Study on the effect of integrated traditional Chinese and Western medicine on coronary heart disease complicated with hypertension in the elderly
Objective To study the effect of integrated traditional Chinese and Western medicine on coronary heart disease complicated with hypertension in the elderly.Methods 98 elderly patients with coronary heart disease and hypertension were selected and randomly divided into an observation group(50 cases)and a control group(48 cases).The control group was treated with conventional Western medicine,and the observation group was treated with integrated traditional Chinese and Western medicine based on the control group.Both groups were compared in terms of clinical efficacy,blood pressure[systolic blood pressure(SBP)and diastolic blood pressure(DBP)]levels and cardiac function indexes[left ventricular end-diastolic volume(LVEDV),left ventricular end-systolic volume(LVESV),left ventricular ejection fraction(LVEF),left ventricular end-systolic diameter(LVESD)]before and after treatment.Results The total clinical effective rate of 96.00% (48/50)in the observation group was significantly higher than 83.33% (40/48)in the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in SBP and DBP levels between the two groups(P>0.05).After treatment,the observation group had SBP of(114.03±18.16)mm Hg(1 mm Hg=0.133 kPa)and DBP of(67.01±10.67)mm Hg,which were lower than(129.11±20.90)and(77.97±12.62)mm Hg in the control group.The difference was statistically significant(P<0.05).Before treatment,there was no significant difference in LVEDV,LVESV,LVEF and LVESD between the two groups(P>0.05).After treatment,the observation group had LVEDV of(103.55±16.49)ml,LVESV of(55.41±8.83)ml and LVESD of(33.54±5.34)mm,which were smaller than(127.38±20.62)ml,(68.90±11.16)ml and(41.01±6.64)mm in the control group;LVEF of(57.40±9.14)% in the observation group was higher than(50.82±8.23)% in the control group;the difference was statistically significant(P<0.05).Conclusion Integrated traditional Chinese and Western medicine in the treatment of elderly coronary heart disease complicated with hypertension can improve clinical efficacy,control the blood pressure level of patients,and improve heart function of patients,which is worthy of recommendation.
Integrated traditional Chinese and Western medicineOld ageCoronary heart diseaseHypertensionBlood pressure levelCardiac function