中西医结合治疗肺结核患者的生活质量评估.docVIP

中西医结合治疗肺结核患者的生活质量评估 杨亦德1，侯伟1，谢红东1，梁勇1，王胜圣2 浙江省台州市立医院（318000），2.吉林省中医药科学院（130021） 　【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。 【关键词】　中西医结合治疗；肺结核；SF-36量表；生命质量； Assessment of Life Quality of Pulmonary Tuberculosis Patients Who Have Received the Treatment of Combined Chinese Traditional and Western Medicine YANG Yi-de1, HOU Wei1, XIE Hong-dong1, LIANG Yong1, WANG Sheng-Sheng2 1.Zhejiang Taizhou Municipal Hospital（318000），2.Jilin Academy of Traditional Chinese Medicine（130031） Abstract [Objective] Evaluate the significance of using combined Chinese traditional and Western medicine to cure 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 dimen