中医取穴干预联合运动康复护理在心力衰竭患者中的应用

目的探讨中医取穴干预联合运动康复护理在心力衰竭患者中的应用效果。方法选择2018年3月—2019年12月医院收治的80例心力衰竭患者为研究对象,按照组间基线特征均衡可比的原则,分为对照组和观察组,每组40例。对照组给予常规护理,观察组在对照组基础上实施中医取穴干预联合运动康复护理,比较两组患者干预前后心功能评分情况、预后状况、疗效及中医证候积分情况。结果观察组患者左室射血分数(LVEF)、心输出量(CO)、每搏输出量(SV)明显优于对照组,差异有统计学意义(P<0.05);观察组患者症状性心力衰竭、恶性心律失常、心肌梗死、心脏性猝死等不良心血管事件发生率低于对照组,治疗有效率高于对照组,差异有统计学意义(P<0.05);观察组中医证候积分评分为13.94±4.62分明显优于对照组的20.77±5.18分,差异有统计学意义(P<0.05)。结论中医取穴干预联合运动康复护理应用于心力衰竭患者护理中,可有效改善其心功能、中医证候,改善预后。

Application of traditional chinese medicine acupoint intervention combined with exercise rehabilitation nursing in patients with heart failure

Objective To explore the application effect of traditional Chinese medicine acupoint intervention combined with exercise rehabilitation nursing in patients with heart failure.Methods To select 80 cases of patients with heart failure admitted to hospital from March 2018 to December 2019 as the sutdy objects.According to the principle of balanced and comparable baseline characteristics between the groups,they were divided into a control group and an observation group,with 40 cases in each group.The control group was given routine nursing care,and the observation group implemented traditional Chinese medicine acupoint intervention combined with exercise rehabilitation nursing on the basis of the control group to compare the cardiac function scores,prognosis,curative effect and traditional Chinese medicine syndrome scores of the two groups before and after intervention.Results The left ventricular ejection fractions(LVEF),cardiac output(CO)and stroke volume(SV)in the observation group were significantly better than those in the control group,and the differences were statistically significant(P<0.05).The incidence rate of adverse cardiovascular events such as symptomatic heart failure,malignant arrhythmia,myocardial infarction,and sudden cardiac death in the observation group was lower than that of the control group,and the effective rate of treatment was higher than that of the control group,and the differences were statistically significant(P<0.05).The score of traditional Chinese medicine syndrome score of the observation group was 13.94±4.62 points significantly better than the 20.77±5.18 points of the control group,and the difference was statistically significant(P<0.05).Conclusion Application of acupuncture point intervention combined with rehabilitation nursing in the care of patients with heart failure can effectively improve their heart function,traditional Chinese medicine syndromes and improve prognosis.