The effect of oral administration of traditional Chinese medicine combined with list-based nursing on the frequency of angina pectoris attacks in patients with cold coagulation in heart vessels syndrome of coronary heart disease
中药内服联合清单式护理对寒凝心脉型冠心病心绞痛患者心绞痛发作次数的影响

摘要

目的 探讨中药内服联合清单式护理对寒凝心脉型冠心病心绞痛患者的临床疗效，为该类患者的中西医结合护理提供新方案。方法 选取2025年7月-2026年7月柳州市人民医院住院治疗的寒凝心脉型冠心病心绞痛患者60例，按患者病情及意愿分为对照组和观察组，每组各30例。对照组采用常规护理模式，观察组在对照组基础上实施中药内服联合清单式护理，比较两组患者干预后心绞痛发作频率、持续时间、心功能指标、生活质量量表（SF36）评分、西雅图心绞痛量表（SAQ）评分及活动耐力（MET）。结果 干预后，观察组心绞痛发作频率、持续时间均优于对照组，心功能指标、SF36生活质量量表评分、西雅图心绞痛量表评分及活动耐力均显著高于对照组（P<0.05）。结论 中药内服联合清单式护理可有效减少寒凝心脉型冠心病心绞痛患者的疼痛发作，改善心功能，提升生活质量和活动耐力，值得临床推广应用。

Abstract

Objective To explore the clinical efficacy of oral administration of traditional Chinese medicine combined with list-based nursing for patients with cold-induced heart meridian syndrome of coronary heart disease with angina pectoris, and to provide a new plan for the combined traditional Chinese and Western medicine nursing of this type of patients.
Methods 60 patients with cold-induced heart meridian syndrome of coronary heart disease with angina pectoris who were hospitalized in Liuzhou People's Hospital from July 2025 to July 2026 were selected. According to the patients' condition and willingness, they were divided into the control group and the observation group, with 30 cases in each group. The control group received the conventional nursing mode, and the observation group received oral administration of traditional Chinese medicine combined with list-based nursing on the basis of the control group. The frequency of angina pectoris attacks, duration, cardiac function indicators, quality of life scale (SF36) score, Seattle Angina Pectoris Scale (SAQ) score, and activity endurance (MET) of the two groups after intervention were compared.
Results After intervention, the frequency and duration of angina pectoris attacks in the observation group were better than those in the control group, and the cardiac function indicators, SF36 quality of life scale score, SAQ score, and activity endurance of the observation group were significantly higher than those of the control group (P < 0.05).
Conclusion   Oral administration of traditional Chinese medicine combined with list-based nursing can effectively reduce the pain attacks of patients with cold-induced heart meridian syndrome of coronary heart disease, improve cardiac function, enhance quality of life and activity endurance, and is worthy of clinical promotion and application.