型心绞痛20例[J].中医研究,2014,27(7):20-21.
[12]杨琼芬,毕德飞,吴红波,等.瓜蒌薤白半夏汤联合硝酸甘油治疗冠心病心绞痛42例临床疗效观察[J].中国医药指南,2015,13(1):228.
[13]代升平,吴哲兵.中西医结合治疗稳定型心绞痛气虚血瘀证临床研究[J].实用中医药杂志,2017,33(6):647-648.
[14]王皓霖,石立鹏,杜旭勤,等.化痰祛瘀汤治疗冠心病稳定型心绞痛疗效及对血脂、血液流变学的影响[J].现代中西医结合杂志,2018,27(8):810-813.
[15]李宁.自拟养心补气汤辅助治疗冠心病稳定型心绞痛临床疗效观察[J].世界最新医学信息文摘(电子版),2017,17(68):95-96.
[16]王笑莹,张世鹰,舒华,等.陈新宇教授“阳微阴弦即胸痹而痛”理论应用举隅[J].中国中医急症,2016,25(5):819-820,838.
[17]赵磊.血府逐瘀汤加减治疗冠心病心绞痛临床观察[J].中国中医急症,2013,22(8):1415-1416.
[18]张志刚,边文贵.保元汤合血府逐瘀汤治疗气虚血瘀型冠心病临床观察[J].中西医结合心血管病电子杂志,2015,3(5):94-95.
[19]王红霞,麦苗,孙广晓,等.综合护理干预对冠心病心绞痛患者临床疗效及心理状态影响[J].医学临床研究,2014,31(2):220-222.
[20]陈淑艳.中医情志护理对冠心病心绞痛疗效的影响[J].长春中医药大学学报,2015,31(6):1248-1250.