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The Design And Application Of Evidence-Based Traditional Chinese Medicine On The Case Report Form

Posted on:2016-11-26Degree:MasterType:Thesis
Country:ChinaCandidate:H LouFull Text:PDF
GTID:2284330470477476Subject:Internal medicine of traditional Chinese medicine
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ObjectivesOn the basis of the evidence medicine traditional Chinese medicine theory and design consistent with the based traditional Chinese medicine study case report for m and the pre survey, for case report table norms to make a demonstration.MethodThrough expert consultation and literature research, pathologically proven design report in accordance with the requirements, combined with based medicine charact eristics and clinical research of traditional Chinese medicine characteristics is design ed and fabricated evidence based medicine case report form, and revision of pre in vestigation. After the practical report form the epidemiological investigation of test case s.Result1 case report form designCase questionnaire in hospital were determined by consulting experts.; added a total of 26 items, which partial hospitalization 9 items, follow-up of 15 entries; aft er the pre- and post survey delete items: evidence paste screen. Remove the unreas onable content, improve thecontent of the evidence really, initially completed the desig n of case report form.Using 2 case report form(1)Comprehensive patient data to male majority(58.5%), and farmers mainly(6.5) and bias in aging(54.7), can timely treatment(90.8 percent); and myocardial inf arction with ST segment elevation mostly(70.4%), some patients accompanied by arrhythmia(20.0%), diabetes(24.0%), most patients accompanied with hypertension(58.7%), hyperlipidemia(74.8%).(2) Qi deficiency and blood stasis type(63.8%), most of the characteristics of tra ditional Chinese medicine blood stasis and Qi deficiency of non repetition. Two kinds of Chinese medicine are roughly the same, but the Zibo area is far greater than the fr equency of use in Rizhao area.(3) The input efficiency of entry case efficiency depends on the execution of t he investigators and the local hospital medical record room rest, but because of the country in line with the conditions of myocardial infarction in patients with total number of roughly the same, so the total entry time little difference(per person pe r day about 10 copies). Rizhao two 411 cases lost to follow-up of 60 cases, the dr opout rate was 14.60%, including 210 cases in Zibo, lost to follow-up to 36, the d ropout rate was 17.14%, 201 patients with sunshine, lost to follow-up 24 cases lost follow-up rate 11.94%. Rate of loss to follow-up(14.60%, two main reasons of los s to follow-up of the same, due to the alteration of patients allowed the investigato rs to door follow-up difficulty increase, making investigation personnel to complete this follow-up work.(4) The end event due to cerebral infarction in patients with myocardial infarctio n angina pectoris after multiple, so both multiple post infarction angina(15.8%). C ompared with Zibo,Rizhao Hospital of traditional Chinese medicine in interventiona l treatment of therevascularization occurred more in Rizhao area. And cardiovascular r eadmission, sudden cardiac death during follow-up in the two places, re infarction, acute heart failure, blood transport reconstruction of the frequency of occurrence of a large number of; followed by serious arrhythmia, post infarction angina, stroke, he because of death and tumor; cardiac arrest, hypotension, cardiac shock, again bl ood supply reconstruction and bleeding occurs infrequently.ConclusionThe design and application of evidence-based medicine case report with the corres ponding test subject, but still need to continue to improve.
Keywords/Search Tags:evidence-based medicine, case report form, design, application
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