麝香保心丸联合八段锦对老年冠心病PCI术后Ⅱ期康复患者疗效的影响
Effect of Shexiang Baoxin Pills combined with Baduanjin on therapeutic effect of phase Ⅱ rehabilitation in elderly coronary heart disease patients after PCI surgery
张文科 1程丽芳 2任梦婷 3梁薇 3杨琳 3王红雨4
作者信息
- 1. 233030 安徽蚌埠 蚌埠医科大学研究生院;236800 安徽亳州 亳州市人民医院心脏康复中心
- 2. 236800 安徽亳州 亳州市人民医院心脏康复中心
- 3. 233030 安徽蚌埠 蚌埠医科大学研究生院
- 4. 233030 安徽蚌埠 蚌埠医科大学体育艺术部
- 折叠
摘要
目的 观察麝香保心丸和八段锦联合治疗对老年冠心病介入术后Ⅱ期康复患者疗效的影响.方法 选取2022年10月至2023年9月就诊于亳州市人民医院心脏康复中心经皮冠状动脉介入治疗(PCI)术后Ⅱ期康复患者72例,采用信封法遮盖患者信息,按就诊顺序编号分为对照组和联合组,每组36例.对照组采用西医常规康复疗法,联合组在对照组基础上增加麝香保心丸和八段锦相结合的康复疗法,进行为期12周的康复治疗.使用6 min步行测试(6MWT)、左室射血分数(LVEF)、左室舒张末内径(LVEDD)、西雅图心绞痛量表(SAQ)、广泛性焦虑问卷7项(GAD-7)和患者健康问卷9项(PHQ-9)评分评估治疗效果.结果 对照组30例、联合组33例完成本研究,康复期间无不良事件发生.两组患者干预前各项指标比较,差异均无统计学意义(P＞0.05).与对照组比较,进行为期12周的康复治疗后,康复组患者LVEF、6 min步行距离(6MWD)均增加(P<0.05),LVEDD、GAD-7、PHQ-9均降低(P<0.05),SAQ各项评分均高于对照组(P<0.05).两组患者干预前后LVEF、LVEDD、6MWD、SAQ、GAD-7、PHQ-9疗效指标差值比较,差异均有统计学意义(P<0.05).结论 麝香保心丸和八段锦联合治疗能够改善介入术后Ⅱ期康复患者的心功能,增强其运动耐力,减少其焦虑、抑郁等心理症状,改善其生存质量.
Abstract
Objective To observe the therapeutic effect of the combined treatment of Shexiang Baoxin Pills and Baduanjin on coronary heart disease patients in phase Ⅱ rehabilitation after interventional surgery.Methods From October 2022 to September 2023,72 patients who attended the Cardiac Rehabilitation Center of Bozhou People's Hospital for phase Ⅱ rehabilitation after percutaneous coronary interven-tion(PCI),were divided into 36 cases in the control group and 36 cases in the combined group according to the numbering of the order of con-sultation by using the envelope method to mask the patients'information.The control group was treated with conventional rehabilitation therapy in Western medicine,and the combined group was treated with a 12-week rehabilitation therapy combining Shexiang Baoxin Pills and Baduanjin on the basis of the control group.The 6-minute walk test(6MWT),left ventricular ejection fraction(LVEF),left ventricular end dia-stolic dimension(LVEDD),Seattle Angina Questionnaire(SAQ),Generalized Anxiety Questionnaire(GAD-7),and Patient Health Question-naire(PHQ-9)scores were used as an assessment of treatment effectiveness.Results The control group(n=30)and the combined group(n=33)completed this study,and no adverse events occurred during the rehabilitation period.There was no statistical significance in the compari-son of the pre-intervention indicators between the two groups(P＞0.05).Compared with the control group,after 12 weeks of rehabilitation,pa-tients in the combined group showed an increase(P<0.05)in LVEF,6MWD,but a decrease in LVEDD,GAD-7,and PHQ-9(P<0.05),and the SAQ scores were higher than the control group(P<0.05).The differences in the efficacy indexes of LVEF,LVEDD,6MWD,SAQ,GAD-7 and PHQ-9 before and after the intervention between the two groups were statistically significant(P<0.05).Conclusion The combined treatment of Shexiang Baoxin Pills and Baduanjin can improve the cardiac function of interventional rehabilitation patients,enhance their exercise endur-ance,reduce their anxiety,depression and other psychological symptoms,and improve their quality of life.
关键词
麝香保心丸/八段锦/经皮冠状动脉介入治疗术/老年人/心脏康复Key words
Shexiang Baoxin Pills/Baduanjin/Percutaneous coronary intervention/Elderly people/Cardiac rehabilitation引用本文复制引用
出版年
2024
NETL
NSTL
万方数据