Study On Clinical Diagnosis And Treatment Of Angina Pectoris Of Coronary Heart Disease Based On TCM Masters Medical Data Mining And Semi-structured Interview

Objective:Angina pectoris of coronary heart disease is a common disease of the cardiovascular system,belongs to the traditional Chinese medicine "chest paralysis" category.Chinese medicine in improving and alleviating the clinical symptoms of patients,improve the quality of life of patients,prevention and treatment of postoperative risk factors such as significant advantages.Especially based on the treatment of individualized treatment is the characteristics of Chinese medicine,in recent years,more and more people's attention.In this study,the clinical experience of Chinese medicine practitioners in the diagnosis and treatment of angina pectoris of coronary heart disease is taken as the core,and the clinical diagnosis and treatment of coronary heart disease and angina pectoris is combed by semi-structured interview.Basis,but also for the combination of disease and disease under the guidance of clinical experience to provide a methodological exploration.Methods:This study is conducted in two parts.The first part of the study is using literature research methods,the development of literature search strategy,from the published papers and monographs in the collection of Chinese medicine practitioners diagnosis and treatment of coronary heart disease angina clinical case,the construction of Chinese medicine practitioners coronary heart disease angina pectoris database.Combined use of descriptive statistics,principal component analysis,factor analysis,coronary heart disease angina pills in the general information,clinical symptoms,tongue and pulse information,syndrome differentiation,governance rule,prescription statistical analysis,access to its distribution characteristics.In the second part,the semi-structured interview method is used to interview the first part of the research results and the problems encountered in the research process.Through the induction of the interview data and the three-level code collating,Semi-structured interview with coronary heart disease angina "core genus" results.Combined with the results of the interview again for medical data mining,and ultimately access to coronary heart disease angina clinical treatment strategy.Results:?5967 articles were published by 60 national doctors,and 330 books were published,and 166 cases were included in the diagnosis and treatment of coronary heart disease and angina pectoris.?Medical cases accounted for 58.43%of male patients,women accounted for 41.57%,the peak age of 50-79 years old.?166 cases are include cumulative 162 symptoms.After the standardization,it only has 62symptoms,the cumulative frequency>30%of the symptoms of”chest tightness" shortness of breath>palpitations>chest pain>fatigue>insomnia>dizziness":main symptoms to" chest tightness "The most common,followed by" chest pain "and" premenstrual tingling ",constitute a ratio of 54.82%,23.49%,10.24%respectively.?166 is the medical case,the cumulative appearance of tongue information 11,tongue information 7,pulse information 15.Tongue,dark tongue,pale tongue,white fur,thin moss,greasy fur is the most common,the cumulative frequency are higher than 30%;pulse,the pulse,vein,pulse for the cumulative frequency is higher than 30%Of the pulse.?166 cases appeared in the case of 152 different syndromes diagnostic expression,blood stasis,qi deficiency,phlegm,yin deficiency,qi stagnation,yang,turbidity,heat for the cumulative frequency of more than 10%of the syndrome elements.? 166 is a total of medical treatment of the rule of law is to recover 89 kinds of blood,Qi,phlegm,Huayu,Tongyang,warm yang,Yin,qi,Xuanbi,heat for the cumulative frequency>10%Law;coronary heart disease treatment of angina is also for pathological factors,disease,material basis,different disease.?Its drugs to blood medicine,qi medicine,phlegm drugs,qi-based drugs.?Through the medical case mining and group discussion,select the doctor of national medicine Professor Lu Zhizheng and the doctor of medicine,Professor Chen Keji semi-structured interviews.? Two national physicians have completed 10 general presupposition questions,while the doctor of traditional Chinese medicine Professor Lu Zhizheng additional questions 5,Professor Chen Keji added seven questions.?By three levels of coding,coronary heart disease in the clinical diagnosis and treatment of the six major categories of interviews,and ultimately get the exact and effective information 30.?Coronary heart disease angina patients in the symptoms,syndrome,governance is the rule of law,there is a corresponding relationship between the side.Conclusion:?The clinical diagnosis and treatment of patients with angina pectoris of coronary heart disease should be carried out in the five aspects of clinical symptoms,syndrome elements,treatment and combination,prescription selection and comprehensive nursing.?Joint medical records and medical semi-structured interviews for us to more accurately grasp the effective experience of doctors,evidence,heritage,the development of Chinese medicine pfovides a methodological support.