增强型体外反搏对基于冠心病不稳定型心绞痛临床路径患者生活质量的影响.docVIP

精品论文 参考文献 增强型体外反搏对基于冠心病不稳定型心绞痛临床路径患者生活质量的影响 赵利 郑直 段晓巧 翁锦龙 陈丰 刘光辉（福建中医药大学附属人民医院 心血管二科 福建 福州 350004） 　　摘要：目的：观察增强型体外反搏对基于冠心病不稳定型心绞痛临床路径患者生活质量的影响。方法：将63 例经冠脉造影确诊为冠心病的不稳定型心绞痛患者随机分为2 组：常规治疗组，给予临床路径常规药物治疗；增强型体外反搏组；临床路径常规药物治疗基础上加用增强型体外反搏治疗bid；治疗2 周后比较两组疗效，并采用西雅图心绞痛调查问卷（SAQ）及生活质量测定量表，评价2 组治疗后心绞痛及生活质量改善情况。结果：2 组心电图疗效比较，差异无统计学意义（p＞0.05），在改善临床症状和生活质量方面，增强型体外反搏组明显优于常规治疗组（p＜0.05）。结论：增强型体外反搏能有效改善冠心病不稳定型心绞痛患者心肌缺血和临床症状，并能提高患者的生活质量。 　　关键词：增强型体外反搏；不稳定型心绞痛；生活质量 　　The Effects of Enhanced External Counterpulsation on Quality of Life in Clinical Pathway Patients with Coronary Artery Disease and Unstable AnginaPectorisZhao LiZheng ZhiDuan Xiaoqiao Weng Jinlong Chen Feng Liu Guanghui( Department of Cardiology, Peoples Hospital Affiliated to Fujian University of Traditional Chinese Medicine，Fuzhou350004，China）Corresponding author: Zhao Li, Email:Abstract Objective: To observe the effects of enhanced external counterpulsation on quality of life in clinical pathway patients with coronary arterydisease (CAD) and unstable angina pectoris . Method: A total of 63 CAD subjects with unstable angina pectoris diagnosed by coronary artery angiographywere divided into two groups. The conventional treatment group, were given clinical pathway conventional therapy; The enhanced externalcounterpulsation group, were given clinical pathway conventional therapy with enhanced external counterpulsation treatment, bid for 2 weeks, respectively.SAQ (Seatle Angina Questionaire) was adopted in studying quality of life before and after treatment in these patients. Result: There was no significantdifference in the changes of electrocardiogram(ECG) between the two groups (Pgt;0.05). Improvement of angina and quality of life in the enhanced externalcounterpulsation group were much better than those in the conventional treatment group (Plt;0.05). Conclusion: Enhanced external counterpulsation cansignificantly improve myocardial ischemia and clinical symptoms in CAD patients with unstable angina pectoris and their quali