中药热奄包联合穴位按摩对慢性心力衰竭患者便秘、负性情绪及生活质量的影响
Effect of Traditional Chinese Medicine Hot Compress Combined with Acupoint Massage on Constipation, Negative Emotions and Quality of Life in Patients with Chronic Heart Failure
DOI: 10.12677/ns.2026.159291, PDF,    科研立项经费支持
作者: 刘艺琳, 黎 燕*, 吕 婷, 严廷廷, 蓝玉菲, 胡海丽, 陈文玲：广西中医药大学第二附属医院心血管内一科，广西 南宁；黎 萍：广西容县中医院结合骨科医院急诊科，广西 玉林
关键词: 慢性心力衰竭；中药热奄包；穴位按摩；便秘；负性情绪；生活质量；Chronic Heart Failure； Traditional Chinese Medicine Hot Compress； Acupoint Massage； Constipation； Negative Emotion； Quality of Life
摘要: 目的：探讨中药热奄包联合穴位按摩对慢性心力衰竭(CHF)患者便秘、负性情绪及生活质量的干预效果。方法：选取2023年7月~2025年6月广西中医药大学第二附属医院心内科CHF患者80例，随机分为对照组与观察组各40例。对照组予常规治疗与护理，观察组在此基础上给予四子中药热奄包神阙穴热敷联合穴位按摩，干预4周。比较两组干预前后NT-proBNP、左室射血分数(LVEF)、便秘严重程度量表(CCS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)及明尼苏达心力衰竭生活质量量表(MLHFFQ)评分。结果：干预后，观察组NT-proBNP、CCS、SAS、SDS、MLHFFQ评分均低于对照组，LVEF高于对照组，差异均有统计学意义(P < 0.05)；两组均无严重不良反应。结论：中药热奄包联合穴位按摩可改善CHF患者心功能，缓解便秘与焦虑抑郁，提高生活质量，安全可行，值得临床推广。
Abstract: Objective: To explore the intervention effect of traditional Chinese medicine (TCM) hot compress combined with acupoint massage on constipation, negative emotions and quality of life in patients with chronic heart failure (CHF). Methods: A total of 80 patients with CHF in the Department of Cardiology of the Second Affiliated Hospital of Guangxi University of Chinese Medicine from July 2023 to June 2025 were selected and randomly divided into a control group and an observation group, with 40 cases in each group. The control group received routine treatment and nursing, while the observation group was additionally given four-seed TCM hot compress on Shenque (CV8) combined with acupoint massage for 4 weeks. The levels of N-terminal pro-B-type natriuretic peptide (NT-proBNP), left ventricular ejection fraction (LVEF), Constipation Severity Scale (CCS), Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS) and Minnesota Living with Heart Failure Questionnaire (MLHFFQ) scores were compared between the two groups before and after intervention. Results: After intervention, the scores of NT-proBNP, CCS, SAS, SDS and MLHFFQ in the observation group were lower than those in the control group, while LVEF was higher than that in the control group, with statistically significant differences (all P < 0.05). No serious adverse reactions occurred in either group. Conclusion: TCM hot compress combined with acupoint massage can improve cardiac function, relieve constipation, anxiety and depression, and enhance quality of life in patients with CHF. It is safe and feasible, worthy of clinical promotion.
文章引用：刘艺琳, 黎燕, 黎萍, 吕婷, 严廷廷, 蓝玉菲, 胡海丽, 陈文玲. 中药热奄包联合穴位按摩对慢性心力衰竭患者便秘、负性情绪及生活质量的影响[J]. 护理学, 2026, 15(9): 79-85. https://doi.org/10.12677/ns.2026.159291

