中西医结合治疗肺结核患者的生活质量评估.doc

中西医结合治疗肺结核患者的生活质量评估 杨亦德\侯伟\谢红东\梁勇\王胜圣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(中西结合治疗纽.)与对照纽.(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?治疗前两纽患者的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 较西医纽高，除BP纬度得分无差异外，其余均有统计学差异，P值均＜0.05o 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＜0.05o 5.对照纟I［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＜0.05o 结论 实验纽与对照纽?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，减少耐夯结核杆菌 的发生。 【关键词】 中西医结合治疗;肺结核:SF-36吊-农；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 dimensionalities9 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 BR the rest had the statistically significant and value of each P was lower than 0.05. 3. Comparing SF-36 total score (Sf-sum)