益氣活血方聯合耳穴壓豆治療對氣虛血證 老年冠心病PCI術后康復的影響

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[關鍵詞］冠心病；氣虛血瘀；經皮冠狀動脈介入術；益氣活血方；耳穴壓豆；西雅圖心絞痛量表；老年人 [中圖分類號］R541.4［文獻標志碼]A [文章編號]0256-7415（2025）02-0138-05 DOI:10.13457/j.cnki.jncm.2025.02.026

Effect of Yiqi Huoxue Prescription Combined with Auricular Point Seed-Pressing on Postoperative Rehabilitation of Elderly Patients with Qi Deficiency and Blood Stasis Syndrome After PCl for Coronary Heart Disease

ZHONG Yiwen，WANG Jiajia，DING Yanli， YAN Kuipo，LIU Yanping

DepartmentofCardiovasularMedicine，theFirstAfiliatedHospitalofHenanUniversityofChineseMedicine，ZhengzhouHenan40 China

AbstractObjective:To observe the clinical effect of Yiqi Huoxue Prescription combined with auricular point seed-pressing in treating elderly patients with qi deficiencyand blood stasis syndrome after percutaneous coronary intervention（PCI） forcoronary heart disease.Methods:Atotal of 98 cases of elderly patients with qi deficiency and blood stasis syndrome who underwentPCIforcoronaryheartdiseaseadmitted totheFirstAfiliated Hospitalof Henan University of Chinese Medicine from March to September 2O23 were selected and divided into the combination group and the western medicine group according to the random number table method，with 49 cases in each group.The western medicine group received routine treatment，and thecombination group received acombination of Yiqi Huoxue

Prescriptionand auricular point seed-presing based on western medicine treatment.Afterfour weeks of treatment，the clinical effects，traditional Chinese medicine（TCM）syndrome scores，cardiac function [left ventricular ejection fraction (LVEF）and cardiac output per minute]，exercise endurance [6-Minute Walk Test (6MWT)]，and Seattle Angina Questionnaire （SAQ） scores were compared betweenthe two groups.Results:The total efective rate in the combination group was 93.88% (46/49），and that in the western medicine group was 79.59% （39/49），with the difference being significant （ P

Keywords:Coronary heart disease；Qi deficiency and blood stasis；Percutaneous coronary intervention；Yiqi Huoxue Prescription；Auricular point seed-pressing；Seattle Angina Questionnaire；The elderly

冠心病是一種由動脈硬化導致冠脈狹窄或閉塞，導致心肌缺血缺氧或心肌細胞損傷所引起的心臟病。（剩余10217字）