【摘要】 目的探究评价中医辨证施护对合并高血压之痰浊闭阻型胸痹心痛病患者心功能及血压控制和生活质量的影响结果。方法选取我院心内科2017年01月～2020年02月56例合并高血压之痰浊闭阻型胸痹心痛病(冠心病)患者,按照数字表随机分为对照组(n=28)与观察组(n=28)。对照组接受用药、饮食及运动自我管理指导常规护理干预,观察组接受中医外治法及辨证施膳等中医辨证施护干预。干预时间4周,对比两组干预前后的心功能(心功能指标左室射血分数LVEF、左室舒张末期内径LVEDD)及血压控制水平(收缩压SBP,舒张压DBP)和生活质量(SF-36)的评价结果。结果干预前,两组患者LVEF、LVEDD及SBP、DBP和SF-36各维度得分无明显差异,差异无统计学意义(P>0.05);干预4周,观察组患者LVEF(45.63±5.46)%、LVEDD(51.97±4.05)mm、SBP(113.96±8.89)mmHg、DBP(76.35±6.53)mmHg,与对照组相比,差异存在统计学意义(P<0.05);观察组SF-36各维度评分均明显高于对照组,差异有统计学意义(P<0.05)。结论合并高血压之痰浊闭阻型胸痹心痛病患者经中医辨证施护干预,患者心功能恢复更为稳定,血压控制水平更为理想,患者生活质量明显提高,值得临床推广应用。更多还原

【Abstract】 Objective To explore and evaluate the effect of TCM syndrome differentiation on the heart function,blood pressure control and quality of life in patients with phlegm-turbid obstruction type chest pain and heartache combined with hypertension.Methods From January 2017 to February 2020 in our hospital’s Department of Cardiology,56 patients with phlegm obstruction type chest pain and heartache (coronary heart disease) combined with hypertension were randomly divided into control group (n=28) and observation according to the number table Group (n=28).The control group received medication,diet and exercise self-management guided routine nursing intervention,and the observation group received TCM treatment interventions such as external treatment of TCM and diet based on syndrome differentiation.The intervention time was 4 weeks.The cardiac function (cardiac function index left ventricular ejection fraction LVEF,left ventricular end diastolic diameter LVEDD),blood pressure control level (systolic blood pressure SBP,diastolic blood pressure DBP) and quality of life (SF-36) Evaluation results.Results Before the intervention,there was no significant difference in the scores of LVEF,LVEDD,SBP,DBP,and SF-36 between the two groups (P>0.05);after the intervention for 4 weeks,the observation group had LVEF (45.63±5.46)% and LVEDD (51.97±4.05) mm,SBP (113.96±8.89) mmHg,DBP (76.35±6.53) mmHg,compared with the control group,the difference was statistically significant (P<0.05);the observation group SF-36 scores in all dimensions were significantly higher than the control group (P<0.05).Conclusion Patients with phlegm-turbid obstruction type chest pain and heartache combined with hypertension undergoes TCM syndrome differentiation and nursing intervention.The patient’s heart function recovers more stable,blood pressure control level is more ideal,and the patient’s quality of life is significantly improved.It is worthy of clinical application.更多还原