摘要
目的探讨疏肝解郁中药对“双心疾病”患者中医证候改善及预后的影响。方法选择于2017年1月—2019年2月辽宁省大连市第二人民医院门诊就诊的94例冠心病伴抑郁、焦虑患者作为研究对象,根据其采用不同的治疗方案进行分组,将采用氟哌噻吨美利曲辛(黛力新)治疗的患者纳入对照组,将采用疏肝解郁中药治疗的患者纳入研究组,每组患者47例,治疗时间为6周。观察和比较2组患者治疗前后中医证候积分、不良情绪评分以及治疗后6个月心血管不良事件发生率。结果治疗前,2组中医证候积分、焦虑自评量表评分、抑郁自评量表评分比较,差异无统计学意义(P>0.05);治疗后,2组中医证候积分、焦虑自评量表评分、抑郁自评量表评分低于治疗前,研究组指标变化幅度高于对照组,差异有统计学意义(P<0.05)。研究组心血管不良事件发生率低于对照组,差异有统计学意义(P<0.05)。结论采用疏肝解郁中药治疗“双心疾病”,可有效改善患者的中医证候,安全性高,对心血管具有保护作用,还能缓解不良情绪。
Objective To explore the effect of dispersing stagnated liver qi for relieving qi stagnation Chinese medicine on the improvement of syndrome and prognosis of patients with psycho-cardiological diseases.Methods A total of 94 patients with coronary heart disease accompanied by depression and anxiety were selected from the outpatient department of the Second People’s Hospital of Dalian City,Liaoning Province from January 2017 to February 2019.According to the different treatment schemes,the patients who were treated with Deanxit were included in the control group,and the patients who were treated with soothing liver and relieving depression were included in the study group,with 47 patients in each group,and the treatment time was 6 weeks.The score of traditional Chinese medicine(TCM)symptoms,the score of adverse emotions and the incidence of cardiovascular adverse events in the two groups before and after treatment were observed and compared.Results Before treatment,there was no statistical significance in TCM syndrome score,self-rating anxiety scale score and self-rating depression scale score between the two groups(P>0.05).After treatment,the scores of TCM syndrome,self-rating anxiety scale and self-rating depression scale in the two groups were lower than before treatment,and the indexes in the research group were higher than those in the control group,with statistical significance(P<0.05).The incidence of adverse cardiovascular events in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Dispersing stagnated liver qi for relieving qi stagnation Chinese medicine in treating psycho-cardiological diseases can effectively improve the TCM syndromes of patients,with high safety,and has a protective effect on cardiovascular disease,and can also relieve bad mood.
作者
苗静
姚福梅
MIAO Jing;YAO Fumei(Department of Cardiology,the Second People’s Hospital of Dalian,Liaoning Province,Dalian 116000,China)
出处
《中国中医药现代远程教育》
2021年第13期60-62,共3页
Chinese Medicine Modern Distance Education of China
关键词
双心疾病
疏肝解郁法
中医证候
中医药疗法
psycho-cardiological diseases
dispersing stagnated liver qi for relieving qi stagnation method
traditional Chinese medicine symptom
therapy of traditional Chinese medicine
