| Purpose:1.Apply the visual analysis of the literature to present and expound the academic viewpoint for understanding the main traditional Chinese medicine practitioners studying chronic heart failure.This paper discusses the understanding and research on the core pathogenesis of chronic heart failure.2.Use meta-analysis to explore the effect of traditional Chinese medicine combined with Western medicine in the treatment of chronic heart failure.The effect of rehabilitation exercise on chronic heart failure based on Western medicine treatment is systematically evaluated.The effect of Chinese medicine combined with Western medicine in exercise rehabilitation on chronic heart failure is systematically evaluated.3.The effect of chronic heart failure treatment is discussed by means of exercise therapy based on Western medicine and intervention with traditional Chinese medicine to study the indexes of chronic heart failure patients under different treatment conditions.Material and method:1.Retrieve Chinese database by combining manual and automatic retrieval by means of visualized analysis and processing of research literature on chronic heart failure in modern Chinese medicine according to the information visual chemistry software CiteSpace.A visual map is used to describe the information related to the study of Chinese medicine in chronic heart failure.Screen cluster labels related to the pathogenesis of chronic heart failure and discussing the main academic views of Chinese medicine pathogenesis of chronic heart failure based on literature.2.This paper uses Rev.Man 5.2 software for analysis by designing a scientific and effective document retrieval strategy,searching the document database,designing and selecting documents by incorporating and excluding criteria to extract and collate documents and materials.By screening of literature in strict accordance with the criteria for inclusion and exclusion,and eventual incorporation into relevant literature,provideing literature evidencefor Chinese medicine treatment of chronic heart failure.According to the above methods,the clinical research on the treatment of chronic heart failure with sports therapy is selected to provide evidence for the discussion of the rehabilitation effect of sports on chronic heart failure.According to the above requirements,we screen the literature on the treatment of chronic heart failure with traditional Chinese medicine and exercise therapy,and conduct an induction analysis.We find the curative effect of traditional Chinese medicine combined with exercise on chronic heart failure,providing reference direction for clinical guidance.3.From June 2015 to June 2017,130 patients were admitted to the cardiopulmonary rehabilitation Department of the affiliated hospital of Liaoning University of Traditional Chinese Medicine.The randomized control method was used to divide into 2 groups of 65 cases in each group.The course of treatment was 8 weeks.Collection of general data,Western diagnosis,four TCM diagnosis data and pre-and post-treatment indicators of patients with chronic heart failure,to enter SPSS 20.0 software to create a database.Application of this software to describe the distribution of patients by sex and age.Metrological data is represented by an average addition and subtraction standard deviation,and counting data is expressed in percentage.Result:1.We can observe from the visual map that the research in the field of Chinese medicine of chronic heart failure has formed four major author teams.Professor Zhangyan’s team has written the most about the pathogenesis of chronic heart failure in recent years and has developed a relatively productive and efficient research team.Among the research institutions,Liaoning University of Traditional Chinese Medicine,Nanjing University of Traditional Chinese Medicine and Anhui University of Traditional Chinese Medicine are the main research institutions in the field of chronic heart failure.The results of cluster analysis show that the common key words include heart and kidney deficiency,Yang deficiency and Qi deficiency and blood stasis.Combined with reading literature,it is concluded that the common medical keywords of chronic heart failure are: Qi deficiency,blood stasis,Yang deficiency and Qi deficiency.2.Meta analysis shows the following information.Western medicine combined with traditionalChinese medicine can improve the heart function of patients with chronic heart failure.The effect is better than that of simple Western medicine.The combination of Western medicine and traditional Chinese medicine can improve Lee score of patients with chronic heart failure.The effect is better than that of simple Western medicine.Western medicine combined with traditional Chinese medicine can improve the blood score of patients with chronic heart failure,and the effect is better than that of simple Western medicine.Western medicine combined with traditional Chinese medicine can improve the quality of life of patients with chronic heart failure.The effect is better than that of simple Western medicine.Western medicine combined with traditional Chinese medicine can improve the heart failure score of patients with chronic heart failure,and the effect is better than that of simple Western medicine.Western medicine combined with traditional Chinese medicine can improve syndromes in patients with chronic heart failure.Western medicine combined with traditional Chinese medicine can improve the syndromes of patients with chronic heart failure.The effect is better than that of simple Western medicine.Western medicine combined with traditional Chinese medicine can reduce the level of NT-ProBNP in patients with chronic heart failure,which is superior to that of simple Western medicine.Western medicine combined with traditional Chinese medicine can reduce the BNP level of patients with chronic heart failure,and the effect is better than that of simple Western medicine.Western medicine combined with traditional Chinese medicine can improve the six-minute walking distance of patients with chronic heart failure,which is better than that of simple Western