Intervention Research On Chronic Heart Failure Based On "Preventive Treatment Of Disease" Network Management Systems And Integrated Mode

Objective:Intervention research on chronic heart failure based on "PreventiveTreatment of Disease" network management systems and Integrated Mode， healtheducation for the patients with chronic heart failure, coaching calls, ear beans and theintervention of Chinese medicine soup,Observation on clinical efficacy, and evaluation ofear beans and Chinese herbal soup asthma safety and feasibility of the2nd,On chronicheart failure disease prevention and control of integration, providing traditional Chinesemedicine in treatment of chronic congestive heart failure with theory and clinical support.Methods: Select an eligible chronic heart failure (Yang-deficiency andwater-stagnation symptom),120patients were randomly divided into4groups,Controlgroup: conventional Western medicine treatment is offered. Pilot group I: based on"Preventive Treatment of Disease" network management systems, in the conventionalWestern medicine treatment on the basis of health education+telephone guidance given.Group II: based on "Preventive Treatment of Disease" network management systems, inthe conventional Western medicine treatment on the basis of giving health education+coaching calls+ear beans. Group III: based on "Preventive Treatment of Disease" networkmanagement systems, in the conventional Western medicine treatment on the basis oftransfer+health education+elephone guidance given+Decoction of Chinese medicine(asthma2nd addition and subtraction).Results:（1）The total effect of clinical symptoms Control group:26.67%improved significantly, with an efficiency of20%, the totalefficiency of46.67%; the test group I: significantly the efficiency of26.67%, efficiency of33.33%, the total effective rate was60%; the test group II: significantly the efficiency of30%, efficiency of36.67%, the total effective rate was66.67%; the test group III: themarked effective rate of40%, efficiency of43.33%, the total effective rate was83.33%.The comparison between four groups by chi square test: P<0.01, statisticallysignificant.Analysis of multiple comparisons,Group I compared with the control group,P>0.05, with no statistically significant differences. Group II compared to the controlgroup, P>0.05, with no statistically significant differences. Group III compared with thecontrol group, P<0.01, there was a significant statistical differences,The effect of addedwith health education+telephone guidance and asthma No.2is better than the controlgroup. Experimental group II and experimental group I, P>0.05, no statistical difference.The test group III and experimental group I, P<0.01, with significant difference, indicateasthma No.2for chronic heart failure clinical treatment. The test group III and theexperimental group IIin comparison, P<0.05, with a significant difference, indicate thatin the treatment of chronic heart failure, the efficacy of asthma2is better than the earbeans.（2）TCM syndrome total scoreThe comparison between four groups after ANOVA: P<0.01, the difference wasstatistically significant. Multiple comparison analysis, group, test group I and controlP<0.05, with a significant difference, indicating that health education+telephone guidanceimprove TCM symptoms integral action.Group II compared to the control group, P<0.05,with statistically significant differences, indicating that health education+coaching calls+ear beans improve TCM symptom score. Group III compared with the control group,P<0.05, with statistically significant differences, showed that health education+coachingcalls+asthma,2nd can improve TCM syndrome total score. Experimental group II andexperimental group I, P>0.05, no statistical difference. The test group III and experimentalgroup I, P<0.05, with a significant difference, indicate asthma No.2can improve TCMsyndrome integral action. The test group III and experimental group II compared withstatistically significant difference, P<0.05, showed an improvement in the symptom scoresof asthma,2, than the ear beans efficacy.（3）The main symptom improvementThe comparison between four groups, dyspnea, pulmonary rales, hepatomegaly, jugular vein, abnormal chest, cough, expectoration was analyzed by chi square test, P>0.05,no significant difference; edema, oliguria, palpitation, weak by chi square test, P <0.01,with significant difference. Multiple comparison analysis are as follows:Edema: in group I compared with the control group, P>0.05, with no statisticallysignificant differences. Group II compared to the control group, P>0.05, with nostatistically significant differences. Group III compared with the control group, P<0.01,with statistically significant differences, showed that health education+coaching calls+improvement in asthma,2nd swelling effect. methods compared