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中医辨证施治改善冠状动脉搭桥患者生活质量的临床观察 被引量:13

Clinical Observation on Quality of Life in Coronary Artery Bypass Grafting Patients Treated According to Syn- drome Differentiation of TCM
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摘要 目的:评价中医辨证施治对冠状动脉搭桥术(CABG)后患者临床疗效及生活质量的影响。方法:82例拟行冠状动脉搭桥手术的患者,对照组(39例)采用常规西医治疗,治疗组(43例)在西医治疗的基础上进行中医辨证施治。应用西雅图心绞痛量表,观察各组患者术后临床症状及生活质量的改善情况。结果:治疗2个月后,治疗组临床症状总积分值与对照组比较差异有显著性(P<0.01);生活质量量表总积分值亦显著高于对照组(P<0.01),其中在心绞痛稳定状态、心绞痛发作情况、治疗满意程度及疾病认识程度等方面治疗组均明显优于对照组(P<0.05或P<0.01)。结论:中医药治疗可以促进CABG术后患者的康复过程,改善临床症状,从而提高患者的生活质量。 Objective: To evaluate the clinical effect and quality of life (QOL) in coronary artery bypass grafting (CABG) patients treated according to syndrome differentiation of TCM. Methods: Eighty-two CABG patients were allocated in the control group ( n = 39) treated with conventional method of western medicine, and the TCM-treated group (n =43) treated according to syndrome differentiation of TCM based on the conventional western medicine. The Seattle Angina Questionnaire (SAQ) was used to assess the clinical effect and quality of life. Results; After 2 months treatment, the TCM syndrome score in TCM-treated group was better, and the score of SAQ was higher than that in the control group (all P<0.01). In the aspects of anginal stability, anginal frequency, treatment satisfaction and disease perception, there was significant difference between the two groups ( P < 0.05 or P < 0.01) . Conclusion: TCM treatment could promote recovery, improve symptoms and elevate QOL of CABG patients.
出处 《中国中西医结合杂志》 CAS CSCD 北大核心 2003年第11期804-807,共4页 Chinese Journal of Integrated Traditional and Western Medicine
关键词 冠状动脉搭桥 生活质量 临床观察 辨证论治 西雅图心绞痛量表 treatment according to syndrome differentiation of TCM, coronary artery bypass grafting, Seattle Angina Questionnaire, quality of life
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