世界中医药

目的：探究芪红汤联合电针疗法对CABG术后患者的临床疗效及对预后的影响。方法：选取2012年7月至2017年12月民航总医院收治的CABG术后患者120例作为研究对象，按照随机数字表法分为对照组和观察组，每组60例，对照组给予CABG术后常规西医治疗，观察组在此基础上给予芪红汤联合电针法治疗，2组均连续治疗12周。统计2组患者治疗后的临床疗效、中医症状积分及1年内再入院率，比较2组患者治疗前后血流动力学和心功能指标的差异。结果：治疗后，观察组与对照组的临床总有效率分别为9500%、8333%，１年内再住院率分别为667%、2000%，2组比较，差异有统计学意义（P<005）；与治疗前比较，治疗后患者中医证候积分减低，且观察组低于对照组，差异有统计学意义（P<001）；治疗后2组患者PCWP、CVP、PAP显著降低，2组患者LVEDd、LAD显著降低，且观察组显著低于对照组，差异有统计学意义（P<001）；2组患者SV、CO、CI显著增加，2组患者EF显著增加，且观察组显著高于对照组，差异有统计学意义（P<001）。结论：芪红汤联合电针疗法可有效缓解CABG术后患者临床症状，改善血流动力学指标，提高心功能，并且能降低1年内住院率，疗效及预后优于单纯西医基础治疗，值得临床推广应用。

English Summary:

To explore the clinical efficacy and prognosis of Qihong Decoction combined with electroacupuncture after coronary artery bypass grafting(CABG).Methods:A total of 120 patients after coronary artery bypass surgery(CABG)in Civil Aviation General Hospital from July 2012 to December 2017 were selected and divided into a control group(n=60)and an observation group(n=60)according to random number table method.The control group was treated with routine western medicine after CABG operation，and the observation group was treated with Qihong Decoction combined with electro-acupuncture on this basis.Both groups were treated continuously for 12 weeks.The clinical efficacy，TCM symptom score and re-admission rate within one year after treatment were counted，and the differences of hemodynamics and cardiac function indexes between the 2 groups before and after treatment were compared.Results:After treatment，the total clinical effective rates of the observation group and the control group were 9500% and 8333%，respectively，and the re-hospitalization rates within one year were 667% and 2000%，respectively.The observation group was significantly higher(lower)than the control group(P<005).Compared with before treatment，the scores of TCM syndromes in the observation group were lower than those in the control group(P<001).After treatment，PCWP，CVP and PAP in the 2 groups decreased significantly，and LVEDd and LAD in the 2 groups decreased significantly.The observation group was significantly lower than the control group(P<001).SV，CO and CI increased significantly in both groups，and EF increased significantly in both groups.The observation group was significantly higher than the control group(P<001).Conclusion:Qihong Decoction combined with electro-acupuncture therapy can effectively alleviate the clinical symptoms，improve hemodynamic indicators and improve cardiac function of patients after CABG operation，and can reduce the hospitalization rate within one year.The curative effect and prognosis are better than those of simple basic western medicine treatment，which is worthy of clinical popularization and application.

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