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ID:32082678
大小:1.83 MB
页数:53页
时间:2019-01-31
《培土生金法治疗慢性阻塞性肺疾病稳定期患者生存质量评价观察 (1)》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、中文摘要目的:观察具有培土生金法的中药汤剂对辨证属肺脾气虚的慢性阻塞性肺疾病(慢阻肺,COPD)稳定期患者(I~m级)临床症状、体征及生存质量的影响,并评价StGeorge呼吸问卷(SGRQ)在我国COPD稳定期患者中的应用情况。方法:将60例中医辨证属肺脾气虚慢性阻塞性肺疾病(COPD)病情分级为I~m级的稳定期患者随机分为治疗组和对照组。对照组给予按∞LD方案治疗,治疗组在按GOLD方案治疗基础上加服以培土生金为法的中药汤剂,疗程为3个月,治疗前后比较两组临床症状、体征及生存质量影响。结果:在临床症状方面,治疗组患者的临床症状及体征较治疗前明显改善(P<
2、0.01),并且治疗组疗效明显优于对照组fP<0.0t)。经3个月治疗,治疗组患者治疗后的SGRQ中呼吸症状、疾病影响及.SGRQ各项指标与治疗前比较有显著性差异(P<0.01);治疗组与对照组的治疗后各项指标相比较均有显著性差异(P<0.01)。SORQ三个能区分值(呼吸症状、疾病影响和活动受限)与总分分值的相关性均较好,相关系数分别为O.33,0.80和O.96:SGRQ三个能区分值(呼吸症状、疾病影响和活动受限)与总分分值与FEVl%相关性具有显著性,同时SGRQ中呼吸症状、疾病影响能区及总分在治疗前后具有显著性差异(P3、致性。结论:采用培土生金法配合GOLD方案治疗中医辨证属肺脾气虚的慢性阻塞性肺疾病稳定期患者,同单纯的西药组相比,可以更好地改善患者的临床症状、体征和提高患者的生存质量。在If每床研究中用StGeorge呼吸问卷以评价COPD稳定期患者生存质量是敏感、可行、可信的。关键词:慢性阻塞性肺疾病;培土生金法;生存质量;StGeorge呼吸闯卷ABSTRACTTheCI.nicaIResearchoftheMethodof“ReinTorcingEarthtoStrengthenMetaI”inPatientswithCOPD0nQuaIityofLiTeSpeoi4、aIty:InternaIMedicinoofTCMAuthor:LuoShengTutor:ProfessorSunZhijiaTheoreticalclinicalandexperimentalstudiesonthetreatmentofctu’onicobstructivepulmonarydisease(COPD)bytraditionalChinesemedicine(TOOweremadesystematicallyinthispaper.ObjectiveTheaimofthestudywastoassesstheeffectoftheman5、agementof“Reinforcingearthtostrengthenmetal”onclinicalsymptomsandqualityoflifeInpatientswithStageI:MildCOPDtoStageIII:SevereCOPDinstablecondition,andtostudythevalueofStGeorge’srespiratoryquestionnaire(SOLO)inevaluatingthe1ifequalityofChinesepatientswithcoPDmethods.60patientswithMil6、dtoSevereCOPDinstablecondition,accordingtOthedeficiencyoftheqiofthelungandspleensyndromeinTCMwereselectedfromtheoutpatientandinpatient.Patientswererandomlyassignedtothetherapeuticgroup(groupT)ortothecontrolgroup(groupC).ThecontrolgroupwastreatedaccordingtoGOLD.Programandthetherapeu7、ticgroupweretreatedbythecompoundprescriptionsof“reinforcingearthtostrengthenmetal”aswellasbythestandardizedGOLDprogram.ClinicaleffectWaSevaluatedbyQualityoflifebeforeandafterthreemonthstreatmentWaScompared.Result.ClinicalsymptomshadbeenimprovedsignificantlyingroupT(P8、ignificantdifferenceafter3
3、致性。结论:采用培土生金法配合GOLD方案治疗中医辨证属肺脾气虚的慢性阻塞性肺疾病稳定期患者,同单纯的西药组相比,可以更好地改善患者的临床症状、体征和提高患者的生存质量。在If每床研究中用StGeorge呼吸问卷以评价COPD稳定期患者生存质量是敏感、可行、可信的。关键词:慢性阻塞性肺疾病;培土生金法;生存质量;StGeorge呼吸闯卷ABSTRACTTheCI.nicaIResearchoftheMethodof“ReinTorcingEarthtoStrengthenMetaI”inPatientswithCOPD0nQuaIityofLiTeSpeoi
4、aIty:InternaIMedicinoofTCMAuthor:LuoShengTutor:ProfessorSunZhijiaTheoreticalclinicalandexperimentalstudiesonthetreatmentofctu’onicobstructivepulmonarydisease(COPD)bytraditionalChinesemedicine(TOOweremadesystematicallyinthispaper.ObjectiveTheaimofthestudywastoassesstheeffectoftheman
5、agementof“Reinforcingearthtostrengthenmetal”onclinicalsymptomsandqualityoflifeInpatientswithStageI:MildCOPDtoStageIII:SevereCOPDinstablecondition,andtostudythevalueofStGeorge’srespiratoryquestionnaire(SOLO)inevaluatingthe1ifequalityofChinesepatientswithcoPDmethods.60patientswithMil
6、dtoSevereCOPDinstablecondition,accordingtOthedeficiencyoftheqiofthelungandspleensyndromeinTCMwereselectedfromtheoutpatientandinpatient.Patientswererandomlyassignedtothetherapeuticgroup(groupT)ortothecontrolgroup(groupC).ThecontrolgroupwastreatedaccordingtoGOLD.Programandthetherapeu
7、ticgroupweretreatedbythecompoundprescriptionsof“reinforcingearthtostrengthenmetal”aswellasbythestandardizedGOLDprogram.ClinicaleffectWaSevaluatedbyQualityoflifebeforeandafterthreemonthstreatmentWaScompared.Result.ClinicalsymptomshadbeenimprovedsignificantlyingroupT(P8、ignificantdifferenceafter3
8、ignificantdifferenceafter3
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