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Effects of the GEE and LMM models in clinical treatments of coronary heart disease by Tongmai Yangxin Pill
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DOI   10.11656/j.issn.1672-1519.2019.06.02
Key Words   stable angina pectoris of coronary heart disease;linear mixed model;generalized estimation equation;SCL-90;SF-36
Author NameAffiliationE-mail
LIANG Xinyu Dalian Medical University, Dalian 116044, China  
WANG Hongwu Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
DENG Bing Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China  
MAO Meijiao Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China  
DU Tinghai The First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou 136300, China  
LI Bin The First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou 136300, China  
YANG Baoping Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730699, China  
YU Yan Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730699, China  
ZHANG Hong Tianjin Nankai Hospital, Tianjin 300100, China  
ZHANG Shishu Tianjin Nankai Hospital, Tianjin 300100, China  
MAO Jingyuan The First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China  
WANG Xianliang The First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China  
XU Qiang The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300150, China  
ZHANG Lei The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300150, China  
SONG Guangming Tianjin Wuqing Hospital of Traditional Chinese Medicine, Tianjin 301700, China  
TIAN Li Tianjin Wuqing Hospital of Traditional Chinese Medicine, Tianjin 301700, China  
LI Peng Dalian Medical University, Dalian 116044, China  
LIU Jialin Dalian Medical University, Dalian 116044, China  
WANG Li Tianjin Second People Hospital, Tianjin 300192, China  
GAO Shan Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
LI Lin Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
GAO Shuming Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
XU Yilan Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
PAN Ye Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
CAI Xuemeng Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
WANG Shuo Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
BIAN Yuhong Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
LI Xiaofeng Dalian Medical University, Dalian 116044, China
Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China 
lxf_chen@163.com 
YU Chunquan Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China ycq-4@163.com 
Abstract
    [Objective] This study aimed to evaluate the effects of Tongmai Yangxin Pills in the treatment of qi and yin deficiency syndrome by comparing the linear mixed model and generalized estimating equation. The effects of different models,the degree of variation,and the applicability of models were examined by using clinical repeated measurement data.[Methods] This study was a multi-center,finess interventional study. A total of 83 individuals were enrolled from 7 clinical units. Four individuals were lost due to incomplete visiting and 79 individuals were finally included in this study. Among those individuals,39 were qi and yin deficiency syndrome of coronovy heart disease,receiving conventional Western medicine treatment,and traditional Chinese medicine Tongmai Yangxin Pills;and 40 were healthy people without any intervention. The scores of SCL-90 scale and SF-36 scale in different groups were compared at each time points. Coronary heart disease patients were measured in week 0,4,8 and 12 respectively;and the healthy people were considered on the level of 0 week.[Results] In this study,the total scores of the SCL-90 scale in the linear mixed model were correlated with the total score,time and gender of the SF-36 scale (P<0.05). The total scores of the SCL-90 scale in the generalized estimating equation were respectively the total score,gender and DBP of the SF-36 scale were correlated (P<0.05).[Conclusion] Tongmai Yangxin Pills showed its efficacy. The scale of SCL-90 and SF-36 provided the evidence for the clinical diagnosis and treatment of stable angina pectoris of coronary heart disease. The data in this study obtained precise results by the generalized estimation equation analysis.

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