Pulmonary Heart Disease In The Remission Stage Of Integrated TCM Therapy Clinical Evaluation Method Research

Objective:By means of literature investigation, statistical analysis, expert consultation method, screening, sorting out the traditional Chinese medicine in the treatment of chronic pulmonary heart disease in the remission stage of evaluation index and method, and from the practical and scientific evaluating, in order to facilitate the treatment of traditional Chinese medicine the clinical and drug research, can more scientific selection of relevant evaluation index value, objective, true to the Chinese medicine treatment of the disease curative effect, so as to traditional Chinese medicine in the treatment of pulmonary heart disease in the remission period of efficacy studies and provide methodology reference.Method:Retrieval last15years on traditional Chinese medicine journal reported pulmonary heart disease, sort out the remission pulmonary heart disease method and evaluation index; In and out of the province three level of first-class hospital of traditional Chinese medicine and western medicine in hiring pulmonary disease, cardiovascular disease clinical experts of every five consulting expert evaluation groups, and the research method effect assessment questionnaire elements (main disease evaluation method, evaluation method, signs and symptoms of comprehensive evaluation method, quality of life, pulmonary function) in importance score (points). Further statistical analysis of all kinds of evaluation method in the study of the scheme elements importance, mainly from the importance, sensitivity, representative from multiple perspectives, such as investigation each element of the quality, and the concrete percentage with factor analysis method, and subjective evaluation method, the method of statistical analysis of the research elements. Based on the comprehensive analysis, refining, sums up the current remission pulmonary heart disease in comprehensive treatment of traditional Chinese medicine is the objective, scientific, practical the clinical curative effect of the evaluation method, in order to improve the scientific evaluation of clinical curative effect.Result:1. The results of the research literatureAt present, Chinese medicine treatment of pulmonary heart disease in the remission stage of the evaluation of the efficacy of most of the use of signs and symptoms of comprehensive evaluation method (symptoms and signs in combination with one or more of a number of laboratory index comprehensive evaluation), part of the study on experimental indexes, few studies have been used in order to survive the quality, outcome indicators (such as survival, recurrence rate, mortality), other indicators (such as BODE index,6min walking test) for evaluation.2. The results of the expert advicePulmonary heart disease in the remission stage evaluation of curative effect should be to quality of survival, recurrence rate evaluation of long term efficacy end or index, combined with clinical symptoms and signs and the necessary laboratory indicators (such as lung function, evaluate).At the same time we should according to the different needs of TCM clinical research on reasonable selection of evaluation index.Conclusion:At present, Chinese medicine treatment of pulmonary heart disease in the remission stage of indicators of efficacy to the symptoms and physical signs, laboratory evaluation, comprehensive evaluation index to evaluate the quality of life, the recurrence rate evaluation method. The clinical application, should be based on the research type or treatment, disease stage or evaluation period, outpatient or inpatient different comprehensive analysis, objective, scientific evaluation.