清肺化痰方联合情绪释放疗法治疗慢性阻塞性肺疾病临床研究

Clinical Study on Qingfei Huatan Prescription Combined with Emotional Release Therapy for Chronic Obstructive Pulmonary Disease

目的:观察清肺化痰方联合情绪释放疗法治疗慢性阻塞性肺疾病(COPD),对患者情绪、生活质量及血气分析的影响。方法:选择114例COPD患者,依据随机数字表法将其分为对照组和观察组各57例。对照组在常规治疗的基础上采用情绪释放疗法进行干预,观察组在对照组的基础上服用清肺化痰方治疗。比较2组治疗前后的负性情绪、生活质量、血气分析变化情况。结果:治疗前,2组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);治疗后,2组SAS、SDS评分均较治疗前降低(P<0.05),且观察组SAS、SDS评分均低于对照组(P<0.05)。治疗前,2组躯体功能、角色功能、情绪功能、社会功能评分比较,差异无统计学意义(P>0.05);治疗后,2组生活质量各项评分均较治疗前提高(P<0.05),且观察组生活质量各项评分均高于对照组(P<0.05)。治疗前,2组动脉血氧分压(Pa O2)、二氧化碳分压(Pa CO2)、酸碱值(p H)水平比较,差异无统计学意义(P>0.05);治疗后,2组Pa O2、p H均较治疗前升高(P<0.05)、Pa CO2水平较治疗前降低(P<0.05),且观察组各项指标改善较对照组更显著(P<0.05)。结论:清肺化痰方联合情绪释放疗法治疗COPD,有利于改善患者血气分析指标,改善不良情绪,提高其生活质量。

Objective:To observe the effect of Qingfei Huatan prescription combined with emotional release therapy on emotion,quality of life and blood gas analysis in patients with chronic obstructive pulmonary disease(COPD).Methods:A total of 114 cases of COPD patients were selected and divided into the control group and the observation group according to the random number table method,57 cases in each group.The control group was given emotional release therapy based on routine treatment,and the observation group was additionally given Qingfei Huatan prescription based on the treatment of the control group.The changes of negative emotions,quality of life and blood gas analysis before and after treatment in the two groups were compared.Results:Before treatment,there was no significant difference being found in the comparison of the scores of Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)between the two groups(P>0.05).After treatment,the scores of SAS and SDS in the two groups were decreased when compared with those before treatment(P<0.05),and the scores in the observation group were lower than those in the control group(P<0.05).Before treatment,there was no significant difference being found in the comparison of the scores of physical function,role function,emotional function and social function between the two groups(P>0.05).After treatment,the scores of quality of life in the two groups were increased when compared with those before treatment(P<0.05),and the scores of quality of life in the observation group were higher than those in the control group(P<0.05).Before treatment,there was no significant difference being found in the comparison of the levels of Pa O2,Pa CO2and p H between the two groups(P>0.05).After treatment,the levels of Pa O2and p H in the two groups were increased when compared with those before treatment(P<0.05),and the levels of Pa CO2were decreased(P<0.05);the improvement of various indexes in the observation group was more significant than that in the control group(P<0.05).Conclusion:The application of Qingfei Huatan prescription combined with emotional release therapy for COPD patients is helpful to improve the indexes of blood gas analysis and adverse emotions of patients,and enhance their quality of life.