| Objective: Application of traditional Chinese medicine theory as a guide, with TCMDifferentiation and Clinical judgment condition as a link,Research Paroxysmal palpitationssyndromes distribution,by means of remote cardiac monitoring technology, and to explorethe relationship between cardiac index and between syndromes;To Observe the clinicalefficacy of the second palpitations prescription treat of patients with paroxysmalpalpitations the type of tanhuo-raoxin syndrome, and evaluate the effectiveness ofintervention of different forms of the second palpitations Prescription.Methods: Choose the inclusion criteria for patients with paroxysmal palpitations,told his players to wear the Cardiac remote monitor, using CM1, CM5dual-channelrecording, when the patient consciously palpitations, may at any time to manually send theECG cardiac care centers, care centers doctor will information transmitted ECG analysis,and timely diagnosis and recovery. By palpitations patient information in real time ECGmonitoring, ECG database established when palpitations occur; while in the form of aquestionnaire to collect clinical medicine in patients with paroxysmal palpitations fourdiagnostic indicators, the use of statistical methods to analyze the distribution of TCMsyndromes types and its relationship with ECG indicators.2Select paroxysmal palpitationsadvantage syndromes (the type of tanhuo-raoxin syndrome) of the patients were randomlydivided into groups soups, cream party group and the control group, the control groupusing conventional western medicine, the test group was given The second palpitationsPrescription medicinal borth and paste, and observe its curative effect.Results: Part I:1General information: male65cases, female85cases, male to female ratio of1:1.31;The youngest patient was17years old, the biggest in75years, the averageage was55.69±15.28years old, over45years,116cases of the total77.33%of thenumber of cases. Women often seen in patients with paroxysmal palpitations among56to65-year-old male patient with paroxysmal palpitations often seen between66to75yearsold; duration of more than five years,31cases, accounting for20.67%of all cases,1to5years,48cases accounted for32%of all cases, one month to one year in53cases,accounting for35.33%of all cases, and the following one month12cases, accounting for12%of all cases.The shortest duration is5days, the longest is30years, mean diseaseduration was2.67±1.43years. The most common risk factors is fatigue is81cases,accounted for54%of all cases, there are37cases of heart palpitations when quiet,accounting for24.67%, agitation;There are six cases cause heart palpitations, accountingfor21.33%of all cases.2. Four diagnostic indicators: total33collection of symptoms, thecumulative occurrence frequency1251times. Mild symptoms (quantified by points1point)appears805times, frequency of64.35%, moderate symptoms (quantified by points2points) appears419times, frequency of33.49%, and severe symptoms (quantified scorewas3points) appears21times, frequency of1.68%; Except palpitations, the highestfrequency of symptoms as fatigue, symptoms of150cases; TCM symptoms of collectedpoints, fatigue (141points) Highest; Tongue in pale tongue, thin yellow-based; pulse topulse-based compound, a total of15species, obtained after decomposition of nine kinds ofsingle pulse, the cumulative total frequency appears as244, the number of veins to appearmost frequently.3. Distribution of TCM: by patients with paroxysmal palpitations mainsymptoms and signs of clustering analysis showed clustered into two categories, namely,blood deficiency type and scrambled pyrophlegm heart-shaped; syndromes in patients withparoxysmal palpitations distribution and general relations: Gender aspects: male patientswith paroxysmal palpitations timid timid certificate, systolic blood stasis syndrome, threekinds of evidence pyrophlegm scrambling syndromes in higher proportions women, whilein other syndromes is higher in women than men. But by the Fisher exact test, male andfemale patients with paroxysmal palpitations no significant difference (P>0.05) on the carddistribution. Consider this study may be related to small sample size, the need to expand the number of sample cases in future studies; age:56years before patients withparoxysmal palpitations is the type of tanhuo-raoxin syndrome and xinxu-danqiesyndrome as the main syndromes, after56years the type of yuzu-xinmai syndrome andtanhuo-raoxin syndrome as the main syndromes. Distribution of patients of different ageswas not statistically significant (P>0.05) between the syndromes; symptoms integralaspect of TCM: descending order were: the type of yinxu-huowang syndrome> the type ofshuiyin-lingxin syndrome> the type of xinxue-buzu syndrome> the type of xinxu-danqiesyndrome> the type of tanhuo-raoxin syndrome> the type of xinyang-buzhen syndrome>the type of yuzu-xinmai syndrome. After statistical analysis, symptom scores between thedifferent syndromes with significant differences (P<0.05).4by patients with paroxysmalpalpitations ECG real-time monitoring information to establish the occurrence ofpalpitations when ECG database, and statistical normal ECG in21cases (14%), abnormalelectrocardiogram129cases, the detection rate was86%, including frequent the highestfrequency, accounting for30.67%, followed by sinus arrhythmia, frequent atrial premature.Correlation between5TCM syndromes and cardiac index, frequent in patients withparoxysmal palpitations its syndromes mostly pyrophlegm heart-shaped disturbance.Part II:1The total effect of clinical symptoms comparison: palpitations on the2nd squaredecoction group was30.0%, efficiency, efficiency of55.0%, the total efficiency85.0%efficiency cream party group was35.0%, efficiency of60.0%, total effective rate was95.0%, the efficiency of the control group, the clinical symptoms were10.0%and40.0%,total effective rate was50.0%; decoction group and cream There are side comparisongroup and control group, respectively, by chi-square test was a significant difference(P<0.01), described decoction group and cream party group to improve the overall efficacyof the symptoms than the control group. paste decoction group and between groups bychi-square test group was no significant difference (P>0.05), described decoction groupand cream party was no difference in overall efficacy in improving symptoms.2TCMsymptom score comparison: the three treatment groups similar symptom score, nosignificant difference (P>0.05). After treatment, heart palpitations before the2nd partygroups and paste decoction treatment group were significantly different (P <0.01), there was significant difference (p <0.05) In the control group; decoction group after treatmentand cream party groups were compared with the control group, the symptom scoredecreased significantly, decoction group and cream party group than the control group(P<0.05). Three main symptoms and signs efficacy comparison: paste decoction group andthe main symptoms after treatment group were improved to varying degrees, in the controlgroup constipation and scanty dark urine, symptoms do not improve, palpitations,irritability, large constipation symptoms, decoction group, cream party group and thecontrol group, there was a significant difference (P<0.01), no statistically significantdifference (decoction group and cream party group P>0.05); three groups after treatmenttongue and pulse were improved, which decoction group and cream party group ofabnormal tongue and improve the role of pulse than the control group (P<0.05). There wasno significant difference (P>0.05) decoction group and cream party groups.Conclutions: Patient with paroxysmal palpitations TCM scrambling to the type oftanhuo-raoxin syndrome, followed by the type of xinxu-danqie syndrome; Clinicaldiagnosis of paroxysmal palpitations provide a favorable basis for the development andapplication of objective cardiac remote monitoring system is, the analysis of the disease,diagnosis, detection means to determine important prognostic; cardiac remote monitoringtechnology with its powerful functions and applications easy to use, showing a brightprospect; patients with paroxysmal palpitations, abnormal electrocardiogram idiopathicventricular premature highest frequency, followed by sinus arrhythmia, frequent atrialpremature;the second palpitations prescription is the clinical treatment of paroxysmalpalpitations(the type of tanhuo-raoxin syndrome) valid prescription worthy of promotion,which can effectively improve the patient’s symptoms and signs. |
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