| Objective:To observe the clinical nursing effect of press needle therapy in patients with unstable angina pectoris of Qi deficiency and blood stasis,and to verify its feasibility and practicality in improving the clinical symptoms of angina pectoris,and to promote the further application of the characteristic nursing technique of traditional Chinese medicine in the clinic.Methods:The sampling convenience method was used to select the inpatient department of the second department of cardiovascular disease in a level-A hospital in Harbin from April 2020 to January 2021.According to the inclusion and exclusion criteria,80 patients with unstable angina pectoris of qi deficiency and blood stasis type were selected as the research objects.According to the random number table method,the patients were divided into two groups according to the order of admission:the control group and the test experimental group,with 40 cases in each group.Patients in the control group were given routine treatment and nursing in hospital.On the basis of routine nursing and treatment in the hospital,the patients in the experimental group were treated with pressing needle at the four acupoints of the heart meridian(Shenmen,Yinqi,Tongli and Lingdao),keep the needle for 2 days and press 3 times a day for about 2 minutes each time.Two groups of patients with unstable angina pectoris of Qi deficiency and blood stasis type were treated with 2 weeks of intervention as a course of treatment.Before the intervention,the general information questionnaire was used to test the baseline consistency of the two groups.The effect of nursing intervention was evaluated through the changes of angina pectoris symptom score table,TCM syndrome integral scale,Seattle angina pectoris quality of life scale(SAQ)and curative effect evaluation.Results:1.Before the intervention,there was no significant difference in the general data between the two groups(P>0.05),indicating that the baseline of the two groups was consistent and comparable.2.Angina pectoris symptom score table:There was no significant difference between the two groups before intervention(P>0.05),indicating that it can be compared.After the intervention,there was a significant decrease in both groups(P<0.05).After the intervention,the difference was statistically significant(P<0.05),and the improvement of angina symptoms in the experimental group was better than that in the control group.3.TCM syndrome integral scale:Before and after intervention,there were statistically significant differences in the scores of primary symptoms and secondary symptoms between the two groups(P<0.05).Afer the intervension,the difference between the two groups was statistically significant(P<0.05),the results indicate that both groups of intervention can improve the above syndrome,and the experimental group is better than the control group.4.Seattle Angina Pectoris Quality of Life Scale:Before the intervention,there was no significant difference between the two groups in physical activity limitation(PL),angina pectoris attack(AF),stable state of angina pectoris(as),treatment satisfaction(TS)and disease cognition(DS)(P>0.05),indicating that there was comparability between the two groups.There were statistically significant differences in 5 dimensions before and after intervention in the experimental group(P<0.05).There were statistically significant differences in 5 dimensions before and after intervention in the control group(P<0.05).Compared with the five dimensions between the two groups after 2 weeks of intervention,the quality of life of the experimental group was better than that of the control group,and there was significant difference(P<0.05).5.Curative effect of angina pectoris:After the intervention,the curative effect of angina pectoris of the two groups was analyzed by rank sum test,and the total effective rate of the control group and the experimental group was 70.27%89.47%.There was a significant difference in clinical curative effect between the two groups in terms of clinical curative effect(Z=-2.490,P=0.013<0.05),indicating that the improvement of angina pectoris in the experimental group was more significant than that in the control group.6.Curative effect of TCM syndrome integral:After the intervention,the curative effect of TCM syndrome integral of the two groups was analyzed by rank sum test,and the total effective rate of the control group and the experimental group was 75.68%,89.47%.There was a significant difference in clinical curative effect between the two groups in terms of clinical curative effect(Z=-2.091,P=0.037<0.05),indicating that the improvement of TCM syndrome integral in the experimental group was more significant than that in the control group.7.Electrocardiogram curative effect:After the intervention,the curative effect of electrocardiogram of the two groups was analyzed by rank sum test,and the total effective rate of the control group and the experimental group was67.57%,86.84%.There was a significant difference in clinical curative effect between the two groups in terms of clinical curative effect(Z=-2.377,P=0.017<0.05),the difference was statistically significant.Conclusion:1.Press needle therapy can effectively improve the symptoms of unstable angina pectoris of Qi deficiency and blood stasis type,and promote the outcome of TCM syndromes and ECG of unstable angina pectoris of Qi deficiency and blood stasis type.2.Press needle therapy can improve the quality of life of patients with unstable angina pectoris of qi deficiency and blood stasis type.3.Press needle therapy is safe,easy to operate,painless and easy to be accepted by patients with unstable angina pectoris,so it is worth popularizing in clinic. |
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