中医特色慢病管理提高腹膜透析患者生活质量的临床研究

Clinical study on improving the quality of life of peritoneal dialysis patients by chronic disease management with traditional Chinese medicine characteristics

[目的]通过对腹膜透析(CAPD)患者相关生化指标的检测及生活质量量表的测评来评价中医特色慢病管理的效果。[方法]选择2018年8月—2019年8月在本中心长期随访的CAPD患者600例,运用随机数字表法将其分为观察组和对照组,各300例。对照组给予CAPD常规管理措施,观察组在此基础上运用中医特色慢病管理模式进行干预,随访6个月后,观察两组患者干预前后相关生化指标及生活质量评分变化,比较临床疗效差异。[结果]与对照组相比,观察组在治疗后生活质量总均分及各个维度的得分、相关化验指标及生活质量评分方面均有不同程度改善(P<0.05)。[结论]中医特色慢病管理能够显著改善CAPD患者生活质量,且观察过程中无不良事件发生,是值得进一步研究及推广的管理模式。

[Objective]In this study,the effect of traditional Chinese medicine(TCM)chronic disease management was evaluated by the detection of relevant biochemical indicators of patients with peritoneal dialysis and the assessment of life quality scale.[Methods]From August 2018 to August 2019,600 patients with peritoneal dialysis who were followed up in our center for a long time were divided into observation group and control group by random number table method,with 300 cases in each group.The control group was given routine management measures for peritoneal dialysis.On this basis,the observation group was intervened by the chronic disease management model with TCM characteristics.After 6 months of follow-up,the changes in relevant biochemical indicators and quality of life scores before and after intervention were observed between two groups,and the clinical efficacy differences were compared.[Results]Compared with the control group,the observation group had different degrees of improvement in the total average quality of life scores,scores of various dimensions,related laboratory indicators and quality of life scores after treatment(P<0.05).[Conclusion]Chronic disease management with TCM characteristics can significantly improve the quality of life in peritoneal dialysis patients,and no adverse events occur during the observation process,which is a management model worthy of further research and promotion.