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目的:观察黄连茯苓汤联合低成本运动康复对冠心病患者预后的影响。方法:将2013年1月~2015年12月我院收治的95例冠心病患者依据其入院顺序分为研究组(48例)和对照组(47例),对照组给予基础药物治疗,研究组另给予黄连茯苓汤联合低成本运动康复治疗,对两组治疗后颈动脉硬化斑块[颈动脉内中膜厚度(IMT)、斑块面积(PA)]、临床疗效、生活质量评分及预后效果[6分钟步行距离、再住院率、病死率]进行观察比较。结果:治疗后两组IMT、PA均较治疗前显著减小,且研究组IMT、PA较对照组减小显著,均差异显著(P<0.05);研究组治疗后总有效率87.50%较对照组70.21%显著高(P<0.05);治疗后两组生活质量评分分别均较治疗前显著升高,且研究组生活质量评分分别均较对照组升高显著,均差异显著(P<0.05);治疗后研究组6min步行距离、再住院率均较对照组显著小(P<0.05),两组病死率相较无明显差异(P>0.05)。结论:黄连茯苓汤联合低成本运动康复对冠心病患者临床疗效显著,有效提高患者生活质量,预后效果佳,值得推广应用。
Objective: To observe the effect of Coptis Decoction combined with low-cost exercise rehabilitation on the prognosis of patients with coronary heart disease. Methods: From January 2013 to December 2015, 95 patients with coronary heart disease admitted to our hospital were divided into study group (48 cases) and control group (47 cases) according to their order of admission. The control group was given basic drug treatment. The study group Another given Coptis Decoction combined with low-cost exercise rehabilitation treatment of carotid atherosclerotic plaque in both groups [carotid IMT, plaque area (PA)], clinical efficacy, quality of life scores and prognosis [6 minutes walk distance, readmission rate, mortality] were observed and compared. Results: After treatment, the IMT and PA in both groups decreased significantly compared with that before treatment, and the IMT and PA in the study group decreased significantly compared with the control group (P <0.05). The total effective rate in the study group was 87.50% (P <0.05). After treatment, the scores of quality of life in the two groups were significantly higher than those before treatment, and the quality of life scores in the study group were significantly higher than those in the control group (P <0.05) After treatment, the walking distance and rehospitalization rate in the study group were significantly smaller than those in the control group (P <0.05). There was no significant difference in mortality between the two groups (P> 0.05). Conclusion: Coptis Decoction combined with low-cost exercise rehabilitation in patients with coronary heart disease clinical significant effect, effectively improve the quality of life of patients with good prognosis, it is worth promoting the application.