Building of an Internet+supervision system for vendor-processed TCM herbal pieces decoction and delivery service / 中华医院管理杂志

Pace of life and work of people is accelerating nowadays, and hospitals keep improving their services, which gives rise to the decoction and delivery service from the third party vendors for traditional Chinese medicine(TCM).Given the quality control standards for the TCM decoction service as issued by Zhejiang and other regions, the systems of supervision and assessment remain incomplete.Authors of the paper introduced a project improvement team, composed of Chinese medicine pharmacy, Chinese medicine experience specialists, vendors of Chinese medicine decoction and express delivery companies, hence establishing a " three-in-one" supervision system of Internet+TCM decoction and delivery service. This practice can optimize the assessment indexes, strengthen the assessment system of assessment transformation and supervision system for patient medication.It proves that the practice contributes to higher quality and safety of TCM decoction and delivery service, improves the ability and level of TCM services, and ensures the medication safety of patients.

Clinical Observation of Acupoint Thread Embedding for Hyperlipidemia / 上海针灸杂志

ObjectiveTo observe the therapeutic efficacy ofacupoint thread embedding in treating hyperlipidemia, and to explore a treatment method with valid efficacy and few side effects.MethodSixty patients with hyperlipidemia were randomized into a thread embedding group and a medication group, 30 cases ineach group. The thread embedding group was intervened by thread embedding at Zhongwan (CV12), Tianshu (ST25), Fenglong (ST40), and Zusanli (ST36), once a week; the medication group was by taking Xue Zhi Kang capsules, two capsules each time, twice a day. The two groups both received treatment for 8 weeks. The clinical efficacy, total cholesterol (Chol), and triglyceride levels were observed before and after treatment.ResultThe total effective rate was 86.7% in the thread embedding group versus 83.3% in the medication group, and the difference was statistically insignificant (P>0.05). After 4-week treatment, the transaminase level increased in 3.3% of the patients in the medication group, while no one showed an increased transaminase level in the thread embedding group. After 8-week treatment, the observed indexes were increased in the medication group, while those in the thread embedding group were still stable.ConclusionAcupoint thread embedding is effective in treating hyperlipidemia, and the effect is durable with few side effects.

Effect of Jimaitong tablet combined with nifedipine on blood-pressure and mechanisms investigation in spontaneously hypertensive rats / 中国中药杂志

<p><b>OBJECTIVE</b>To study the effect and its mechanism of antihypertensive of drug combination of Jimaitong tablt and nifedipine on spontaneously hypertensive rats.</p><p><b>METHOD</b>The spontaneously hypertensive rats (SHR) were treated by intragastric administration (ig) with Jimaitong (450 mg x kg(-1)), Jimaitong (300 mg x kg(-1)) combined with the nifedipine (0.5 mg x kg(-1)), nifedipine (5 mg x kg(-1)) for 8 weeks. Blood pressure and heart rate was measured. The level of oxidation indicators, lipid indicators, as well as hormones related to blood pressure was detected.</p><p><b>RESULTS</b>Compared with that in the control group, systolic blood pressure, diastolic blood pressure, mean arterial pressure of SHR decreased significantly in all the three administration groups (P < 0.01). Heart rates of nifedipine group was faster than other groups (P < 0.05). In combination group, contents of URE, MDA, ET and Ang II were decreased significantly (P < 0.05, P < 0.05, P < 0.05, P < 0.01), the contents of NO and CAMP, SOD and NOS were significantly enhanced (P < 0.05).</p><p><b>CONCLUSION</b>Combination use of Jimaitong and nifedipine has synergistic effects on anti-hypertension in spontaneously hypertensive rats. It indicates the potential applications of combination of traditional Chinese medicine and western medicine for the hypertension treatment.</p>

Effectiveness of health management in rural areas with high incidence of hypertension and cerebrovascular disease / 中华健康管理学杂志

Objective To analyze the effectiveness of chronic disease management among suburb residents to secure an optimal health management model. Methods Since 2002, physical examinations had been conducted for rural residents aged≥40. Hypertensive patients detected on health check received medical evaluation and risk factor intervention. Results The incidence of high blood pressure decreased from 26.57% in 2002 to 11.99% in 2007-2008. The mortality of cerebrovascular disease declined from 68.00% to 5.26%. The incidence, disability rate, and death rate of hypertension related-stroke were also significantly reduced. Conclusion Primary healthcare center-based chronic disease screening, along with the health management network, can largely decrease the incidence, disability rate, and mortality of stroke associated with high blood pressure.