To Explore the Therapeutic Effect of Traditional Chinese Medicine
on Coronary Heart Disease Combined with Diabetes
Chuiyi Zeng
Henan Province Hospital of Traditional Chinese Medicine, 450000, Zhengzhou, Henan, China
Keywords: TCM Syndrome Differentiation Treatment, Coronary Heart Disease, Diabetes, Curative Effect Analysis.
Abstract: Objective: To observe the efficacy of traditional Chinese medicine treatment in patients with coronary heart
disease and diabetes. A total of 70 patients with coronary heart disease and diabetes who received treatment
in our hospital from March 2020 to March 2021 were randomly divided into observation group and control
group. The control group was treated with conventional medicine, and the observation group was treated with
TCM syndrome differentiation treatment. After 2 courses of treatment (2 months), observe the difference in
curative effect between the two groups. Results: The overall curative effect of the observation group and the
control group were 94.29% and 80.00%, respectively. There is a statistically significant difference between
the two, P<0.05. In the changes of ST segment of ECG, there was no significant difference between the two
groups, P>0.05. Further analysis showed that the observation group had greater changes in T wave and better
blood glucose control (P<0.05). After treatment, patients in the observation group had a higher quality of life
score, which was significantly different from the data in the control group (P<0.05). In the treatment of
patients with coronary heart disease and diabetes, the use of TCM syndrome differentiation and treatment can
improve the treatment effect of the patient, improve the patient's blood sugar level, and promote the patient's
recovery. The effect is significant.
1 INTRODUCTION
Coronary heart disease is a common type of
cardiovascular disease. Many patients often have
diabetes. For these patients, clinical treatment is more
difficult. Simple western medicine treatment often
results in unsatisfactory results, resulting in recurrent
episodes of the patient's condition, which seriously
affects the prognosis (Maimaitiyiming·Abayifu.
2019). In recent years, the widespread application of
traditional Chinese medicine treatment has made
positive contributions to the efficacy and prognosis of
patients with coronary heart disease. In Chinese
medicine, coronary heart disease belongs to the
category of "chest obstruction". The clinical
application of TCM syndrome differentiation can
improve the clinical symptoms of patients and
promote the recovery of patients with coronary heart
disease and diabetes (Liu, Chen, Lei, et al. 2019).
Through comparative experiments, it analyzes the
effect of combined traditional Chinese and western
medicine treatment and western medicine treatment
on the curative effect of patients with coronary heart
disease complicated with diabetes, and discusses the
clinical value of Chinese medicine treatment.
2 METHOD
2.1 General Information
A total of 70 patients with coronary heart disease and
diabetes who were treated in our hospital from March
2020 to March 2021 were enrolled and randomly
divided into observation group and control group,
with 35 cases in each group. Among the patients in
the observation group, there were 17 males and 18
females. The minimum and maximum ages were 52
and 89 years old, respectively, with an average of
(63.22±4.03) years old. In the control group, there
were 16 males and 19 females. Their age ranged from
53 to 88 years old, with an average of (64.09±4.39)
years old. There was no statistically significant
difference in gender and age between the two groups
of patients, P>0.05, which was comparable.
544
Zeng, C.
To Explore the Therapeutic Effect of Traditional Chinese Medicine on Coronary Heart Disease Combined with Diabetes.
DOI: 10.5220/0011373500003438
In Proceedings of the 1st International Conference on Health Big Data and Intelligent Healthcare (ICHIH 2022), pages 544-547
ISBN: 978-989-758-596-8
Copyright
c
2022 by SCITEPRESS Science and Technology Publications, Lda. All rights reserved
2.2 Treatment Methods
Patients in the control group were treated with
western medicine, oral hypoglycemic drugs or
subcutaneous injections of insulin, and oral aspirin
and statins at the same time.
