慢性阻塞性肺疾病稳定期给予中西医结合临床干预对其生存质量的影响评价

2016-08-02陶安贵

中国卫生标准管理 2016年10期

陶安贵

陶安贵

【摘要】目的评价慢性阻塞性肺疾病稳定期给予中西医结合临床干预对其生存质量的影响。方法对照组应用气管扩张剂长效氨茶碱进行治疗，研究组在其基础上加用自拟中药汤剂进行治疗。比较两组治疗前后生存质量评分，观察两组不良反应。结果两组治疗前生活质量评分比照无差异，研究组治疗后生活质量评分改善、对照组生活质量评分恶化（P＜0.05），研究组治疗后生活质量评分优于对照组。两组均无不良反应。结论慢性阻塞性肺疾病稳定期给予中西医结合临床干预可改善患者的生存质量。

【关键词】慢性阻塞性肺疾病；生存质量；中西医结合

Objective To evaluate the effect of combined traditional chinese and western medicine on the quality of life in patients with COPD. Methods Control group with bronchiectasis agent aminophylline treatment，study group on the basis of and were treated with the decoction of TCM. Compared the two groups before and after treatment quality of life score，two groups of adverse reactions were observed. Results Two groups before treatment，quality of life score CF no significant differences，in the study group，the quality of life score improved significantly and the control group，the quality of life score significantly worse（P＜0.05），study group after treatment，quality of life score was significantly better than the control group. There was noadverse reaction in the two groups. Conclusion The combination of traditional chinese medicine and western medicine in the treatment of chronic obstructive pulmonary disease can significantly improve the quality of life of patients with COPD.

【Key words】 COPD，Quality of life，Integrated traditional chinese and western medicine

在临床上，慢性阻塞性肺疾病（COPD）是呼吸系统慢性病变的终末期病理表现形式，本病患者其气道受阻，呼吸时其气道气流进出受到限制，并且进行性加重。当前临床多针对COPD急性加重期着眼干预研究，而对COPD稳定期患者，多给予常规干预方案，而常规方案虽然能够适时地进行一定程度的干预，却无法遏制COPD病变进程，对患者整体生活质量没有改善。为此，我院肺病科充分发挥祖国医学传统优势，在常规干预基础上为患者采取中药汤剂进行治疗，效果确切，现报道如下。