中西医结合治疗肺结核患者的生活质量评估  

Assessment of Life Quality of Pulmonary Tuberculosis Patients Treated with Combined Chinese Traditional and Western Medicine

作　　者：杨亦德 侯伟[1] 谢红东[1] 梁勇[1] 王胜圣[2] 

机构地区：[1]浙江省台州市立医院,浙江台州318000 [2]吉林省中医药科学院,吉林长春130021

出　　处：《中华中医药学刊》2012年第3期517-519,共3页Chinese Archives of Traditional Chinese Medicine

基　　金：国家科技重大专项基金资助项目(2008ZX10005-010)

摘　　要：目的:应用SF-36量表中文问卷,评价中西医结合治疗初治肺结核的意义。方法:实验组(中西结合治疗组)与对照组(西医组)均在治疗前、治疗2月末、治疗结束分别进行SF-36健康状况问卷的调查。结果:①治疗前两组患者的SF-36总的得分(Sf-sum)及8个维度得分比较无统计学差异,P值均>0.05。②治疗2月末生活质量测量值显示实验组总的得分(Sf-sum)及7个纬度得分较西医组高,除BP纬度得分无差异外,其余均有统计学差异,P值均<0.05。③治疗结束两组患者的SF-36总的得分(Sf-sum)及8个维度得分比较无统计学差异,P值均>0.05。④实验组治疗前、治疗2月末、治疗结束的生活质量测量值显示,总的得分(Sf-sum)及7个纬度得分渐渐升高,除BP纬度得分无差异外,其余均有统计学差异,P值均<0.05。⑤对照组治疗前、治疗2月末、治疗结束的生活质量测量值显示,总的得分(Sf-sum)及7个纬度得分渐渐升高,除BP纬度得分无差异外,其余均有统计学差异,P值均<0.05。结论:实验组与对照组经治疗后,患者生命质量最终均能获得明显改善,并且中西结合治疗较单纯西医治疗能更早改善患者的生活质量,提高患者的依从性,减少耐药结核杆菌的发生。Objective ： Evaluate the significance of using combined Chinese traditional and Western medicine to treat initial TB patients by means of Chinese - version questionnaire of SF - 36 scales. Methods ： Experimental group （ combined Chinese traditional and Western medicine group） and control group （Western medicine group） were surveyed by SF- 36 health questionnaire at the period of before treatment, end of the second - treated month, end of the treatment. Results ： （1） Comparing SF - 36 total score （ Sf - sum） and eight dimensionalities＇ total score between two groups before treatment, there was no significant difference and value of each P was higher than 0.05. （2）Measurements of life quality after two months treatment showed that SF - 36 total score （ Sf - sum） and seven dimensionalities＇total score of experimental group was higher than that of Western medicine group. Except the score of BP, the rest had the statistically significant and value of each P was lower than 0. 05.（3）Comparing SF - 36 total score （ Sf - sum） and eight dimensionalities＇total score between two groups after the treatment, there was no significant difference and value of each P was higher than 0.05. （4） Measurements of life quality of experimental group at the period respectively of before treatment, end of the second - trea- ted month and end of the treatment showed that SF- 36 total score （Sf-sum） and seven dimensionaiities＇total score was gradually increased. Except the score of BP, the rest had the statistically significant and value of each P was lower than 0.05. （5）Measurements of life quality of control group at the period respectively of before treatment, end of the second - treated month and end of the treatment showed that SF- 36 total score （Sfsum） and seven dimensionalities＇total score was gradually increased. Except the score of BP, the rest had the statistically significant and value of each P was lower than 0. 05. Conclusion：The result indicates that life qualit

关 键 词：中西医结合治疗 肺结核 SF-36量表 生命质量 

分 类 号：R521[医药卫生—内科学]