参考文献

[1] 中华医学会心血管病学分会心力衰竭学组, 中国医师协会心力衰竭专业委员会, 中华心血管病杂志编辑委员会. 中国心力衰竭诊断和治疗指南2018 [J]. 中华心血管病杂志, 2018, 46(10): 760-789.
[2] Savarese, G., Becher, P.M., Lund, L.H., Seferovic, P., Rosano, G.M.C. and Coats, A.J.S. (2022) Global Burden of Heart Failure: A Comprehensive and Updated Review of Epidemiology. Cardiovascular Research, 118, 3272-3287.
https://doi.org/10.1093/cvr/cvac013
[3] 中国心衰中心工作报告(2021)——心力衰竭患者的诊疗现况[J]. 中国介入心脏病学杂志, 2022, 30(5): 328-336.
[4] Volterrani, M., Halasz, G., Adamopoulos, S., Agostoni, P.G., Butler, J., Coats, A.J.S., et al. (2025) Quality of Life in Heart Failure. The Heart of the Matter. A Scientific Statement of the Heart Failure Association and the European Association of Preventive Cardiology of the European Society of Cardiology. European Journal of Heart Failure, 27, 1159-1173.
https://doi.org/10.1002/ejhf.3440
[5] 刘江生, 马琛明, 涂良珍, 等. “中国心血管病人生活质量评定问卷”及其常模的测定[J]. 心血管康复医学杂志, 2012, 21(2): 105-112.
[6] 陈燕华, 林满秋, 陈娇, 等. 吴茱萸贴敷神阙穴配合腹部按摩预防脑卒中后便秘的效果评价[J]. 中国实用护理杂志, 2013(7): 17-19.
[7] 朱云. 大黄联合吴茱萸穴位贴敷改善老年心衰病患者便秘效果观察[J]. 辽宁中医药大学学报, 2019, 21(3): 206-208.
[8] 樊欣娜, 李萍, 陈金良, 等. 慢性心力衰竭患者心身症状综合征、焦虑抑郁状态和影响因素分析[J]. 中国循证心血管医学杂志, 2022, 14(1): 42-45.
[9] Celano, C.M., Villegas, A.C., Albanese, A.M., Gaggin, H.K. and Huffman, J.C. (2018) Depression and Anxiety in Heart Failure: A Review. Harvard Review of Psychiatry, 26, 175-184.
https://doi.org/10.1097/hrp.0000000000000162
[10] 中华医学会心血管病学分会心力衰竭学组, 中国医师协会心力衰竭专业委员会, 中华心血管病杂志编辑委员会. 中国心力衰竭诊断和治疗指南2018 [J]. 中华心力衰竭和心肌病杂志, 2018, 2(4): 196-225.
[11] 中华医学会, 中华医学会杂志社, 中华医学会消化病学分会, 等. 慢性便秘基层诊疗指南(2019年) [J]. 中华全科医师杂志, 2020, 19(12): 1100-1107.
[12] Bellini, M., Usai-Satta, P., Bove, A., Bocchini, R., Galeazzi, F., Battaglia, E., et al. (2017) Chronic Constipation Diagnosis and Treatment Evaluation: The “CHRO.CO.DI.T.E.” Study. BMC Gastroenterology, 17, Article No. 11.
https://doi.org/10.1186/s12876-016-0556-7
[13] Zung, W.W.K. (1971) A Rating Instrument for Anxiety Disorders. Psychosomatics, 12, 371-379.
https://doi.org/10.1016/s0033-3182(71)71479-0
[14] Zung, W.W.K. (1965) A Self-Rating Depression Scale. Archives of General Psychiatry, 12, 63-70.
https://doi.org/10.1001/archpsyc.1965.01720310065008
[15] Rector, T.S. and Cohn, J.N. (1992) Assessment of Patient Outcome with the Minnesota Living with Heart Failure Questionnaire: Reliability and Validity during a Randomized, Double-Blind, Placebo-Controlled Trial of Pimobendan. American Heart Journal, 124, 1017-1025.
https://doi.org/10.1016/0002-8703(92)90986-6
[16] 蒲兵兵, 唐超, 蒋曙鑫, 等. 肌内效贴联合艾灸疗法改善骨科术后患者功能性便秘的效果评价[J]. 复旦学报(医学版), 2022, 49(5): 759-764.
[17] 杨爱可, 杨建涛. 运动联合认知行为干预对伴焦虑抑郁的慢性心衰患者的效果[J]. 国际精神病学杂志, 2022, 49(4): 730-733.
[18] 翟蕾, 张韩, 杨铭霞. 冥想训练对重症心衰患者血压、心率、睡眠及负性情绪的影响[J]. 国际精神病学杂志, 2022, 49(6): 1117-1119.
[19] 李君豪, 胡春祥, 张建华, 等. 四子热奄包对腹部术后胃肠功能恢复的影响[J]. 辽宁中医杂志, 2024, 51(12): 97-99.
[20] 杨永青. 穴位按摩联合四子散热奄包外敷对胸腰椎压缩性骨折术后便秘症状及胃肠道功能恢复的影响[J]. 中国民间疗法, 2022, 30(11): 35-38.

为你推荐