medicine.Using exercise therapy on the basis of Western medicine to improve the ejection score of patients with chronic heart failure is superior to that of simple Western medicine.Improvement of six-minute walking distance in patients with chronic heart failure based on Western medicine therapy is superior to that of simple Western medicine.The reduction of left ventricular diastolic end-stage inner diameter in patients with chronic heart failure was better than that of simple Western medicine.Using exercise therapy to reduce heart rate of patients with chronic heart failure is better than that of simple Western medicine.Reduction of BNP level in patients with chronic heart failure based on Western medicine therapy is superior to that of simple Western medicine.Reduction of readmission rate of patients with chronic heart failure by exercise therapy based on Western medicine issuperior to that of simple Western medicine.Improvement of maximum oxygen intake in patients with chronic heart failure based on exercise therapy is superior to that of simple Western medicine.Rehabilitation training based on traditional Chinese medicine combined with Western medicine can improve left ventricular ejection fraction of patients with chronic heart failure.Rehabilitation training based on traditional Chinese medicine combined with Western medicine can improve the walking distance of patients with chronic heart failure by 6minutes.Rehabilitation training based on traditional Chinese medicine combined with Western medicine can reduce the basic heart rate of patients with chronic heart failure.The effect is better than that of simple Western medicine plus rehabilitation training.Rehabilitation training based on traditional Chinese medicine combined with Western medicine can improve syndromes in patients with chronic heart failure.The effect is better than that of simple Western medicine combined with rehabilitation training.The rehabilitation training based on traditional Chinese medicine combined with Western medicine can improve the quality of life of patients with chronic heart failure.Rehabilitation training based on traditional Chinese medicine combined with Western medicine can reduce NT-proBNP level in patients with chronic heart failure.There is no statistical difference between the effect and the simple Western medicine plus rehabilitation training.Rehabilitation training based on traditional Chinese medicine combined with Western medicine can improve the BOSTON score of patients with chronic heart failure.It is better than simple Western medicine plus rehabilitation training.The clinical effect of rehabilitation training on patients with chronic heart failure based on traditional Chinese medicine combined with Western medicine is better than that of simple Western medicine combined with rehabilitation training.3.Rehabilitation training of Yiqi Huoxue recipe combined with Western medicine treatment is compared with rehabilitation training based on traditional Western medicine treatment.It can improve chronic heart failure patients with TCM symptoms,quality of life,electrocardiogram indicators,6 minutes walking distance,heart rate,ECG efficacy,ejection score,cardiac function indicators,exercise time and exercise equivalence.It can also reduction of NT-proBNP,Diuretic and Reentry Rate.The results are statistically significant.Conclusion:1.Each theory has its own understanding of the pathogenesis of chronic heart failure.The theoretical directions are "heart and kidney Yang deficiency","Yang virtual water","Qi deficiency blood stasis".Among them,the most discussion about chronic heart failure "heart kidney Yang deficiency" and "Qi deficiency blood stasis and more clinical.Collaboration between research teams between different research directions should be strengthened.2.Chinese medicine combined with Western medicine can effectively improve the heart function,ejection score,heart failure score,syndrome score,quality of life and 6 minutes walking distance of patients with chronic heart failure and reduce BNP and NTpro-BNP levels in patients,better than simple Western medicine.3.The application of exercise therapy on the basis of Western medicine can improve the ejection score,six minutes walking distance,left ventricular diastolic end inner diameter,heart rate,and maximum oxygen intake in patients with chronic heart failure.It can also reduce the BNP and NT-proBNP levels and reentry rate of patients with chronic heart failure.The effect is better than that of simple Western medicine.4.Traditional Chinese medicine combined with exercise therapy can improve the patient’s six-minute walking distance,heart rate,syndrome score,BOSTON score,quality of life,and clinical efficacy.The effect is better than that of Western medicine.However,there was no statistical difference in increasing the left ventricular ejection score and reducing the NT-proBNP level.5.Rehabilitation training based on Yiqi Huoxue and Western medicine can improve the TCM syndromes,quality of life,and electrocardiogram indicators of patients with chronic heart failure.It can also increase the walking distance of 6 minutesand ECG efficacy,reduce the basic heart rate and the NT-proBNP,increase the ejection score,reduce the use of diuretics,reduce the reentry rate,improve the patient’s exercise time and exercise equivalent,and improve the patient’s heart function index.6.Visual analysis shows that the onset of chronic heart failure begins with insufficient Yang Qi.The treatment of chronic heart failure also needs to start with its underlying pathogenesis.The essence of the treatment is to supplement the penis.The literature indicates that the treatment of heart failure is dependent on warming Yang Qi.Clinical studies have shown that"moveable life is positive".Yiqi Huoxue prescription combined with exercise therapy tointervene in chronic heart failure has achieved a good clinical effect.Therefore,the clinical needs of our multiple means,multi-target adjustment,positive recovery of the human body’s Yang,in order to better prevent and treat heart failure. |
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