Dissertation > Medicine, health > Chinese Medicine > TCM Internal Medicine > Modern medicine, internal diseases

More stems through stasis soup clinical study of acute myocardial infarction prognosis and quality of life impact

Author LiSiMing
Tutor XuFengQin
School Beijing University of Traditional Chinese Medicine
Course Chinese medicine
Keywords Acute myocardial infarction More stems Tongyu soup Mortality rate End Quality of life
CLC R259
Type Master's thesis
Year 2011
Downloads 45
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Background: Acute myocardial infarction (acute myocardial infarction, AMI) is a serious impact on human health and quality of life of the common and frequently-occurring disease, its abrupt onset, dangerous disease, the rapid evolution of the high mortality. As people's lifestyles, changes in diet and social environment, showed an increasing trend in the incidence of the disease. Chinese medicine study the continuous development of the formation of a consensus, most physicians in the pathogenesis of acute myocardial infarction: that AMI pathogenesis of blood stasis, and phlegm were more common of, differentiation of the vacuity of the card. In the treatment of Qi and blood circulation jiangzhuo Chinese medicine treatment of AMI governance, diagnosis and treatment with disease on the Treatment of a combination of improved clinical efficacy. The more stems through stasis soup Chen Keji based on decades of clinical experience for the characteristics of the pathogenesis of acute myocardial infarction, Yiqihuoxue, clear stasis antithrombotic, the dampness Huazhuo Law, founded QDBS acute myocardial infarction a valid prescription. This research focuses on investigating more stems Tongyu soup the subtraction plus conventional Western medicine treatment (conventional Western medicine or thrombolysis, interventional treatment) affect the prognosis and quality of life of patients with acute myocardial infarction, explore the governance and diagnosis and treatment of disease differentiation The clinical efficacy of distinction. Objective: This study by clinical data collection and questionnaire survey, taking the more the stems pass stasis soup on the prognosis of patients in conventional western medicine treatment on the basis of study of acute myocardial infarction during hospitalization, to explore the role of TCM AMI for further explored in The Integrative Medicine prevention AMI to lay a foundation, to contribute to the better to inherit and carry forward the advantage of prescription of doctors and to promote the traditional Chinese medicine theory. Method: Select the period January 2009 - October Xiyuan Hospital of China Academy of Traditional Chinese Medicine hospital, are in line with the diagnosis of acute myocardial infarction and Patient inclusion criteria for the study of patients with complete data object. Selected cases, 97 cases, in WM Standard treatment based on application more stems through Stasis Decoction prescription group for more stems the Tongyu soup group; taking more stems pass stasis soup Differential Treatment him for the medical group for TDS decoction group; not taking any herb tea for Western medicine alone group. Each cases acquired through access to clinical data and follow-up six months after the onset of cardiovascular events and quality of life evaluation, quality of life scores in the two groups, respectively, compared cardiovascular death, non-fatal myocardial infarction, repeat revascularization surgery, stroke, angina or heart failure, arrhythmias, and incidence of readmission. Measurement data with the t test, analysis of variance, count data using the X2 test. Results: 6-month follow-up, the Seattle Angina Scale score more stems through stasis decoction group somatic activity limited by the degree (PL), angina pectoris (AF), treatment satisfaction degree of (TS), the awareness level (DP) in Western medicine alone group; 6 months the incidence of stroke and because of angina pectoris, arrhythmia or heart failure hospitalization rates than pure western group reduced; taking more stems Tongyu soup with taking other diagnosis and treatment decoction group on the end of the event and the quality of life assessment differences. Conclusion: 1. Stems more pass stasis soup for patients after acute myocardial infarction, to reduce the incidence of stroke within 6 months due to angina, heart failure, arrhythmias cause readmission incidence. 2 more stems through stasis soup to improve AMI patients with short-term (6 months) quality of life was better than Western medicine alone group. Disease differentiation governance to more stems Tongyu soup treatment the AMI and Differential Treatment him for the medical treatment of AMI efficacy, shows the validity and reasonableness of disease differentiation governance. The 4. Integrative treatment of acute myocardial infarction, to reduce readmission rates, reduce health care costs, Economics advantage.

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