Patients in the observation group were treated
with traditional Chinese medicine based on
conventional Western medicine treatment. In the
specific implementation process, the patients were
first classified by syndrome differentiation, mainly
including three types, namely the deficiency of both
spleen and kidney qi and yang, the deficiency of both
liver and kidney qi and yin, and the deficiency of both
heart and kidney qi and yang. Among them, the liver
and kidney qi and yin deficiency type, the treatment
prescriptions are: Scrophulariaceae, Trichosanthes,
Radix Rehmanniae, Lycium barbarum, Pueraria
lobata, Taizishen, Cornus and so on. The spleen and
kidney qi and yang deficiency type, its treatment
prescriptions are: Atractylodes macrocephala,
Codonopsis, Astragalus, Xianling spleen, Alisma,
Shengdi, Eupatorium etc. Jinkui Shenqi Pills are used
for the heart, kidney, qi and yang deficiency type,
combined with the actual situation of the patient, to
increase ginseng, polyporus, cassia twig, schisandra,
and Ophiopogon. In the specific treatment, it is
necessary to add Salvia miltiorrhiza, decocting each
medicine with water, and take 400ml of the juice, and
take it twice a day. Continuous treatment for 1 month
is a course of treatment, and the observation period is
2 courses.
2.3 Observation Indicators
The treatment effect is divided into significant effect,
effective and ineffective. Significant mainly means
that the patient's coronary heart disease symptoms are
controlled after treatment, and the blood sugar control
effect is significant; effective means that the patient's
clinical symptoms are improved, and the blood sugar
control effect is better; invalid means that the patient
has no significant clinical symptoms after treatment
Variety. Excluding the inefficiency, the total effective
rate of this study can be obtained.
The electrocardiogram and blood glucose values
of the two groups of patients were compared.
The quality of life scores of the two groups of
patients before and after treatment were compared. A
higher score indicates that the quality of life of the
patient is good (Ni, Liu, Xu 2020).
2.4 Statistical Methods
To perform statistics on data and apply statistical
software, SPSS20.0 is the main choice. Data analysis
includes measurement data and counting data. The
expression of the former is (x±s) and the expression
of the latter is (n,%). To verify the results, the t value
and x2 value are mainly used to analyze and compare
the results. When P<0.05, the difference is
statistically significant.
3 RESULTS
3.1 Therapeutic Effect
Among the two groups of patients, the number of
patients in the observation group and the control
group were 33 and 28, respectively. The effective
rates were 94.29% and 80.00%, respectively, and the
observation group had a higher effective rate.
Compared with the control group, P<0.05, there is a
statistically significant difference.
Table 1: Curative effect of patients [n(%)].
Groups
Markedly
effective
Effective Ineffective Efficient
Observation Group
n=35
2160.00 1234.29 25.71 3394.29
Control Group
n=35
1131.43 1748.57 720.00 2880.00
X
2
8.964
P <0.05
To Explore the Therapeutic Effect of Traditional Chinese Medicine on Coronary Heart Disease Combined with Diabetes
545
3.2 Comparison of ECG and Blood
Sugar
Before treatment, there was no significant difference
in the ECG and blood glucose values between the two
groups of patients, P>0.05. After treatment, all
indicators were improved, among which the
observation group had better T wave recovery and
better blood sugar control. Compared with before
treatment, there was a statistically significant
difference (P<0.05). However, in the ST-segment
recovery with low ECG depression, the data
difference between the two groups was small, and the
statistical difference was not significant (P>0.05).
Table 2: Comparison of electrocardiogram and blood glucose content between the two groups of patients (±s).
Groups
ST segment rise (mV) T wave change (mV)
blood glucose level
mmol/L
Before
treatment
After
treatment
Before
treatment
After
treatment
Before
treatment
After
treatment
Observation
Group
n=35
0.08±0.03 0.05±0.02 0.07±0.05 0.04±0.05 11.20±1.24 5.86±0.33
Control
Group
n=35
0.07±0.03 0.04±0.03 0.06±0.03 0.03±0.04 12.00±1.34 8.79±0.56
t 0.394 0.134 0.294 3.948 0.294 6.003
P >0.05 >0.05 >0.05 <0.05 >0.05 <0.05
3.3 Quality of Life before and after
Treatment
Before treatment, the quality of life scores of the two
groups of patients were relatively low, P>0.05. After
treatment, the quality of life was improved, and the
score of the observation group was higher, which was
significantly different from that of the control group,
P<0.05.
