[1]王莉莉,王承竹,杨学青,等.链式中医护理模式对冠心病介入术后患者冠心病危险因素控制达标率的影响[J].西部中医药,2025,38(09):134-138.[doi:10.12174/j.issn.2096-9600.2025.09.26]
　WANG Lili,WANG Chengzhu,YANG Xueqing,et al.Influence of Chain TCM Nursing Model on Attainment Rates of Risk Factor Control in CHD Patients after PCI[J].Western Journal of Traditional Chinese Medicine,2025,38(09):134-138.[doi:10.12174/j.issn.2096-9600.2025.09.26]
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链式中医护理模式对冠心病介入术后患者冠心病危险因素控制达标率的影响()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
38
期数:
2025年09期
页码:
134-138
栏目:
临床研究
出版日期:
2025-09-15

文章信息/Info

Title:
Influence of Chain TCM Nursing Model on Attainment Rates of Risk Factor Control in CHD Patients after PCI
作者:
王莉莉, 王承竹, 杨学青, 郭宇飞, 党照华, 李国翠
中国人民解放军火箭军特色医学中心心血管内科，北京 100088
Author(s):
WANG Lili, WANG Chengzhu, YANG Xueqing, GUO Yufei, DANG Zhaohua, LI Guocui
Department of Cardiology, PLA Rocket Force Characteristic Medical Center, Beijing 100088, China
关键词:
冠心病介入术; 达标率; 心血管不良事件; 链式中医护理
Keywords:
PCI; attainment rate; adverse cardiovascular events; chain TCM nursing model
分类号:
R248.1
DOI:
10.12174/j.issn.2096-9600.2025.09.26
文献标志码:
B
摘要:
目的探究链式中医护理模式对冠心病介入术后患者冠心病危险因素控制达标率的影响。 方法将110例行冠状动脉介入治疗（percutaneous coronary intervention，PCI）的冠心病患者，依据随机数字表法分为对照组和观察组，每组55例。对照组术后接受常规护理，观察组术后接受链式中医护理模式。比较两组患者中医症状评分、冠心病危险因素控制达标率及随访1年的心血管不良事件发生率。 结果两组患者干预前、出院时的冠心病危险因素控制达标率比较差异无统计学意义（P＞0.05）；出院后6个月，两组患者血压水平、空腹血糖（fasting blood glucose，FBG）、低密度脂蛋白胆固醇（low-density lipoprotein cholesterol，LDL-C）、高密度脂蛋白胆固醇（high-density lipoprotein cholesterol，HDL-C）、血浆总胆固醇（total cholesterol，TC）、甘油三酯（triglyceride，TG）、体质量指数（body mass index，BMI）控制达标率相比差异无统计学意义（P＞0.05）；观察组患者戒烟、腰围控制达标率高于对照组（P＜0.05）。出院后12个月，观察组患者血压水平、FBG、LDL-C、HDL-C、TC、TG、BMI控制达标率高于对照组（均P＜0.05）。出院后6、12个月，观察组患者胸痛、胸闷、乏力、气短症状评分低于对照组（均P＜0.05）。随访1年，观察组患者心血管不良事件总发生率为7.27%（4/55），低于对照组的23.64%（13/55）（P＜0.05）。 结论PCI术后采用链式中医护理模式可有效提高冠心病危险因素控制达标率，改善患者临床症状及预后。
Abstract:
ObjectiveTo explore the influence of chain TCM nursing model on attainment rates of risk factor control in CHD patients after PCI. MethodsA total of 110 CHD patients undergoing PCI were divided into the control group and the observation gorup according to random number table method with 55 cases in each group. The control group accepted conventional care after the operation, whereas chain TCM nursing model was implemented in the observation group after the operation. To compare TCM symptom scores, the attainment rates of risk factor control in CHD and the incidence of adverse cardiovascular events during one-year follow-up. ResultsThe difference had no statistical meaning in attainment rates of risk factor control in CHD patients before the intervention, and at time of hospital discharge between the two groups (P>0.05); there was no significant difference in the attainment rates of risk factors including the level of blood pressure, FBG, LDL-C, HDL-C, TC, TG and BMI at six months after discharging (P>0.05); The observation group was higher than the control group in the attainment rates of smoking cessation control and waist circumference control (P<0.05). The observation group was higher than the control group in attainment rates of the levels of blood pressure, FBG, and LDL-C, HDL-C, TC, TG and BMI control at twelve months after discharging (all P<0.05). The observation group was lower than the control group in the scores of the symptoms including chest pain, choking sensation in chest, weakness and panting at six and twelve months after discharging (all P<0.05). During one-year follow-up, total incidence of adverse cardiovascular events in the observation group reached 7.27% (4/55), lower than 23.64% (13/55) of the control group (P<0.05). ConclusionThe application of chain TCM nursing model after PCI could effectively improve attainment rates of risk factor control in CHD, and the patients’ clinical symptom as well as the prognosis.

备注/Memo

备注/Memo:
王莉莉（1982—），女，护师。研究方向：心血管疾病的护理。军委后勤保障部面上项目（19BJZ08）。
更新日期/Last Update: 2025-09-15