The Integrated Traditional Chinese-Western Medicine Model Construction Of Hypertension In Chronic Disease Management

BackgroundNon communicable chronic disease has been a serious threat to global public health,but in our country,hypertension is regarded as our country residents'health first "harm",one hand,hypertension if not active control,can lead to cardiovascular and renal complications,and become national health "silent killer";on the other hand,it also can stimulate the health costs rose sharply,bring heavy economic burden to the society.How to effectively control the blood pressure and prevent the complications become the current focus of attention,and hypertension of chronic disease management model introduction may become one of the effective measures.ObjectiveThrough summarizing the domestic medical institutions in hypertension of chronic disease management in the experience,and referen to foreign chronic disease management model,in order to establish a relatively systematic,standardized patient self-management,doctor-patient interaction,tracking of hypertension of chronic disease management system for hypertension,chronic disease management programs continue to improve and in the various medical units to gradually promote the accumulation of experience.The model will be to obtain a larger health effect with less investment,it can also increase medical service benefit and improve medical insurance coverage and capacity,the purpose is to alleviate the increasing health demand and the contradiction between the limited medical resources.MethodsRetrieved from 1989 to 2011 "Chongqing VIP Chinese science and Technology Periodical Full-text Database" VIP,2000?2010“Chinese biomedical literature database(CBM)","key",the ancient books database Guangdong Province Traditional Chinese Medical Hospital specialist " PubMed database" and“Chinese medicine diagnosis and treatment experience of database",and then read one by one the retrieved459 articles,with self-made "literature information registration form " extracted from the literature quality,treatment and other related information,database,finally will collect the related data by Excel software to carry on statistical analysis.Results1.From document retrieval,hypertension management mode is not unified and standardized,now,the domestic hypertension management model has experienced by community integrated control mode-three class management mode-self management model development phase,although a variety of management model differences,but in some ways it has common point.In sorting out the 323 papers,involving the contents of most of the health education(181),behavioral intervention(168),(133)follow-up,classification management(105),the proportion of ordinal for 56%,52%,32.5%,41.20%.This shows that in the management of hypertension,health education,behavior intervention,follow-up,classification management is important management factors.2.In the hypertension of chronic disease management in various applications,combining traditional Chinese and Western medicine intervention scheme can make the blood pressure control rate of hypertension to improve,and on elimination and remission of symptoms has good clinical curative effect.In relation to TCM therapy of 136 support point of view in the literature,diet therapy(24),exercise therapy(22),the characteristics of traditional Chinese medicine therapy(88),other(2 articles).The dietotherapy of celery,kelp,green tea,chrysanthemum,Chinese wolfberry,tremella counting frequency is high.Exercise therapy in about 22 articles,to Tai Chi,eight section brocade clinical study up,which may be related to their simple and obvious in effect.In 88 related to hypertension with traditional Chinese medicine literature,the most is mentioned by(40),foot(14 articles).Among them,relating to the acupuncture points of more than 50,frequency of occurrence more including Taichong,Zusanli,hypertension,or.Therefore,according to the contents of a document finishing,puts forward a set of recommended for hypertension slow door used include diet,exercise,the characteristics of traditional Chinese medicine therapy in 3 major categories of Integrated Chinese traditional and Western medicine therapy system.ConclusionThe hypertension of chronic disease management belongs to "sunny industry",its management mode is still not mature,and the combination of traditional Chinese and Western medicine therapy in hypertension of chronic disease management in the research is to be improved.The research results of the literature analysis on hypertension of chronic disease management has a certain reference value in improving the program,a preliminary formulation of hypertension of chronic disease management model for hypertension prevention and control scheme has important significance.The model of perfect,promotion will further promote the effective prevention and treatment of hypertension.