with the pilot group I andII, P>0.05, with no statistically significant differences. Group comparison group I and III,P<0.01, with statistically significant differences, indicating improvement in asthma,2ndswelling effect. Test group compared with Group II and III, P<0.05have significantdifferences, indicating that improved swelling, asthma,2nd ear beans than curative.Groupcomparison group I and III, P<0.01, with statistically significant differences, indicatingimprovement in asthma,2nd swelling effect. Test group compared with Group II III,P<0.05have significant differences, indicating that improved swelling, asthma,2nd is morecurative than ear beans.Palpitations: group I compared with the control group, P>0.05, with no statisticallysignificant differences. Group II compared to the control group, P>0.05, with nostatistically significant differences. Group III compared with the control group, P<0.01,with statistically significant differences, indicating that health education+coaching calls+asthma had improved heart palpitations,2nd. test group compared with the pilot group Iand II, P>0.05, with no statistically significant differences. Group comparison group I andIII, P<0.01, with statistically significant differences, shows that asthma had improvedheart palpitations,2nd part. Test group compared with Group II and III, P<0.01, withstatistically significant differences, indicating improving heart palpitations, asthma2nd ismore curative than ear beans.Weakness: group I compared with the control group, P>0.05, with no statisticallysignificant differences. Group II compared to the control group, P>0.05, with nostatistically significant differences. Group III compared with the control group, P<0.05,with statistically significant differences, indicating that health education+coaching calls+weak improvement in asthma,2nd. test group compared with the pilot group I and II,P>0.05, with no statistically significant differences. Group comparison group I and III,P<0.01, with statistically significant differences, indicating sluggish improvement in asthma,2nd. Test group compared with Group II III, P<0.05, with statistically significantdifferences, indicating improved fatigue, asthma2nd is more curative than ear beans.（4）Classification of cardiac function improvementThe comparison between four groups was analyzed by chi square test, P>0.05, nostatistical difference.（5）6minutes walk test6-minute walking test after treatment by analysis of variance, P<0.01, a significantstatistically. multiple comparison analysis: group I compared with the control group,P>0.05, with no statistically significant differences. Group II compared to the controlgroup, P<0.01, there was a significant statistical differences, showed that health education+coaching calls+ear bean has improved six-minute walking test function. Group IIIcompared with the control group, P<0.01, there was a significant statistical differencesindicating health+education+telephone guidance asthma had improved,2nd6-minutewalking test. Group comparison group I and II, and P<0.05, a statistically significantdifference, indicating that ear beans have improved six-minute walking test. Groupcomparison group I and III, P<0.01, there was a significant statistical differences indicatingthat improvement in asthma,2nd six-minute walking test. Comparison between group IIIand group II, P<0.01, there was a significant statistical differences, show that in thesix-minute walk test, asthma2nd is more curative than ear beans.（6）BNPBNP after treatment by analysis of variance, P<0.01, with significant statisticaldifferences. multiple comparison analysis: group I compared with the control group,P>0.05, with no statistically significant differences. Group II compared to the controlgroup, P<0.01, there was a significant statistical differences indicating that healtheducation+coaching calls+ear bean improved BNP. Group III compared with the controlgroup, P<0.01, there was a significant statistical differences indicating health+education+telephone guidance asthma had improved,2nd party BNP. Group comparison group I andII, P>0.05, with no statistically significant differences. Group comparison group I and III,P<0.01, there was a significant statistical differences indicating that asthma has improved,2nd party BNP. Comparison between group III and group II, P<0.05, there was astatistically significant difference, indicating improvement in BNP, asthma2nd is morecurative than ear beans.