Investigation And Analysis Of 2961 Patients With Chronic Heart Failure Treated By Traditional Chinese Medicine

ObjectiveThis study discusses the application status,precautions and improvement strategies of cross-sectional survey in TCM clinical research,and further improve and standardize the application of cross-sectional survey in TCM clinical research.Investigation in shandong province seven third rate hospital patients with chronic heart failure hospitalization of TCM(traditional Chinese medicine medicinal broth,proprietary Chinese medicine and traditional Chinese medicine(TCM)injections)application situation,analyze the related factors,clinical application of traditional Chinese medicine(TCM)injections in understanding the status quo of clinical application of TCM and the existing problems,and provide a reference for traditional Chinese medicine in the treatment of chronic heart failure and provide the basis for further clinical research.MethodBy using the cross-sectional survey method,the patients with chronic heart failure who met the inclusion and exclusion criteria on January 1,2012 and December 31,2017 were selected as the survey population based on 7third-level A-level hospitals in Shandong Province.The general data,diagnosis of traditional Chinese and western medicine and the use of traditional Chinese medicine were collected during the hospitalization.The software Epi Data 3.1 was used to construct the database and input the data.After checking and verifying,the data were imported into Excel software to form a table,and the relevant data were statistically analyzed by SPSS25.0software.ResultA total of 2366 patients were found to have received TCM injections,including 36 kinds of injections,and the total frequency of each injection was 3522 times.The application time of most TCM injections was less than 14 days,and the number of users of TCM injections was the largest in the group of ≥7 days and ≤14 days.There were 74 kinds of application of proprietary Chinese medicines,and the total application frequency of various proprietary Chinese medicines was 1222 times.The application frequency of proprietary Chinese medicines was the highest in the group of ≥7 days and < 14 days.The application frequency of proprietary Chinese medicines in the group of< 7 days and ≥1 day and ≥14 days and < 21 days were close.There were 134 kinds of traditional Chinese medicine decoction,and the total frequency of application was 1136 times.For the number of users of TCM decoction with different application time,the use frequency of TCM decoction was the highest in the group of ≥7 days and < 14 days,and the total use frequency of TCM decoction in the group of < 7 days and ≥1 days was less than that in the group of ≥14 days and < 21 days.The group study of TCM injection application showed that there was no statistical significance in the complications of arrhythmia,hypertension,diabetes and pulmonary disease between the group using TCM injection and the group without TCM injection(P>0.05).There were statistical significance between the two groups in gender,age,length of hospital stay,previous course of disease,NYHA grade and combined CHD(P<0.05).In the group receiving TCM injection,the proportion of female patients and patients with combined CHD was higher,and the length of hospital stay and previous course of disease were longer.There were no significant differences in gender,age,past disease course,complicated arrhythmia,coronary heart disease,hypertension,diabetes and pulmonary diseases between the group of < 7 and≥1 day,≥7 and ≤14 days and the group of > for 14 days(P>0.05).There were statistically significant differences in length of stay and NYHA grading among the three groups(P<0.05).ConclusionAt present,inpatients with chronic heart failure are still mainly middle-aged and elderly patients,and TCM treatment is mainly TCM injections.The number of treatment days of TCM(injections,Chinese patent medicine,decoction)is ≥ 7 days and < 14 days.The use of TCM injection during hospitalization was related to gender,age,length of hospital stay,course of disease,NYHA grade and complicated coronary heart disease.The duration of application of TCM injection was related to hospital stay and NYHA grade.