基于中医体质的健康管理对支气管哮喘患者远期疗效的影响  

Effects of Health Management on Long-term Outcomes of the Patients with Bronchial Asthma Based on TCM Constitution

作　　者：张坤[1] 秦慧娟[1] 陈桂花[1] ZHANG Kun;QIN Huijuan;CHEN Guihua(The First Teaching Hospital of Xinjiang Medical University,Urumqi 830054,China)

机构地区：[1]新疆医科大学第一附属医院

出　　处：《西部中医药》2019年第4期123-126,共4页Western Journal of Traditional Chinese Medicine

基　　金：新疆维吾尔自治区自然科学基金资助项目(编号2016D01C311)

摘　　要：目的:探讨基于中医体质的健康管理对支气管哮喘患者的远期疗效。方法:将80例患者随机分为观察组和对照组,每组40例。对照组住院期间及出院前实施常规健康教育,包括常规饮食指导、用药指导及发作时的急救策略,教育方式包括口头宣教及发放宣传手册,每次30分钟。观察组由中医科医生评估患者体质类型,根据体质类型建立健康管理策略,涵盖饮食及心理指导、用药指导及发作时的急救措施等,给予患者中医穴位按摩及中药熏蒸。在患者住院期间、出院前、出院后3个月、出院后6个月复查时进行宣教,具体宣教方式为口头宣教、观看视频及发放宣传手册,每次30~40分钟,共进行4次,6个月后每2个月电话随访1次,持续12个月。结果:出院后12个月时观察组总有效率高于对照组,差异有统计学意义(P<0.05)。用力肺活量(FVC)出院后6个月时观察组高于对照组,差异有统计学意义(P<0.05);FVC、第一秒用力呼气容积(FEV1)对照组在不同时间点两两比较,差异有统计学意义(P<0.05);观察组不同时间点肺功能各项指标比较,差异无统计学意义(P>0.05)。2组抑郁自评表(SDS)及焦虑自评表(SAS)评分相同时间点比较,差异均无统计学意义(P>0.05);焦虑评分观察组出院后12个月时与出院6个月时比较,差异有统计学意义(P<0.05)。生存质量评分出院后12个月时2组比较,差异有统计学意义(P<0.05);观察组不同时间点2组比较,差异有统计学意义(P<0.05)。结论:基于中医体质的健康管理可以有效提高治疗效果、改善患者生活质量。Objective:To discuss long-term outcomes of health management based on TCM constitutions for the patients suffering bronchial asthma.Methods:Eighty patients were randomly allocated to the observation group and the control group,40 cases each group.The control group accepted conventional health education during hospitalization period and before discharging which contained conventional dietary guide,medication guide and emergency strategy during the attacks of the disease,educational modes contained oral education and granting pamphlets,30 minutes each time.The constitutions of the patients in the observation group were assessed by the doctors of TCM department,according to the constitutions,health management strategies were established,including diet and psychological guide,medication guide and emergency strategy during the attacks of the disease,combined with TCM acupoint massage and herbal fumigation.Health education was performed during hospitalization period,before discharging,in three months after discharging and in six months after discharging,the specific health education modes were oral education,watching the video and granting pamphlets,30 to 40 minutes each time,four times altogether,in six months,telephone follow-ups were preformed once each two months,and lasted for 12 months.Results:In 12 months after discharging,the observation group was higher than the control group in total effective rate,and the difference showed statistical meaning(P<0.05).The observation group was higher than the control group in FVC in six months after discharging,and the difference was statistically significant(P<0.05);the difference showed statistical meaning in the comparisons of FVC and FEV1 at different times in the control group(P<0.05);the difference had no statistical meaning in the comparisons of all the indexes of pulmonary functions at different times in the observation group(P>0.05).The difference had no statistical meaning in the comparisons of SDS and SAS between both groups at the same time(P>0.05),the difference

关 键 词：支气管哮喘 健康管理 体质 远期效果 生存质量 

分 类 号：R562.25[医药卫生—呼吸系统]