中西医结合对冠心病患者介入术后心脏恢复及生活质量影响的研究

硕士学位论文

中西医结合对冠心病患者介入术后心脏恢复及生活质量影响的研究Effect of integrated traditional Chinese and Western Medicine on cardiac recovery and quality of life of patients with coronary heart disease after PCI

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Effect of integrated traditional Chinese and Western Medicine on cardiac recovery and quality of life of patients with coronary heart disease after PCI

A Thesis Submitted for the Degree of Master

Candidate：Wang Zhixin

Supervisor：Prof. Lin Dajun

School of Basic Medical Science

Xinxiang Medical University

目录

目录 (3)

摘要 (4)

Abstract (6)

前言 (9)

材料与方法 (10)

结果 (18)

讨论 (22)

小结 (28)

参考文献 (28)

综述 (33)

致谢 (35)

摘要

背景

随着近几年冠心病患者数量逐渐增加，冠心病已经成为危害人类生存健康的重要疾病之一。人们生活质量以及生活方式的不断改变的同时，冠心病的死亡率也逐渐增加。随着医学上对冠心病研究的不断加深，经皮冠状动脉介入术(percutaneous coronary intervention, PCI)已经成为医学治疗冠心病的重要治疗手段。

目的

本文对冠心病患者进行益气活血化痰的试验，对冠心病患者术后的心脏恢复、生活质量进行研究，进一步探索中西医结合对冠心病患者的术后中期、远期的治疗方式。

方法

针对双盲、安慰剂、随机等方法进行对照分析，针对我国2014年6月-2015年12月，浙江中医药大学第一附属医院心血管科的121个冠心病患者符合进行研究的标准，结合患者的具体情况对患者进行全面观察，并将患者划分为两组，分别为试验组和对照组，对照组使用的药物是安慰剂等数十种西药。分别在治疗的前期、中期、后期对治疗后的半年内进行心绞痛测试，冠心病中西医介入术后的心脏恢复以及生活质量测定。在试验的过程中，对试验性药物以及对照性药物产生的安全反应以及不良反应，并将获得的信息数据进行整理，再借助工具SPSS17. 0进行分析。

结果

冠心病患者术后心脏恢复以及生活质量的改善等问题需要逐步完善，目前国内外已经有较多专家对这一块领域有较深的研究，在临床研究上也已经获得了较大发展，为了规范中西医结合的治疗方式，实现有秩序的研究，需要对中西医结合治疗管理进行紧缩。冠心病患者在临床介入术后治疗上，借助PCI中西医结合治疗方式，能够有效地实现心脏快速恢复以及提升生活质量。

结论

在测试的过程中，分别在治疗前期、中期和后期进行治疗分析，结合治疗半年内患者的情况进行西药治疗，对患者进行绞痛测试，针对冠心病患者的心脏恢

复以及生活质量进行研究，并对患者进行全面观察，对试验组进行划分，与对照组治疗效果对比分析。中西医结合对冠心病患者介入术后心脏恢复及生活质量有着积极的治疗效果。根据患者出现的临床症状以及其自身的生活质量情况，患者自身的躯体活动受到了较大程度的影响和限制，心绞痛的程度也受到了较大程度的影响，治疗后患者的满意程度提升等，从多个方面综合分析都能够发现，试验组的患者评价明显优于对照组，表示本次研究中，采取中西医结合的研究方法能够有效地改善临床患者的疲乏无力感，心绞痛的发作频率降低，并且能够有效地提高患者对治疗的满意程度，在本次研究中中西医结合治疗以及单项的中医治疗或者西医治疗，对于患者的生活质量都进行了全面的对比研究。

关键词：中西医结合；冠心病；生活质量

Abstract

background

With the increasing number of patients with coronary heart disease in recent years, coronary heart disease has become one of the major diseases that endanger human health. People's quality of life as well as the way of life has changed, the mortality of coronary heart disease also increased gradually. Coronary intervention percutaneous (PCI) has become an important treatment method for coronary heart disease with the continuous deepening of the medical research on coronary heart disease.

objective

This paper tests the effect of YiqiHuoxueHuatan on patients with coronary heart disease, and patients with coronary heart disease after recovery of heart of quality of life research, to further explore the combination of traditional Chinese and Western Medicine on the treatment of medium and long-term postoperative patients with coronary heart disease.

Method

Compared to double-blind, placebo, randomized method, according to China's June 2014 -2015 year in December, 121 patients with coronary heart disease in cardiovascular department of the First Affiliated Hospital of Zhejiang Chinese Medicine University were studied in accordance with the standard, combined with the specific circumstances of patients comprehensive observation of patients, and the patients were divided into two groups, respectively, the experimental group and the control group the control group used drugs, placebo and other dozens of Western medicine. In the treatment of early, middle and late period of the treatment of angina pectoris after the treatment of coronary heart disease in the recovery of heart and the quality of life. In the course of the experiment, the safety reaction and adverse reaction of the experimental drug and the control drug were analyzed, and the information data were collected and analyzed by means of SPSS17. 0.

Result

The problem and to improve the quality of life of patients with coronary heart disease