（7）Left ventricular ejection fraction Treatment of posterior left ventricular ejection numerical analysis of variance, P<0.01,with significant statistical differences. multiple comparison analysis: group I comparedwith the control group, P>0.05, with no statistically significant differences. Group IIcompared to the control group, P<0.05, a statistically significant difference, indicating thathealth education+coaching calls+ear beans have improved ejection fraction. Group IIIcompared with the control group, P<0.05, a statistically significant difference, indicatingthat health education+coaching calls+asthma improvement in ejection fraction,2nd.Group comparison group I and II, P>0.05, with no statistically significant differences.Group comparison group I and III, P<0.01, there was a significant statistical differencesindicating that asthma improvement in ejection fraction,2nd. Comparison between groupIII and group II, P<0.05, there was a statistically significant difference, indicatingimprovement in ejection fraction, asthma2nd is more curative than ear beans.（8）Abnormal tongue and pulseAbnormal tongue after treatment by the Chi-square test, P<0.01, with significantstatistical differences. Multiple comparisons analysis are as follows:Group I compared withthe control group, P>0.05, with no statistically significant differences. Group II comparedto the control group, P<0.05, a statistically significant difference, indicating that healtheducation+coaching calls+ear beans with abnormal tongue. Group III compared with thecontrol group, P<0.01, there was a significant statistical differences indicating health+education+telephone guidance asthma improve abnormal tongue,2nd. Group comparisongroup I and II, P>0.05, with no statistically significant differences. Group comparisongroup I and III, P<0.01, there was a significant statistical differences indicating thatimprovement in asthma,2nd abnormal tongue. Comparison between group III and group II,P>0.05, with no statistically significant differences.Abnormal pulse after treatment by the Chi-square test, P<0.01, with significantstatistical differences. Multiple comparisons analysis are as follows:Group I compared withthe control group, P>0.05, with no statistically significant differences. Group II comparedto the control group, P<0.05, a statistically significant difference, indicating that healtheducation+coaching calls+ear beans with abnormal pulse. Group III compared with thecontrol group, P<0.01, there was a significant statistical differences indicating health+education+telephone guidance asthma improve abnormal pulse,2nd. Group comparisongroup I and II, P>0.05, with no statistically significant differences. Group comparisongroup I and III, P<0.01, there was a significant statistical differences indicating that improvement in asthma,2nd abnormal pulse. Comparison between group III and group II,P>0.05, with no statistically significant differences.（9）Quality of life scoresQuality of life scores after treatment by analysis of variance, P<0.01, with significantstatistical differences. multiple comparison analysis: group I compared with the controlgroup, P>0.05, with no statistically significant differences. Group II compared to thecontrol group, P<0.01, there was a significant statistical differences, indicating that healtheducation+coaching calls+ear beans have improved quality of life. Group III comparedwith the control group, P<0.01, there was a significant statistical differences indicatinghealth+education+telephone guidance asthma2nd, improved quality of life. Groupcomparison group I and II, and P>0.05, with no statistically significant differences. Groupcomparison group I and III, P<0.01, there was a significant statistical difference suggeststhat asthma2nd side to improve quality of life. Comparison between group III and group II,P<0.01, there was a significant statistical differences indicating role in improving thequality of life, asthma2nd is more curative than ear beans.Conclusion: Network management system based on disease prevention, healtheducation and telephone guide has a certain therapeutic effect for chronic heart failurepatients, in the TCM syndrome total score, a statistically meaningful, ear beans is aneffective method for chronic heart failure, and some items of traditional Chinese medicinesyndrome in climate analysis, statistically significant.In the left ventricular ejectionfraction, abnormal tongue and pulse, found in separate comparison of quality of life, nosignificant health education+telephone guidance, single ear pressure beans are also has nostatistical significance, while the health education+telephone guide+ear pressure beanshad statistical significance.Two kinds of methods is still in the exploratory stage, havecertain curative effect in improving symptoms, improve the quality of life, its operationprocess is simple and safe, no obvious adverse reaction after treatment, is worth exploringin the clinical process. Asthma No.2is the clinical treatment and prevention of chronicheart failure (yang deficiency and dampness) the effective prescription, in improving thesymptoms, signs and improve the life quality of the patients, with statistical significance, isworth the clinical promotion.