| Objective:Through investigation and study the data of the cases of hospitalized patients which from July 1,2010 to June 30,2016 in the first affiliated hospital heart center of Henan university of traditional Chinese medicine,to understand the difference between the region and reported at home and abroad,to know the difference between the region and reported at home and abroad,and provide data support for the clinical diagnosis and treatment,in order to reasonably,optimize the prevention and therapy of heart failure.Methods:610 cases of hospitalized patients with chronic heart failure was recorded by using statistical methods,the data including age,sex,address,admission date,etiology,complicating disease and risk factors,primary symptom,main symptoms,tongue pulse,syndrome and syndrome elements of traditional Chinese medicine,Chinese traditional medicine(proprietary Chinese medicine,Chinese herbal medicine),cardiac function classification,left ventricular ejection hospitalization days and other data was retrospectively analyzed and discussed.Results:(1)Age of onset age: heart failure patients age range is 11 years old to 95 years old,average 63.03 years,middle-aged patients 188 cases(30.82%)have the largest number.(2)Gender: 308 cases(50.49%)are male,302 cases(49.51%)are female,cases of men are more than women's.(3)Permanent address: a total of 423 people(69.3%)in city/county,a total of 187 people(30.7%)in township/town/village,the number of patients with heart failure is much higher in the city/country.(4)Time of admission: the number of hospitalized patients with heart failure in winter and spring season is more than in summer and fall,the largest number of hospitalized patients is in spring.(5)The basic disease cause:led by 191 cases(31.3%)of coronary heart disease,followed by rheumatic heart disease 173 cases(28.4%),expansion of heart 133 cases(21.8%),high blood pressure 29 cases(4.8%),etc.(6)Complicating disease and risk factors:the highest arrhythmia 265 cases(43.4%),followed by hypertension 247 cases(40.5%),coronary heart disease174 cases(28.5%),etc.(7)Cardiac function classification:the number of patients with NYHA?345 cases(56.6%)and average hospitalization days(17.76±11.93)are both the highest.(8)The main symptoms and signs in the first three:chest stuffy580 cases(95.1%),palpitate/shortness of breath534 cases(87.5%),lack of power 425 cases(46.7%);lower extremit edema 304 cases(49.8%),lung rale 153(25.1%),cyanosis 89 cases(14.6%)?(9)The tongue and pulse condition:most often 130 cases(21.3%)of dark red tongue;tongue coating headed by bored with 244 cases(40.0%);totally 13 kinds of pulse condition,thready pulse 252 cases(41.3%),sunken pulse184 cases(30.2%),knotted and intermittent pulse 107 cases(17.5%).(10)Pattern of syndrome of TCM:the most is qi and yin deficiency and blood stasis206 cases(33.8%),the least is qi and yin deficiency and blood stasis and phlegm retention 8 cases(1.3%).Chinese patent medicine:patients used Chinese patent medicine a total of 493 cases(80.8%),most use a kind of Chinese patent medicine 301 cases(49.3%).Frequency of usage of Chinese patent medicine of the first three is Qiliqiangxin capsule 203 times,Yangxin oral liquid 112 times,Qishenyiqi droplet 93 times.Chinese medicine prescription : With 48 kinds of prescriptions,the first three in turn is Shengmai powders 137 times,Baoyuan decoction 135 times,Taohongsiwu decoction 63 times.Chinese herbal medicine category : totally 19 class,the first three is tonic medicine(39kinds,1876 times),damp-clearing medicine(20 kinds,997 times),dissipating blood stasis medicine(17kinds,910 times).single Chinese herbal medicine:totally 246 species,using 246 times,the first three of use frequency is Poria cocos of 282 cases(46.2%),Atractylodes macrocephala 259 cases(42.5%),Astragalus 243 cases(39.8%).Aldosterone antagonist utilization rate of up to 481(78.9%),followed by ACEI/ARB 387(63.4%),digoxin,379(62.1%),beta blockers,365(59.8%),etc.Conclusions:?The highest incidence of heart failure patients is in middle-aged,male incidence is slightly higher than women,the incidence of different ages are different;?Hospitalized patients in the city is much higher than in village,and this related to hospital regional characteristics;?The number of Heart failure patients in the winter and spring is more than summer and fall,especially in the spring,which has no significant difference.?Fundamental cause,led by coronary heart disease,heart failure,followed by rheumaticheart disease,enlarge heart disease,high blood pressure,etc.,which have differences with the domestic epidemiological conclusion may be related to secondary cardiomyopathy diagnosis and the improvement of examination in recent years;Complicating disease and risk factors is given priority to with arrhythmia,which is different from domestic epidemiological results,may be associated with the high incidence of rheumatic heart disease in this area;?The rule of Pattern of syndrome of Heart failure:Qi and Yin deficiency and blood stasis type > deficiency of qi deficiency and blood stasis and phlegm retention > blood stasis > sun be the spirit deficiency and blood stasis and phlegm retention > sun be the spirit deficiency and blood stasis > qi and Yin deficiency and blood stasis and phlegm retention,difference between the card types is significant.?Using proprietary Chinese medicine patients(80.8%),using liquid form(75.4%),proprietary Chinese medicine to stilbene Li strong heart capsule,yangxin oral liquid,stilbene dropping pill and replenishing qi,most prescriptions to Shengmai powders,Baoyuan decoction,Taohongsiwu decoction is given priority to;Tonic medicine is the top of Chinese herbal medicine,Poria cocos,Atractylodes macrocephala and Astragalus have the highest use frequency,the study have shown that use of traditional Chinese medicine is higher,fully highlight the advantage of our combined with characteristics of traditional Chinese and western medicine treatment of heart failure disease;?Heart failure patient'gender,local,main etiology and grade of cardiac function and TCM syndrome types there exist differences in age,this show that the age closely related to the onset of heart failure,we should take focus on the age of the patients with heart disease.?Patients with coronary heart disease,rheumatic heart disease and expansion heart disease in NYHA ?are the most,and the average level in patients of NYHA > NYHA > NYHA ? ? ?,the lower cardiac function classification the higher the heart ejection fraction.?Genderhas differences between main cause;Patients with rheumaticheart disease has highest LVEF,expansion heart disease is least,patients' LVEF has significant difference in major causes of heart failure;Cardiac function classification,and left ventricular ejection fraction both have significant difference in major causes of heart failure,these can provide reference data for clinical diagnosis.?Our hospital in spironolactone,ACEI/ARB,beta blockers,digoxin and other drug use below the guide level,higher than the national average.However,the use of diureticis is lower than the national average,this may closely relate to the use of damp-clearing drug.?The patients with the left ventricular ejection fraction of the echocardiogram were 61.1 percent of the patients with a blood score of more than 50 percent,suggesting that we need to pay more attention to the diagnosis and treatment of patients with heart failure of the ejection fraction remains. |
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