健康教育联合红藤愈萎养胃汤治疗对慢性萎缩性胃炎伴癌前病变心理状态和生活质量的影响

The effect of health education combined with HongTengYuWeiYangWei decoction on the mentality and life quality of patients suffering chronic atrophic gastritis with precancerosis

目的评价健康教育联合红藤愈萎养胃汤治疗对慢性萎缩性胃炎伴癌前病变患者心理状态和生活质量的影响。方法将155例患者随机分为两组,对照组患者77例,予红藤愈萎养胃汤治疗;观察组患者78例,采用健康教育联合红藤愈萎养胃汤治疗。治疗前和治疗3月后评估患者心理状态和生活质量。结果两组患者治疗后SAS评分、SDS评分均较治疗前显著改善,且观察组优于对照组(P<0.05);观察组患者治疗后SF-36量表各维度均显著改善(P<0.05),生理职能、总体健康、社会功能、情感职能和精神健康维度均显著优于对照组(P<0.05)。结论健康教育联合红藤愈萎养胃汤能够提高慢性萎缩性胃炎伴癌前病变心理状态和生活质量,从而提高临床疗效。

Objective To evaluate the effect of health education combined with HongTengYuWeiYangWei Decoction （HTYWYWD） as a medicine on the mentality and life quality of patients suffering chronic atrophic gastritis（CAG） with precancerosis.Method 155 cases were divided into two groups randomly.The control group （ n=77 ） was treated with HTYWYWD while the experimental group （n=78） with a combination of health education and HTYWYWD.The mentality and life quality of the patients were evaluated before treatment and three months after treatment.Findings SAS （41.3 ± 4.7）and SDS （38.4 ±4.5）scores of the experimental group were reduced （P〈0.05） and lower than those of the control group （P〈0.05）.SF-36 of the experimental group was improved （P〈0.05） and the physiological function, the general health, the social function, the emotional and mental health were better than those of the control group （P 〈0.05）. Conclusion Health education plus HTYWYWD could enhance the psychological state and life quality of CAG with precancerosis so as to improve the clinical effect.