Table 3 Comparison of the quality of life of the two groups of patients before and after treatment (±s)
Groups Before treatment After treatment
Observation Group
n=35
54.34±3.22 76.94±4.39
Control Group
n=35
55.04±3.85 66.05±4.09
t 0.294 8.967
P >0.05 <0.05
4 CONCLUSIONS
The clinical morbidity of coronary heart disease
patients with diabetes is relatively high, and the
mortality and disability rate of patients are relatively
high (Shi 2019). Diabetes not only causes large vessel
disease in patients, but also infringes on coronary and
cerebral arteries, as well as coronary heart disease and
cerebral infarction. At the same time, there will be
diabetic microvascular disease, such as fundus
disease, which poses a greater threat to the patient's
health (Weng, Liu, Lin, et al. 2019). When clinically
treating patients, western medicine is usually applied,
but this treatment method is not ideal. Cause the
patient's condition to recur, which is not conducive to
the improvement of the patient's efficacy. From the
perspective of traditional Chinese medicine, it is
believed that the pathogenesis of coronary heart
disease is mainly based on the deficiency and the real.
This deficiency is mainly due to insufficient qi and
blood, and the patient has viscera deficiency, phlegm
turbidity and blood stasis. Looking at diabetes from
the perspective of Chinese medicine, it is considered
that it belongs to the category of "diabetes". The main
pathogenesis leading to the onset of the patient is
kidney overwork, improper diet, fever and dryness,
ICHIH 2022 - International Conference on Health Big Data and Intelligent Healthcare
546
etc. (Zhang 2020). Combining the two diseases is
considered to be the primary deficiency, and the
standard real supplementary. In the case of the
original deficiency, it will lead to the patient's
disease, while the standard is the result. According to
the situation of deficiency of both qi and blood,
deficiency of both yin and yang, and dryness and heat
of yin, timely treatment is given to patients to reduce
or avoid the occurrence of disease (Wang, Wang, He,
et al. 2019).
In clinical treatment of patients with coronary
heart disease and diabetes, it is necessary to start with
the actual situation of the patient and give the patient
a syndrome differentiation treatment. The specific
classification can start from the deficiency of qi and
blood, yin and yang, or according to the etiology of
the patient's viscera. During the specific treatment
process, patients are given hypoglycemic drugs. At
the same time, supplemented with Danshen can
promote blood circulation and remove blood stasis,
and promote the recovery of patients (Shi, Ni, Feng,
et al. 2019). The results showed that the observation
group had better curative effect. Moreover, the
patient's ECG T wave changes more, the blood sugar
level is lower, and the quality of life is higher. And
both formed a significant difference with the control
group (P<0.05). It shows that applying traditional
Chinese medicine treatment methods to patients with
coronary heart disease complicated with diabetes has
a better clinical effect. According to the actual
clinical syndrome of the patient, suitable treatment
drugs can be selected for the patient to achieve both
the symptoms and the root cause, which has
significant significance for the improvement of the
clinical symptoms and the prognosis of the patient.
In summary, the application of TCM syndrome
differentiation treatment methods to patients with
coronary heart disease complicated with diabetes has
significant clinical effects and can improve the
symptoms of patients. Lowering the patient's blood
sugar and improving the patient's quality of life are
significant for the rehabilitation of patients and can
be promoted and used.
In the process of writing this thesis, I strengthened
my understanding of my profession. I learned more
about the principles of being a person and doing
things, so that I have a deeper understanding of issues
in related professional fields. As this article is about
to close, I would like to sincerely thank the relevant
people who have provided guidance to my thesis.
Thank you for the thought guidance for me in the
process of writing this thesis. Thank you for your
careful guidance during the creation of the thesis.
Thank you for reviewing me carefully when the paper
is finished. It is your conscientiousness and
responsibility that enabled me to master the
professional knowledge more deeply and ensure the
completion of the thesis writing. Once again, I would
like to thank the rich knowledge, experience and
research results of predecessors and scholars for
providing theoretical support and help in the writing
of this thesis. Finally, I wish you: good health and
success in all things.
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