Traditional Chinese medicine treatment will play a greater role in the field of cardiac rehabilitation

The doctor 2017-12-06 net

Cardiac rehabilitation is a kind of comprehensive rehabilitation medicine, covering the active physical, psychological, behavior and social activities of training and retraining, in order to improve cardiovascular function, in the physical, psychological, social, professional, and entertainment, etc to achieve better functional status, and control the risk factors for heart disease, prevent or delay the development of heart disease, reduce the risk of attack again. Several studies have shown that cardiac rehabilitation after myocardial infarction can reduce all-cause mortality and cardiovascular mortality, delay the development process of atherosclerosis and minimize the negative effects of cardiovascular disease of body and mind, enhance the patients compliance, to improve the doctor-patient relationship.

Traditional Chinese medicine can be used in cardiac rehabilitation

In recent years, with the younger age of cardiovascular disease, the aging of the population, and the improvement of the treatment rate and the treatment rate of emergency patients, the number of people living with the disease has increased. The pursuit of the quality of life and the importance of disease prevention have made the treatment of cardiac rehabilitation urgent. The world health organization defines cardiac rehabilitation as the sum of the actions necessary to ensure that patients with heart disease have a good physical, mental and social life. Domestic cardiac rehabilitation in theory and practice of developing, combined with traditional Chinese medicine's characteristics in preventing, treating and curing, absorbing foreign advanced experience of cardiovascular rehabilitation and development route of Chinese and western medicine combined with cardiac rehabilitation will have broad application prospects.

The recovery of the heart

The history of cardiac rehabilitation has been in the history for more than two centuries, and the nearly 50 years has been a period of rapid development and maturity. The United States, Europe and Japan and other developed countries have gradually improved cardiac rehabilitation guidelines and support for health care. At the same time cardiac rehabilitation as an independent discipline has developed greatly. In the new century, the combination of cardiac rehabilitation and secondary prevention is more closely integrated. In recent years, with coronary intervention treatment, cured by transcatheter ablation rapid arrhythmia, artificial pacemaker, buried automatic answer law defibrillation unit, as well as the modern imaging techniques, especially coronary CT as the main body, promote development of modern biological technology, the number is increasing rapidly.

In our country, limited health resources are mainly used for cardiac events or surgical operation after the emergency care and appliances, repeated hospitalization, repeated angiography and interventional therapy, and high operation cost, cause huge waste of medical resources, confusion and discontent with the result of medical treatment; The post-cardiac rehabilitation and secondary prevention systems are largely absent and lack of medical support. Hu university, professor of renmin university of Peking University, pointed out that the dilemma of China's development of cardiac rehabilitation is as follows:

Rehabilitation is limited to physical rehabilitation, and no real cardiac rehabilitation is performed.

Heart rehabilitation without health care policy support. The current charging system makes the economic income of cardiac rehabilitation work low, and the patients and families have a lack of understanding of the significance and importance of cardiac rehabilitation, and are not able to afford the rehabilitation medical expenses.

There is no systematic cardiac rehabilitation training and access system, talent shortage, rehabilitation knowledge, skills and equipment shortage.

The theory and practice of cardiac rehabilitation in academic circles lack understanding and attention. Some hospitals that have initially developed cardiac rehabilitation also have a narrow understanding of cardiac rehabilitation as assessment and training for the patient's exercise capacity, not enough for psychological, quality of life and occupational rehabilitation. Many hospital rehabilitation is still in the clinical research stage, in the practice of health care not really implemented.

Chinese and western medicine combined with cardiac rehabilitation

There is a long history of rehabilitation medicine in our country, and the theory of the five permanent political theory of the state of medicine has mentioned that: "the patient, who has been ill for a long time, has been angry from kang, and has been sick to two barren days. Keep the sum of your own, and keep your breath when waiting." This paper points out the methods of the rehabilitation and normal health care. With the continuous improvement of TCM theory and treatment level, TCM rehabilitation science has formed a lot of rehabilitation methods with characteristics and clinical practice effects. The methods of rehabilitation for heart disease patients are mainly mental, diet, exercise, medicine, acupuncture and environmental therapy.

Chen keji, an academician of the Chinese academy of sciences, and wang kai, dean of the guang 'anmen hospital of the Chinese academy of Chinese medicine, as a leading Chinese and western medicine, have been emphasizing the importance of combining TCM with western medicine. Cummins p. cardiac-specific troponin article also put forward in 2016, combining Chinese and western medicine to give full play to the motherland medicine overall concept: the cure of disease, evidence-based medicine philosophy system and acupuncture and moxibustion, massage, taiji, Chinese traditional medicine the features and advantages of technology, such as cardiac rehabilitation. The method of traditional Chinese medicine has a long history, and under the rehabilitation principle of western medicine, it is possible to carry out specific TCM treatment methods to make up for the deficiency of western medicine rehabilitation method. Qi gong, guidance, martial arts, dance, boxing and other sports have the unique style of combination of movement and movement. The combination of this kind of movement and the characteristics of the softness can bring the benefit and safety of cardiac rehabilitation into a good unity. These exercises are easy to use and do not require cardiopulmonary assessment, which is suitable for a wide range of people. Practice has proved that Chinese medicine cardiac rehabilitation in alleviating clinical symptoms, improve heart function, improve the quality of survival, to reduce the readmission rate and so on has certain advantages, traditional means and ways of traditional Chinese medicine will play a more important role in the field of cardiac rehabilitation.