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

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。

Clinical Observation on Quality of Life in Coronary Artery Bypass Grafting Patients Treated According to Syn- drome Differentiation of TCM

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.