中医心脏康复治疗在冠心病PCI术后的临床应用

The Clinical Application of Traditional Chinese Medicine Cardiac Rehabilitation Therapy Following Percutaneous Coronary Intervention (PCI) for Coronary Heart Disease

摘要: 经皮冠状动脉介入术(percutaneous coronary intervention, PCI)是冠心病治疗的核心微创术式，但多数患者PCI术后仍存在心肌功能受损、胸闷气短、乏力心悸、失眠焦虑、运动耐量下降等问题，且长期存在血管再狭窄、心肌缺血复发的风险，使心脏康复的应用越来越广泛。在目前临床实践中，相对于单纯西医常规康复护理，中医治疗具有其独特的优势。中医心脏康复核心思想为“整体观念、辨证施治、未病先防、既病防变”，通过中药调理、中医外治、情志调护、传统功法、膳食养生等特色手段，可明显改善PCI术后患者的生活质量。本文结合临床护理实践，探讨中医心脏康复治疗在PCI术后患者中的应用价值、具体干预措施及临床效果，为临床PCI术后规范化康复护理、中西医结合护理推广提供参考。

Abstract: Percutaneous coronary intervention (PCI) is a key minimally invasive procedure for the treatment of coronary heart disease; however, the majority of patients continue to experience impaired myocardial function, chest tightness and shortness of breath, fatigue and palpitations, insomnia and anxiety, and reduced exercise tolerance following PCI. Furthermore, the long-term risks of vascular restenosis and recurrent myocardial ischaemia mean that cardiac rehabilitation is being increasingly widely adopted. In current clinical practice, Traditional Chinese Medicine (TCM) treatment offers unique advantages compared to conventional Western rehabilitation nursing alone. The core principles of TCM cardiac rehabilitation are “holistic approach, syndrome differentiation and treatment, prevention before the onset of disease, and prevention of progression once disease has occurred”. Through distinctive methods such as herbal medicine, external TCM therapies, emotional support, traditional exercises and dietary health practices, the quality of life for patients following PCI can be significantly improved. Drawing on clinical nursing practice, this article explores the therapeutic value, specific intervention measures and clinical outcomes of TCM cardiac rehabilitation in patients following PCI, thereby providing a reference for standardised post-PCI rehabilitation care and the promotion of integrated Chinese and Western medicine nursing.