Department of Traditional Chinese Medicine, First Affiliated Hospital of Air Force Military University (Xijing Hospital), Xi'an 710032, Shaanxi, China.
Department of Cardiology, First Affiliated Hospital of Air Force Military University (Xijing Hospital), Xi'an 710032, Shaanxi, China.
Contrast Media Mol Imaging. 2022 Aug 21;2022:2820851. doi: 10.1155/2022/2820851. eCollection 2022.
This study was to explore the effect of traditional Chinese medicine (TCM) nursing intervention based on intracoronary ultrasound imaging on patients with coronary heart disease (CHD) and phlegm and blood stasis syndrome (PBSS). 100 hospitalized patients with CHD with Qi deficiency and blood stasis syndrome (QDBSS) were rolled into the experimental (Exp) group (routine nursing intervention) and control (Ctrl) group (TCM nursing intervention, syndrome differentiation nursing), with 50 patients in each group. They underwent the intracoronary ultrasound imaging scanning. The results showed that after intervention, the plaque load (45.08 ± 6.02%), plaque eccentricity index (0.47 ± 0.08%), vascular remodeling index (0.53 ± 0.11%), and vascular external elastic membrane area (8.67 ± 3.06 mm) of the Exp group were notably inferior to those of the Ctrl group (60.22 ± 5.82%, 0.59 ± 0.08%, 0.71 ± 0.09%, and 10.56 ± 2.31 mm). The total effective rate in the Exp group (88%) was greatly superior to that of the Ctrl group (68%). In terms of TCM symptom scores, the TCM symptom scores of chest pain, chest tightness, and shortness of breath in the Exp group after intervention (1.07 ± 0.21 points, 0.75 ± 0.27 points, and 0.58 ± 0.12 points) were notably inferior to those in the Ctrl group (1.62 ± 0.28 points, 1.03 ± 0.21 points, and 0.79 ± 0.14 points). In the Exp group, after intervention, the degree of physical activity limitation (67.05 ± 5.08 points), the stable state of angina pectoris (65.28 ± 3.76 points), the frequency of angina pectoris attack (85.92 ± 2.97 points), the degree of treatment satisfaction (75.39 ± 5.94 points), the cognition score of disease (63.56 ± 5.84 points), the levels of triglyceride (1.27 ± 0.41 mmol/L), and total cholesterol (2.24 ± 0.41 mmol/L) were remarkably inferior to the Ctrl group (52.97 ± 4.31 points, 50.77 ± 4.69 points, 71.36 ± 3.77 points, 64.08 ± 5.64 points, 51.77 ± 6.33 points, 2.09 ± 0.57 mmol/L, and 3.06 ± 0.84 mmol/L) ( < 0.05). It suggested that intracoronary ultrasound imaging can clearly display the coronary plaques of patients and accurately evaluate the clinical efficacy of patients with CHD. The TCM nursing program can greatly improve the angina symptoms and quality of life of patients with CHD and PBSS, reduce blood lipid levels, and effectively improve the clinical efficacy of patients.
这项研究旨在探讨基于冠状动脉内超声成像的中医护理干预对冠心病(CHD)和痰瘀证(PBSS)患者的影响。将 100 名住院的气虚血瘀型 CHD 患者纳入实验组(常规护理干预)和对照组(中医护理干预、辨证施护),每组 50 名患者。对他们进行冠状动脉内超声成像扫描。结果显示,干预后实验组的斑块负荷(45.08±6.02%)、斑块偏心指数(0.47±0.08%)、血管重构指数(0.53±0.11%)和血管外膜面积(8.67±3.06mm)明显低于对照组(60.22±5.82%、0.59±0.08%、0.71±0.09%和 10.56±2.31mm)。实验组的总有效率(88%)明显高于对照组(68%)。在中医症状评分方面,实验组胸痛、胸闷和呼吸急促的中医症状评分在干预后(1.07±0.21 分、0.75±0.27 分和 0.58±0.12 分)明显低于对照组(1.62±0.28 分、1.03±0.21 分和 0.79±0.14 分)。实验组在干预后,体力活动受限程度(67.05±5.08 分)、稳定型心绞痛状态(65.28±3.76 分)、心绞痛发作频率(85.92±2.97 分)、治疗满意度(75.39±5.94 分)、疾病认知评分(63.56±5.84 分)、甘油三酯水平(1.27±0.41mmol/L)和总胆固醇水平(2.24±0.41mmol/L)明显低于对照组(52.97±4.31 分、50.77±4.69 分、71.36±3.77 分、64.08±5.64 分、51.77±6.33 分、2.09±0.57mmol/L 和 3.06±0.84mmol/L)(<0.05)。这表明冠状动脉内超声成像可以清楚地显示患者的冠状动脉斑块,并准确评估冠心病患者的临床疗效。中医护理方案可以显著改善冠心病痰瘀证患者的心绞痛症状和生活质量,降低血脂水平,有效提高患者的临床疗效。