| Objective:Through the observation of the clinical efficacy of patients with stable angina pectoris of coronary heart disease(qi stagnation and blood stasis type)with anxiety state,this experiment discusses the effectiveness and safety of the method of soothing liver,regulating qi,activating blood circulation recipe combined with pressing beans at ear points,to further explore the treatment of patients with double heart disease.Methods:In a randomized controlled trial,90 patients who attended the Cardiovascular Outpatient Department of the First Affiliated Hospital of Heilongjiang University and met the inclusion criteria were divided into 30 patients in control group A standardized treatment with western medicine),30 patients in treatment group B(on the basis of group A,take the formula for soothing liver,regulating qi and activating blood circulation)and 30 patients in treatment group C(combination of pressing at auricular points on the basis of group B)according to the randomized number table method The treatment cycle was 4 weeks,and the TCM syndrome score,TCM syndrome efficacy,angina symptom score,angina pectoris effect,SAS score,heart rate variability indicators(SDANN,SDNN,r-MSSD)and safety index were recorded and tested before and after treatment in the three groups.The results were statistically analysed and the above data were processed using SPSS25.0 software.Result:1.TCM syndrome score:After treatment,all three groups had lower TCM syndrome score than before treatment(P<0.05);comparison between groups after treatment:Groups B and C werebetter than Group A in reducing TCM syndrome score(P<0.05),and Group C was better than Group B.2.TCM syndrome efficacy:Comparison of the total effective rate of TCM symptoms in the three groups after treatment: The total effective rate of Group B(85.7%)and Group C(96.6%)were both better than Group A(71.4%),and the total effective rate of Group C was better than Group B.3.Angina symptom score:All three groups had lower angina symptom scores after treatment than before treatment(P<0.05);Comparison between groups after treatment:Groups B and C were better than Group A in reducing angina symptom scores(P<0.05),and Group C was better than Group B(P<0.05).4.Angina pectoris effect:Comparison of the total efficacy of angina pectoris in the three groups after treatment:Group B(89.7%)and Group C(78.5%)had better total efficacy than Group A(71.4%),and Group C had better total efficacy than Group B.5.SAS scores:After treatment,the total SAS score was lower in all three groups than before treatment(P<0.05).Comparison between groups after trea-tment:Group B and C were both more effective than Group A(P<0.05),and Group C was more effective than Group B(P<0.05).6.Heart rate variability indicators(SDANN,SDNN,r-MSSD):After treatment,all three groups had higher Heart rate variability indicators than before treatment(P<0.05);comparison between groups after treatment:in terms of SDANN and r-MSSD:both groups B and C had better efficacy than group A,group C had better efficacy than group B(P<0.05);in terms of SDNN:groups B and C had better efficacy than group A(P<0.05),there was no significant difference between group C and group B(P>0.05).Conclusion:1.The method of regulating liver,regulating qi and promoting blood circulation combined with auricular point pressing beans can reduce the TCM clinical symptoms and angina pectoris symptoms of patients with stable angina pectoris accompanied by anxiety.2.The method of regulating liver,regulating qi and promoting blood circulation combined with auricular point pressing beans can reduce the anxiety state score of patients with stable angina pectoris accompanied by anxiety and relieve anxiety.3.The method of regulating liver,regulating qi and promoting blood circulation combined with auricular point pressing beans can improve the heart rate variability of patients with stable angina pectoris accompanied by anxiety,regulate autonomic nervous function,and improve the symptoms and psychological status of patients with angina pectoris. |
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