摘要
目的观察针灸中药结合运动疗法对冠心病患者心脏功能及生活质量的影响。方法选取2014年1月—2016年6月解放军天津疗养院全军中医针灸康复技术中心就诊的冠心病126例,按康复治疗方法不同分成观察组(64例)和对照组(62例)。对照组采用常规心脏康复治疗,观察组在对照组基础上,给予益气复脉针法及中药辨证治疗。观察并记录两组治疗前后理化指标、运动心肺功能、生活质量及中医疗效。结果治疗后两组血压、总胆固醇、甘油三酯、体质指数均低于治疗前(P<0.05),且观察组总胆固醇、甘油三酯低于对照组(P<0.05)。治疗后两组峰值摄氧量、无氧阈、最大代谢当量、左室射血分数均明显高于治疗前(P<0.05),且观察组上述指标均高于对照组(P<0.05)。治疗后两组生活质量各维度评分明显高于治疗前(P<0.01),且观察组体力状况、病情、一般生活功能、社会心理状况、工作状况评分均高于对照组(P<0.05)。观察组各证型间疗效比较差异无统计学意义(P>0.05)。结论针药结合运动疗法能更好地改善冠心病患者的心脏功能及生活质量,可增强康复效果,且安全易行,值得推广。
Objective To observe effect of acupuncture and Chinese medicine combined with exercise therapy on cardiac function and quality of life of patients with coronary heart disease（ CHD）. Methods A total of 126 CHD patients during January 2014 and June 2016 were divided into observation group（ n = 64） and control group（ n = 62） according to different rehabilitation methods. Control group was treated with routine cardiac rehabilitation,while observation group received Yiqi Fumai acupuncture and dialectical treatment of Chinese medicine on the basis of the treatment for control group. Physical and chemical indicators,cardiopulmonary exercise function,quality of life and efficacy of traditional Chinese medicine before and after treatment were observed and compared in two groups. Results After treatment,levels of blood pressure,total cholesterol,triglyceride and body mass index were significantly lower than those before treatment in two groups（ P〈0. 05）,and levels of total cholesterol and triglyceride in observation group were lower than those in control group（ P〈0. 05）. After treatment,levels of peak oxygen uptake,anaerobic threshold,maximum metabolic equivalent and left ventricular were significantly higher than those before treatment in two groups（ P〈0. 05）,and the above levels in observation group were higher than those in control group（ P〈0. 05）. After treatment,index scores of life quality were significantly higher than those before treatment in two groups（ P〈0. 01）,and the scores of physical status,pathogenetic condition,general life function,social psychological status and work status in observation group were significantly higher than those in control group（ P〈0. 05）. There were no significant differences in effects of different TCM syndromes in observation group（ P〉0. 05）. Conclusion Acupuncture and traditional Chinese medicine combined with exercise therapy can better improve the cardiac function and life quality of patients with coronary heart disease and en
出处
《解放军医药杂志》
CAS
2017年第2期7-12,共6页
Medical & Pharmaceutical Journal of Chinese People’s Liberation Army
基金
解放军总后卫生部保健专项课题(CWS14BJ46)
关键词
冠心病
心脏康复
针灸
中药
运动能力
生活质量
Coronary heart disease
Cardiac rehabilitation
Acupuncture
Traditional Chinese medicine
Exercise capacity
Quality of life
