辨证论治冠心病冠状动脉搭桥术围手术期患者30例

目的:观察辨证论治冠心病冠状动脉搭桥术围手术期患者的临床疗效。方法:将60例患者随机分为观察组、对照组各30例。2组均给予手术及常规治疗,观察组给予中药内服,对照组给予安慰剂治疗,对2组全因死亡、其他结局指标、心绞痛及心功能分级、心绞痛积分量表进行评价。结果:各量表最终随访结果为观察组27例,对照组24例。术后2年对患者进行随访,评价心功能分级、心绞痛积分、全因死亡人数、再次心肌血运重建率及非致命性心梗人数等指标,2组比较差异无统计学意义(P0.05);心绞痛分级指标、因心血管事件再次入院率等2组比较,差异有统计学意义(P0.05)。结论:冠脉搭桥围手术期使用中医辨证论治可降低术后2年的心血管事件发生率,改善术后心功能分级。

Syndrome Differentiation and Treatment for 30 Patients with Coronary Heart Disease Undergoing Coronary Artery Bypass Grafting in Perioperative Period

Objective:To observe curative effects of syndrome differentiation and treatment in the treatment for coronary heart disease (CHD) patients undergoing coronary artery bypass grafting (CABG) in perioperative period.Methods:Sixty patients were randomized into the observation group and the control group,30 cases each group.Both groups accepted the surgery and routine treatment,the observation group took herbs orally,and the control group was given placebo,angina pectoris scales,cardiac functional grading,angina pectoris,other outcome indicators and all-cause mortality of both groups were assessed.Results:The follow-ups results of different scales were 27 cases in the observation group and 24 cases of the control group.The patients were followed up in two years after the operation,and there was no statistical meaning in the comparisons of cardiac functional grading,angina pectoris scales,angina pectoris,the number of all-cause mortality,myocardial revascularization rate and the number of Nonfatal myocardial infarction between both groups (P ＞0.05);the difference had statistical meaning in the comparisons of angina pectoris grading indexes,readmission rate caused by cardiovascular event and others between both groups (P＜0.05).Conclusion:Syndrome differentiation and treatment given to the patients undergoing CABG in perioperative period could decrease the readmission caused by cardiovascular event in two years after the operation,and improve postoperative cardiac functional grading.