中西医结合治疗肺结核患者的生活质量评估

Assessment of Life Quality of Pulmonary Tuberculosis Patients Treated with Combined Chinese Traditional and Western Medicine

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。

Objective ： Evaluate the significance of using combined Chinese traditional and Western medicine to treat 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 dimensionalities＇total score between two groups after the treatment, there was no significant difference and value of each P was higher than 0.05. （4） Measurements of life quality of experimental group at the period respectively of before treatment, end of the second - trea- ted month and end of the treatment showed that SF- 36 total score （Sf-sum） and seven dimensionaiities＇total score was gradually increased. Except the score of BP, the rest had the statistically significant and value of each P was lower than 0.05. （5）Measurements of life quality of control group at the period respectively of before treatment, end of the second - treated month and end of the treatment showed that SF- 36 total score （Sfsum） and seven dimensionalities＇total score was gradually increased. Except the score of BP, the rest had the statistically significant and value of each P was lower than 0. 05. Conclusion：The result indicates that life quality of both experimental group and control group can achieve significant improvement in the final after the treatment. Combination therapy of Chinese traditional and Western medicine can perfect the life quality of patients much earlier in comparison to Western medicine alone. Meanwhile, combination therapy of traditional Chinese and Western medicine can improve patients＇compliance and reduce the incidence of drug - resistant mycobacterium tuberculosis.