Traditional Chinese Medicine For Patients With Chronic Heart Failure Rate Influence Of Retrospective Study

Objective: retrospective analysis the clinical data、discharge outcome、 Outside the hospital treatment on the patients which were treated combined with traditional Chinese and western medicine, understand the clinical characreristics and the use of Chinese medicine on388cases chroni heart failure (CHF)。Explore the Traditional Chinese medicine influence of the prognosis of patients with CHF outcome.Methods:Collect the data of Wangjing Hospital chronic heart failure from Mar.2006to Mar.2011。We will fol low-up phone or fol low-up appointment patient outpatient service for the chronic heart failure (CHF)which were standard for relief from the hospital. Establish clinical quest ionna ire (CRF)、entry database with the specialist and with SPSS statistical software for data analysis.Results:In the421CHF patients, there are25patients died in the follow-up process (14patients died of heart disease and11patients die from heart disease)。There are8patients for contact way change or other reason not to follow-up。So the388patients of clinical analysis, one male patients in158,230patients with women, men and women ratio is0.69:1. The average age of Chronic heart failure patients was67.09years。Chronic heart failure in patients with major disease for coronary heart disease in265cases (accounting for68.30%of the total number, the same below), hypertension in108cases (27.84%) rheumatic heart disease in4cases (1.03%). Comorbid illness:Type2diabetes in148cases(38.14%), hyperlipidemia in113cases(29.12%), serious arrhythmia in108cases (27.84%), the lung disease in54cases (13.92%), renal insufficiency in78cases (20.10%), the cerebral hemorrhage in48cases (12.37%), the cerebral infarction in56cases(14.43%). In this study, half a year192patients hospitalized again, readmission rates of49.48%. And readmission rates related Logistic regression showed that affect patients with chronic heart failure readmission rates factors are old-age、the first admission for moderate to severe cardiac function、lower left ventricular ejection fraction、increases heart、renal insufficiency、serious arrhythmia、no use of traditional Chinese medicine after discharge.Conclusion:1、Chronic heart failure patients with old people is in the majority, has the characteristics of aging; Major cause to coronary heart disease and high blood pressure disease for the Lord; with many system disease,and medical foundation is bad。2、Single factor analysis results are shown patients with high age, the first admission of heart function is poor, with type2diabetes、serious arrhythmia、 lung disease and renal insufficiency,high BNP value, low left ventricular ejection fraction are related with heart failure patients hospitalized again rates, use of Chinese medicine after discharge, regular visit, medication compliance good can reduce readmission rates.3、Readmission rates related Logistic regression showed that:old-age、 the first admission for moderate to severe cardiac function、lower left ventricular ejection fraction、increases heart、renal insufficiency、serious arrhythmia、no use of traditional Chinese medicine after discharge。4、This study suggests hospital cardiac function for the first time with moderate to severe primarily old chronic heart failure patients, especially associated with serious arrhythmia, and renal function in patients with early intervention, remind patients law appointment, medicine on time can be reduced readmission rates.5、Positive、regular and dialectical use traditional Chinese medicine can reduce chronic heart failure patients in hospital admission rates again, guidance we not only during be in hospital, And outside the hospital also need to pay attention to the use of traditional Chinese medicine.