Application of traditional Chinese medicine characteristic nursing in patients with heart kidney deficiency syndrome
中医特色护理在心肾阳虚型结脉证患者中的应用体会

摘要

目的 探讨基于“温阳通脉、益心补肾”理论的中医特色护理对心肾阳虚型结脉证患者心率改善、心功能指标及临床症状缓解的影响，为该证型患者护理方案优化提供循证依据。方法 选取2024年9月-2025年9月心血管科收治的60例心肾阳虚型结脉证患者，按随机数字表法分为对照组（30例，实施心血管疾病常规护理）与观察组（30例，在常规护理基础上实施中医特色护理），干预周期2周。比较两组患者干预前后各项指标。结果 干预后，观察组的各项指标均优于对照组（P<0.05）。结论 针对心肾阳虚型结脉证患者实施“温阳通脉”导向的中医特色护理，可有效减少结脉频次、改善心功能、缓解阳虚症状，提升护理满意度，具有较高的临床应用价值。

Abstract

Objective To explore the effects of Traditional Chinese Medicine (TCM) characteristic nursing based on the theory of "warming yang to unblock the pulse and benefiting the heart to tonify the kidney" on heart rate improvement, cardiac function indicators, and clinical symptom relief in patients with heart-kidney yang deficiency type pulse knot syndrome, providing evidence-based guidance for optimizing nursing strategies for this patient type.
Methods From September 2024 to September 2025, 60 patients with heart-kidney yang deficiency type pulse knot syndrome admitted to the Department of Cardiology were selected and randomly divided into a control group (30 patients, receiving routine cardiovascular care) and an observation group (30 patients, receiving TCM characteristic nursing in addition to routine care). The intervention lasted for 2 weeks. Various indicators before and after the intervention were compared between the two groups.
Results After the intervention, all indicators in the observation group were better than those in the control group (P<0.05).
Conclusion   Implementing TCM characteristic nursing guided by "warming yang to unblock the pulse" for patients with heart-kidney yang deficiency type pulse knot syndrome can effectively reduce pulse knot frequency, improve cardiac function, relieve yang deficiency symptoms, and enhance nursing satisfaction, demonstrating high clinical application value.