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Objective:To monitor the effects of intervention and management on the quality of life and the incidence of cardiovascular events in patients with chronic heart failure in the community setting.Methods:Based on questionnaire data, 200 patients with chronic heart failure in the community were randomly divided into an observation group and a control group, with 100 cases in each group.The control group was followed up for routine health information collection at home, while the observation group received standardized community intervention for patients with chronic heart failure.The awareness rate of heart failure, rate of patients receiving drug treatment, rate of standardized drug utilization, cardiac function, satisfaction with quality of life and incidence of cardiovascular events were compared between the two groups.Results:Scientific intervention for community-dwelling patients with chronic heart failure was able to significantly improve standardized drug usage and quality of life( P<0.05).Compared with the control group, patients in the observation group showed a significantly lower probability of cardiovascular events and more favorable results measured with parameters such as blood pressure, blood glucose and heart rate after intervention.Especially noteworthy was that the effective control rate of blood pressure in the observation group reached 72.4%, which was much higher than 45.9% in the control group( χ2=14.543, P<0.05), the effective control rate of blood glucose in the observation group reached 69.4%, which was much higher than 32.7% in the control group( χ2=12.588, P<0.05), and the effective control rate of heart rate in the observation group(80.6%)was much higher than in the control group(53.1%)( χ2=13.137, P<0.05).The observation group also had better results than the control group in quitting smoking, eating a low-salt, low-fat diet, and regularly measuring blood pressure, blood glucose and body fat percentage.The MNLF score in the control group(31.21±3.01)was higher than that in the observation group(22.66±2.87), and the difference was statistically significant( t=7.26, P<0.05).The LiHFe score in the control group(39.85±6.09)was lower than that in the observation group(71.36±4.32), and the difference was statistically significant( t=18.44, P<0.05).The observation group had lower readmission frequency(46.9% vs.29.6%)and incidence of cardiovascular events(56.1% vs.31.6%)than the control group and the difference was statistically significant( χ2=12.64, 15.01, both P<0.05). Conclusions:The establishment of community intervention and management for patients with chronic heart failure can significantly improve the awareness rate of heart failure, rate of drug treatment, rate of standardized drug usage, self-management ability and quality of life, and reduce the incidence of cardiovascular events.The practice should be promoted in communities.
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Objective To study the clinical application of remote BP monitoring and online health guidance in predicting the risk of cardiovascular disease in morning hypertensive patients.Methods A total of 1200 morning hypertensive patients admitted to our hospital were randomly divided into observation group (n=600) and control group (n =600).The patients in observation group re ceived remote BP monitoring and online health guidance while those in control group received routine guidance.Their awareness rate of hypertension,control rate of BP,cardiac function index and incidence of cardiovascular events were recorded and compared before and after treatment.Results The awareness rate of hypertension and control rate of BP were significantly higher in observation group after treatment than before treatment (P＜0.05).The serum FPG,TG,AST levels and SBP,DBP,BMI were significantly lower while the serum ALT level was significantly higher in observation group after treatment than before treatment (P＜0.05).The LVEDD and LVESD were significantly shorter and the LVEF was significantly higher in observation group than in control group after treatment (53.16±8.25 mm vs 59.33±9.14 mm,37.16±2.13 mm vs 42.83± 1.35 mm,54.73％±2.63％ vs 51.95％ ± 1.96％,P＜0.05).The incidence of cardiovascular events was significantly lower in observation group than in control group (1.17％ vs 3.83％,P＜ 0.05).Conclusion Remote BP monitoring and online health guidance can effectively manage the risk factors for cardiovascular disease,improve the awareness rate of hypertension and control rate of BP,and reduce the incidence of cardiovascular events in morning hypertensive patients.
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Objective To quantify the changes of tongue color with the development of the disease according to the characteristics of human vision.Methods Psychological scales of tongue color perception were obtained from thc psychophysical experiments.Polynomial regression and support vector regression (SVR) were used to establish the mathematical model between the physical values and the psychological scales of tongue color.Results The psychological scales exported from the model could correspond to the visual perception of tongue color change, and SVR has higher accuracy.Conclusions The psychological scale, can not only quantitatively evaluate the tongue color in the development of the disease, but also quantify the degree of disease, to assist the doctors for disease diagnosis and treatment.
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Pulse diagnosis system of traditional Chinese medicine is a complicated nonlinear macrosystem.Directed by complexity science theory,and introduced with idea of complex-simple-complex,the pulse diagnosis message is multidimensionally extracted,analyzed with reduced integration,and integrated with upgrade stage and dimension,according to four kinds of attributes "the Position,the Rate,the Shape,the Force".After the digitization,the new kind of pulses diagnosis instrument is manufactured with this mechanism.
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Objective:To establish experimental teaching model for slippery pulse by mini-pig.Methods:The model of slippery pulse was established by driping low molecule dextran in vein.The normal and slippery pulse were extracted from axil artery of mini-pig by two experienced traditional Chinese physician through double blind method.Meanwile,the correlative parameters of pulse graph of axil artery such as MSAB,MSBC,HFF,HE/HB and TW were extracted through optimizational extraction method by using NX-8 multifunctional sphygmograph.Results:The pulse rate of slippery pulse of mini-pig was slightly fast than that of normal pulse.The rhythm of slippery pulse was regularity,the nger sensation was powerful,and the pulse syate was smooth.Compared with the normal pluse,the pulse graph of slippery pluse displayed a steep ascend ramus,high and narrow B wave,tiny D wave,lower E valley and obvious F wave.HB,MSAB and MSBC increased(P
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Objective: To observe the relations between the parameters of pulse graph of pregnant and pathological slippery pulse and the indexes of hemorheology.Methods: The pusle diagram parameters(MSAB,MSBC,HFF',HE/HB and TW) of left guan pulse were extracted by the best extraction method,and the indexes of hemorheology(low shear ?b,high shear ?b,?p,Lb and Hct) were tested.Results: Compared with the control group,MSBC and HFF'of the two slippery pulse groups increased,but HE/HB and TW decreased significantly(P