Chronic Heart Failure Clinical Retrospective Study

Objective:The research is to analyze the retrospective investigation oftraditional Chinese medicine (TCM) in clinic chronic heart failure(CHF)by referring to case history and summarizing clinic data. The purposeof this article is to discuss the evolutive syndrome rules in chronic heartfailure and instruct clinic treatment rather.Methods:1. Observational methods: Establish the retrospective investigationtable including name, sex, age, diagnoses, course of disease, symptom,TCM syndrome, decoction and treatment by the requirement of TCM clinicresearch and epidemiology. Diagnose in basic cardiopathy, CHF, cardiacfunction grade and TCM syndrome again and again to insure veracity.Primarily observe the TCM curative effect and relationship between TCMsyndrome and cardiac function.2. Treatment methods: 118 CHF patients with TCM syndrome and cardiacfunction grade were given suitable decoction in the base of the standarduse of Western medicine, 150ml per-time and twice per-day. Standard usedof Diuretic, ACEI, Digitalis, the material method is nydrochlorothiazide12.5～25mg per-time, 1～3 times per-day; Spironolactone 20～40mgper-time, 1～3 times per-day; Benazepril 5～10mg per-time, 1～2 timesper-day; Digoxin 0.125～0.25mg per-time, one time per-day. In emergency,permited to use of Furosemide Injection, Lanatoside C Injection,Phentolamine Injection, Isosorbide Mononitrate Injection, etc. as wellas other pertinence and backup treatment were used.Results:1. Cardiac function gradeⅡfocuses on accumulation of phlegm in lungsyndrome. Obstruct syndrome is more. Its Cardiac function grade composingratio has statistics signification (P＜0.05). 2. Cardiac function gradeⅢfocuses on qi collapse and bloodstasis syndrome, yang collapse and fluid-retention stagnation syndrome.Mixture collapse and obstruct syndrome is more. Their Cardiac functiongrade composing ratio have statistics signification (P＜0.05).Betweenthe two it has not statistics signification (P＞0.05).3. Cardiac function gradeⅢfocuses on qi collapse of lung and heartsyndrome, deficiency of qi and yin syndrome, yang collapse of heart andkidney syndrome. Collapse syndrome is more. Their Cardiac function gradecomposing ratio have statistics signification (P＜0.05).Between the qicollapse of lung and heart syndrome and yang collapse of heart and kidneysyndrome, their ratio has not statistics signification (P＞0.05).4. By the clinic effect evaluation, the total effect ratio isaccumulation of phlegm in lung syndrome＞qi collapse and blood stasissyndrome＞deficiency of qi and yin syndrome＞qi collapse of lung and heartsyndrome＞yang collapse and fluid-retention stagnation syndrome＞yangcollapse of heart and kidney syndrome.Conclusion:The evolutive syndrome rule is obstruct syndrome to collapse syndromeand qi collaps syndrome e to yang collapse syndrome. TCM syndrome is thereflection of the illness state. The syndrome evolvement is the resultof disease progress.