Dissertation > Excellent graduate degree dissertation topics show

Integrative treatment of elderly patients with hypertension TCM syndromes and quality of life

Author: WangJing
Tutor: LiHao
School: Beijing University of Traditional Chinese Medicine
Course: TCM Internal Medicine
Keywords: ambulatory blood pressure monitoring senile hypertension quality of life combination of TCM with Western medicine TCM syndromes
CLC: R544.1
Type: Master's thesis
Year: 2011
Downloads: 19
Quote: 0
Read: Download Dissertation

Abstract


Objective:To evaluate the therapeutic effect and priority of the combination of TCM with west medicine in treating senile hypertension from the aspects of anti-hypertension, improving TCM syndrome and quality of life.Methods:This was a multi-center randomized controlled.investigation.All the 130 cases living at Jingzhuang Town, Yanqing County were equally distributed into test group (the combination of TCM with West Medicine group) and control group(West Medicine group).The control group was given western medicine foundation treatment because of the specifics of senile hypertension patient, in conformity with The 2005 Chinese Guidance of Hypertensive Prevention and Cure (Revised Edition) and The JNC7 of U.S.A Guidance of Hypertensive Prevention and Cure. The test group was divided into phlegm and blood obstruction group,yin deficiency with yang excessing group, kidney deficiency group.They were treated with additional TCM herb calledⅠ,Ⅱ,Ⅲprescription The general conditions of the volunteers were collected (including name, gender, age, blood pressure, medical history, course of disease, symptoms, etc.), compared the 2 groups’TCM syndromes,ambulatory blood pressure monitoring,quality of life before and after the treatment.Result:The ABPM value of the two groups was decreased obviously compared wit h pre-treating, and there were statistic differences. TCM syndrome integral:there w as a significant difference (P<0.05) in vertigo, soreness of waist, weakness in knee,ti nnitus, choking sensation in chest, cyanotic lips, dry mouth, shortness of breath(P<0. 05),and an extreme difference (P<0.01) in insomnia,heaviness of head,irritable, amnes ia, acratia, nocturia between the test group and control group. Total integral of TC M syndromes in the two groups are extremely different (t=19.459, P=0.000<0.01).H ypertensive patients’quality of life:the measured 11 dimensions of the both group s were declined, while as the test group was more obvious than the control group. There were significant differences (P<0.05) at the aspects of collection value, sleepin g,hostility, depression, sensitivity about people relationship et al, and extreme differen ces (P<0.01) at the aspects of physiological functions, somatization symptom, oblige symptom et al in the test group from control group.Conclusion:Many syndromes of senile hypertension such as vertigo, soreness of waist, weakness in knee, tinnitus, choking sensation in chest,cyanotic lips, dry mo uth, shortness of breath,insomnia,heaviness of head,irritable, amnesia, acratia, nocturia were obviously improved after using the combination TCM with the West Medicine. The value of collection, sleeping, hostility, depression, sensitivity about people rela tionship, physiological functions, somatization symptom, oblige symptom et al were d eclined.The results from the follow up clinical observation and statistical analysis sub stantially certified the effect and priority of the combination of Chinese Medicine wi th the West Medicine. The results also provided an evidence for treating senile hyp ertension with standardization program at clinic.

Related Dissertations

  1. Isolated systolic hypertension in patients with cardiac ultrasound characteristics of traditional Chinese medicine dialectical correlation exploration,R544.1
  2. Studies on Changes of Quality Characters and Prediction Model of Postharvest Tomato Fruit,S641.2
  3. Professor Liu Yanchi academic thought and clinical experience and clinical studies for treatment of diabetes,R249
  4. The Effects of Health Belief Model System Intervention on Prevention of Breast Cancer Realted Lymphedema,R473.73
  5. Clinical Study on Relationship Among Syndrome Differentiation Clssified in Tcm,ambulatory Blood Pressure Monitoring and Transcranial Doppler in Essential Hypertension,R259
  6. The Investigation and Research of QOL on Renal Transplantation Recipients and Living Donors,R699.2
  7. Analysis on Health-related Quality of Life in Patients with Systemic Lupus Erythematosus,R593.241
  8. The Observation of Curative Effect of Different Medicines in Treating Postmenopausal Osteoporosis and the Evaluation of the Quality of Life and Pharmacoeconomics,R580
  9. Individualized Exercise Prescription on Blood Glucose,blood Lipids, Body Mass Index and Quality of Life of Type 2 Diabetes in Community,R587.1
  10. Health Related Quality of Life Study in Patients with Functional Bowel Disorders,R574
  11. Effects of Dietary Education and Intervention on Metabolism and Quality of Life of Type 2 Diabetic Clients at Community-Base,R473.2
  12. The Influence of Self-efficacy Intervention on Quality of Life of Bladder Cancer Patients with Stoma,R473.73
  13. Study on Self-management and Visual-related Quality of Life among Patients with Glaucoma,R473.77
  14. Middle-aged and Old Women with Stress Urinary Incontinence in the Community of Shanghai: Cross-sectional Study and Intervention Study,R473.2
  15. The Effect of Continuous Nursing Intervention on the Quality of Life for Breast Cancer Patients after Breast Conserving Therapy,R473.73
  16. The Influence of Quality of Life on the Patients with Home Health Nursing Intervention,R473.2
  17. A Relationship between Home Oxygen Therapy Compliance and Quality of Life of the Chronic Obstructive Pulmonary Disease Patients,R473.5
  18. The Quality of Life and Its Related Factors in Low Back Pain Patients,R473.6
  19. Disposition Rule of Syndrome Differentiation in Traditional Chinese Medicine in Pelcic Inflammatory Disease of Chronically Repeatedly Attacked,R271
  20. Study on Correlation between Health Related Quality of Life and Clinical Manifestation in Asthmatis Children with Scales of the Chinese Version of PedsQLTM,R725.6

CLC: > Medicine, health > Internal Medicine > Heart, blood vessels ( circulatory ) disease > Abnormal blood pressure > Hypertension
© 2012 www.DissertationTopic.Net  Mobile