中西医结合治疗冠心病临床疗效及生活质量的影响

发布时间：2018-05-25 18:29

本文选题：中西医结合 + 西医　；参考：《中华中医药学刊》2016年05期

【摘要】：目的:研究并探讨中西医结合治疗冠心病患者的临床疗效及对患者生活质量的影响,从而提高医院对冠心病患者的治疗水平,改善患者的生活质量。方法:依据纳入排除标准从医院2013年1月—2015年1月收治的冠心病患者中随机抽取160例作为研究对象,按照电脑所产生的随机数列分为两组,对照组采用西药进行常规治疗,研究组在采用西药治疗的基础上加用中药汤剂进行治疗。两组患者在经过4周的治疗后,比较两组的治疗效果,观察治疗前后血液流变学和患者生活质量的改变情况。结果:研究组患者采用中西医结合的方法进行治疗后,患者血液的血浆黏度、纤维蛋白原、红细胞压积分别为(1.69±0.12)m Pa/s、(4.02±0.28)%、(41.98±3.32)%;对照组采用常规西药治疗后,患者血液的血浆黏度、纤维蛋白原、红细胞压积分别为(1.76±0.14)m Pa/s、(4.14±0.32)%、(44.62±3.12)%;两组差距较明显,差异具有统计学意义(P㩳0.05)。研究组总有效率为96.25%,对照组治疗总有效率为87.50%,研究组总有效率显著高于对照组,两组差距较明显,差异具有统计学意义(P㩳0.05)。结论:对于冠心病患者,在采用西药治疗的基础上加用中药汤剂,可以有效改善患者的临床症状,患者的血液流变学指标变化更加明显,具有较好的临床疗效,对提高患者的生活质量具有积极意义。
[Abstract]:Objective: to study the clinical effect and quality of life (QOL) of patients with coronary heart disease (CHD) treated by integrated traditional Chinese and western medicine (TCM) and to improve the quality of life (QOL) of patients with coronary heart disease (CHD). Methods: according to the exclusion criteria, 160 patients with coronary heart disease were randomly selected from January 2013 to January 2015. The patients were divided into two groups according to the random number series generated by computer. The control group was treated with western medicine. The study group was treated with traditional Chinese medicine decoction on the basis of western medicine treatment. After 4 weeks of treatment, two groups of patients were compared, and the changes of hemorheology and quality of life were observed before and after treatment. Results: the plasma viscosity, fibrinogen and hematocrit of the patients were 1.69 卤0.12m, 4.02 卤0.28m and 41.98 卤3.32m, respectively. The fibrinogen and hematocrit were 1.76 卤0.14mPa / strop 4.14 卤0.32m and 44.62 卤3.12m respectively. The difference between the two groups was significant (P < 0.05). The total effective rate was 96.25 in the study group and 87.50 in the control group. The total effective rate in the study group was significantly higher than that in the control group, and the difference between the two groups was significant (P 0.05). Conclusion: for patients with coronary heart disease, it is effective to improve the clinical symptoms of patients with coronary heart disease by adding traditional Chinese medicine decoction on the basis of western medicine treatment. The change of hemorheology index of patients is more obvious and has better clinical curative effect. It is of positive significance to improve the quality of life of patients.
【作者单位】：延安大学附属医院心内科;
【分类号】：R541.4

【相似文献】