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Conservation Treatment Prospects Regulating Pi And Protecting Xin Retrospective Cohort Study Of Coronary Heart Disease

Posted on:2010-04-18Degree:MasterType:Thesis
Country:ChinaCandidate:Y L HuangFull Text:PDF
GTID:2144360275460349Subject:Chinese medical science
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BackgroundCoronary heart disease is a frequently-occurring diseases,the morbidity and mortality among the first.In addition to the current treatment of drug treatment,cardiac surgery and interventional surgical revascularization makes the further benefit of patients。However,revascularization itself give rise to acute thrombosiss,restenosis,reperfusion injury,left ventricular remodeling of cardiac function to increase the risk of injury,the part of patients as a result of the expansion and early ventricular remodeling,heart failure,arrhythmia and other complications,the incidence of disease remains high.The status of these traditional Chinese and western medicine for the treatment of patients with coronary heart disease offers a wide range of research prospects.Regulating Pi and Protecting Xin comes from Professor Deng Tietao who care the coronary heart disease through the theory.Deng Lao Guanxin capsule is based on Regulating Pi and Protecting Xin theory of the experience of the treatment of coronary heart disease and system into the proprietary Chinese medicines with "huo xue hua yu tong luo" the effectiveness of clinical observation by Differentiation Qi deficinecy and phlegm-turbid syndrome stasis of coronary heart disease patients have a significant effect.ObjectiveThrough a retrospective study to evaluate Professor Deng Tietao "Regulating Pi and Protecting Xin theory" to reduce coronary heart disease in Chinese medicine for the Differentiation Qi deficinecy and phlegm-turbid syndrome stasis dialectical patients the incidence of clinical events and improve the clinical symptoms and improve the quality of life,such as the role and security.Disease with the use of a dialectical combination of,the name of the old Chinese medicine clinical experience in finding the evidence of evidence-based medicine.MethodsRetrospective cohort study used methods of Chinese medicine hospitals in Guangdong Province in December 2007-2008 in coronary heart disease 3 discharged phlegm TCM Qi Deficiency Syndromes for telephone follow-up of patients.Medical record information to clinicians the information filled in which will be exposed patients were divided into groups(in the Western norms based on the treatment of the elderly with coronary capsule Tang) and non-exposed group(the treatment of simple Western norms),to gather information to take telephone follow-up approach.Follow-up to the main contents of the two groups in the incidence of stomach upset,to alleviate the situation of angina,myocardial infarction,heart failure,death and other complications,such as re-hospitalization and death situation,and the registration of the above information,a summary,analysis.Results1.Recurrence of the incidence of chest pain:patients with chest pain after discharge,the exposed group the incidence of 13.6%,non-exposed group incidence of 31 percent,a significant difference between the two cohort(P<0.05).2.Re-admitted to hospital mainly because of chest pain,myocardial infarction,heart failure,arrhythmia,such as the reasons for admission. Exposed group the incidence of 15.2%,non-exposed group the incidence of 32.8%, the two groups were statistically significant differences(P<0.05).3.The incidence of stomach discomfort:stomach discomfort mainly for abdominal distension,abdominal pain,nausea,vomiting,gastrointestinal bleeding,etc.,the exposed group the incidence of 12.1%,non-exposed group the incidence of 25.9%,the two queues there was a significant difference(P<0.05).4.The death rate:the main cause of death is acute myocardial infarction, heart failure,malignant arrhythmias,the incidence of exposure to total 3.1 percent,3.4 percent of non-exposed group,no significant difference(P>0.05).Conclusion1.In the Western norms of treatment based on the use of the old Tang Guanxin capsule can significantly ease recurrence in patients with the incidence of chest pain,in pain duration and frequency of pain there are obvious effects.2.DENG old capsule can be reduced in patients with coronary re-hospitalization rate,mainly because of chest pain,myocardial infarction, heart failure,arrhythmia caused the patient again.3.Tang old Guanxin capsule can reduce the response of the gastrointestinal tract can reduce bloating,abdominal pain,nausea,vomiting,gastrointestinal bleeding,such as the incidence of symptoms.4.The study follow-up time 6 months after discharge,the results confirmed that the old Tang Guanxin capsule can not take the short term to reduce the mortality rate of patients with coronary artery disease.
Keywords/Search Tags:Regulating Pi and Protecting Xin theory, coronary heart disease, etrospective cohort study
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