Therapeutic Effect Of Transdermal Therapy With Traditional Chinese Medicine On Heart Failure Of Qi Deficiency And Blood Stasis Type

Objectives:To observe the clinical effect of traditional Chinese medicine transdermal therapy in the treatment of chronic heart failure of qi deficiency and blood stasis type,and to clarify the effect of traditional Chinese medicine transdermal therapy on NT proBNP,six minute walking test and quality of life of patients with heart failure of qi deficiency and blood stasis type,so as to provide reference for the treatment of chronic heart failure with the combination of traditional Chinese and Western medicine.Methods:From May 2019 to February 2020(10 months in total),60 patients with chronic heart failure(syndrome differentiation of qi deficiency and blood stasis in traditional Chinese Medicine)diagnosed in the outpatient department and ward of Cardiology Department of the Second Affiliated Hospital of Shandong University of traditional Chinese medicine were divided into treatment group and control group according to the random number method.Both the control group and the treatment group were treated with western medicine standardization,and the drugs were adjusted according to the patients’ condition.On this basis,the treatment group was treated with traditional Chinese medicine through skin,three times a week(one,three and five times a week),20 minutes each time,for four weeks.The treatment period of both groups was controlled for 4 weeks.Before and after treatment,all subjects filled in QOL + ADL,TCM syndrome integral scale,measured six minute walking test and NT proBNP in plasma,and made statistical analysis with SPSS 20.0software.Results:(1)After treatment,the scores of TCM syndromes in the two groups were significantly lower than before treatment,the difference was statistically significant(P < 0.01),and the degree of decline in the treatment group was better than that in the control group(P < 0.05),the total effective rate of TCM syndromes in the treatment group was 93.10%,and the total effective rate of TCM syndromes in the control group was 82.76%,the difference was statistically significant(P < 0.05).(2)After treatment,the scores of quality of life in the two groups were higher than before treatment,the difference was statistically significant(P < 0.05)(3)After treatment,the content of NT proBNP in the plasma of the two groups was significantly lower than that before treatment(P < 0.05),but there was no significant difference between the two groups(P > 0.05).(2)After treatment,the six minute walking distance of the two groups was significantly higher than that before treatment(P < 0.05),and the improvement of the treatment group was significantly better than that of the control group(P < 0.01).Conclusion:Traditional Chinese medicine transdermal therapy combined with western medicine standardized treatment has obvious benefits for patients with chronic heart failure of qi deficiency and blood stasis type,which can improve the quality of life of patients and improve the prognosis of the disease.