培土生金法对慢性阻塞性肺疾病患者BODE指数及生活质量影响.docVIP

培土生金法对慢性阻塞性肺疾病患者BODE指数及生活质量的影响 王玲 杜丽娟1* 居来提·赛买提2 （1 新疆医科大学附属中医医院呼吸科 新疆·国家中医临床研究基地 乌鲁木齐 新疆 830054 2新疆医科大学第五附属医院 乌鲁木齐 新疆 830011） 【摘要】　目的　观察培土生金法对慢性阻塞性肺疾病（COPD）患者BODE指数及生活质量的影响。方法　选择COPD稳定期患者60例，随机分成治疗组和对照组。对照组按需加用支气管舒张剂或糖皮质激素治疗，治疗组在对照组基础上加用培土生金法治疗，计算BODE指数及其各项目的评分，包括体重指数(BMI)、气流阻塞程度(FEV1%pred)、呼吸困难(MMRC)、运动能力(6MWD)。采用St·George S呼吸问卷(SGRQ)评价患者的生活质量。观察治疗前后BODE指数及SGRQ评分的变化。结果　60例入选病例，研究结束时共有3例病人失访，合格病例57例。（1）治疗组BMI、FEV1、6MWT、MMRC及BODE指数积分治疗后较治疗前有所降低(P0.05或P0.01)。对照组BMI、FEV1、6MWT、BODE指数积分治疗后无明显变化，MMRC积分治疗后较治疗前有所降低(P 0.05)，治疗后治疗组与对照组BODE指数比较有显著差异(P0·01)。（2）SGRQ总分，两组治疗前后SGRQ总分均有所下降（73.64±11.29，56.98±14.14；73.68±8.84，64.86±8.45），两组治疗后比较有显著差异(P0·01)。 结论 培土生金法能显著改善慢性阻塞性肺疾病患者稳定期BODE指数及生活质量。 Abstract Objective :To observe the earth golden method for chronic obstructive pulmonary disease (COPD) patients with BODE index and quality of life. Methods :60 patients with stable COPD were randomly divided into treatment and control groups. The control group plus bronchodilator on demand or glucocorticoid treatment, the treatment group were based on the golden treatment with the earth, and the purpose of calculation of the BODE index score, including body mass index (BMI), degree of airflow obstruction (FEV1% pred), dyspnea (MMRC), exercise capacity (6MWD). The use of St ? George S Respiratory Questionnaire (SGRQ) evaluate the quality of life of patients. Observed before and after treatment BODE index and the SGRQ score changes. Results :60 cases of selected cases, the end of the study a total of 3 patients were lost to qualified patients 57 patients. (1) in the treatment group BMI, FEV1, 6MWT, MMRC and the BODE index points after treatment than before treatment decreased (P 0.05 or P 0.01). Control group, BMI, FEV1, 6MWT, BODE index points after treatment, no significant change, MMRC points after treatment than before treatment decreased (P 0.05), treatment group compared with the control group, the BODE index were significantly different (P 0 .01). (2) SGRQ total score, SGRQ total s