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

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）

21（60.00） 12（34.29） 2（5.71） 33（94.29）

Control Group

（n=35）

11（31.43） 17（48.57） 7（20.00） 28（80.00）

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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