目的观察益脾化痰理气法对慢性阻塞性肺疾病稳定期肺脾气虚型患者的治疗效果。方法选取北京中医医院顺义医院呼吸科门诊2019年1月至2021年12月就诊的慢阻肺稳定期肺脾气虚证患者100例作为研究对象,随机分为观察组和对照组,每组50例,对...目的观察益脾化痰理气法对慢性阻塞性肺疾病稳定期肺脾气虚型患者的治疗效果。方法选取北京中医医院顺义医院呼吸科门诊2019年1月至2021年12月就诊的慢阻肺稳定期肺脾气虚证患者100例作为研究对象,随机分为观察组和对照组,每组50例,对照组给予支气管舒张剂、吸入激素(肺功能Ⅲ级和Ⅳ级者)、祛痰剂、抗氧化剂、通气支持等,并根据患者氧分压水平给予家庭氧疗。观察组在对照组治疗基础上加用益脾化痰理气法治疗,疗程1个月,比较两组患者治疗前后中医症状单项评分和总评分、改良版英国医学研究委员会呼吸问卷(breathlessness measurement using the modified British Medical Reseach Council,mMRC)、6分钟步行距离(6-minute walking distance,6MWD)、BODE指数(BODE index)、圣乔治呼吸问卷(St.George’s respiratory questionnaire,SGRQ)、肺功能指标:一秒用力呼气容积(forced expir-atory volume in one second,FEV1)、1秒率(forcedexpiratory volume 1 second/vital capacity,FEV1/FVC)、一秒用力呼气容积预计值(forced expir-atory volume in one second predicting value%,FEV1%)、残气量/肺总量比值(residual volum/total lung capacity%,RV/TCL%)。结果经治疗后,观察组患者各项中医症状评分均低于治疗前,且低于对照组(P<0.05),而对照组咳嗽、喘息、咳痰评分低于治疗前(P<0.05),神疲乏力、纳差、腹胀或便溏、恶风自汗评分未见改善,无统计学意义(P>0.05);mMRC评分、SGRQ评分、BODE指数均低于治疗前,且观察组低于对照组(P<0.05);两组6MWD距离高于治疗前,且观察组高于对照组(P<0.05);两组FEV1、FEV1/FVC、FEV1%均高于治疗前,RV/TCL%低于治疗前,且观察组FEV1、FEV1/FVC、FEV1%均高于对照组,RV/TCL%低于对照组(P<0.05)。结论以益脾化痰理气法治疗慢阻肺稳定期患者(肺脾气虚型)疗效显著,可以减轻临床症状,增加活动耐力,提高生活质量,改善肺功能,防止急性加重和疾病进展。展开更多
In vocational school English teaching,cooperative learning is an available classroom structure.It can encourage and support most of the affective factors which correlate positively with language learning:i.e.reducing ...In vocational school English teaching,cooperative learning is an available classroom structure.It can encourage and support most of the affective factors which correlate positively with language learning:i.e.reducing debilitating anxiety,increasing motivation,facilitating the development of positive attitudes toward language learning,as well as promoting self-esteem.And many effective cooperative activities are recommended in this thesis,which greatly enhanced the enthusiasm and initiative of students to learn English.展开更多
文摘目的观察益脾化痰理气法对慢性阻塞性肺疾病稳定期肺脾气虚型患者的治疗效果。方法选取北京中医医院顺义医院呼吸科门诊2019年1月至2021年12月就诊的慢阻肺稳定期肺脾气虚证患者100例作为研究对象,随机分为观察组和对照组,每组50例,对照组给予支气管舒张剂、吸入激素(肺功能Ⅲ级和Ⅳ级者)、祛痰剂、抗氧化剂、通气支持等,并根据患者氧分压水平给予家庭氧疗。观察组在对照组治疗基础上加用益脾化痰理气法治疗,疗程1个月,比较两组患者治疗前后中医症状单项评分和总评分、改良版英国医学研究委员会呼吸问卷(breathlessness measurement using the modified British Medical Reseach Council,mMRC)、6分钟步行距离(6-minute walking distance,6MWD)、BODE指数(BODE index)、圣乔治呼吸问卷(St.George’s respiratory questionnaire,SGRQ)、肺功能指标:一秒用力呼气容积(forced expir-atory volume in one second,FEV1)、1秒率(forcedexpiratory volume 1 second/vital capacity,FEV1/FVC)、一秒用力呼气容积预计值(forced expir-atory volume in one second predicting value%,FEV1%)、残气量/肺总量比值(residual volum/total lung capacity%,RV/TCL%)。结果经治疗后,观察组患者各项中医症状评分均低于治疗前,且低于对照组(P<0.05),而对照组咳嗽、喘息、咳痰评分低于治疗前(P<0.05),神疲乏力、纳差、腹胀或便溏、恶风自汗评分未见改善,无统计学意义(P>0.05);mMRC评分、SGRQ评分、BODE指数均低于治疗前,且观察组低于对照组(P<0.05);两组6MWD距离高于治疗前,且观察组高于对照组(P<0.05);两组FEV1、FEV1/FVC、FEV1%均高于治疗前,RV/TCL%低于治疗前,且观察组FEV1、FEV1/FVC、FEV1%均高于对照组,RV/TCL%低于对照组(P<0.05)。结论以益脾化痰理气法治疗慢阻肺稳定期患者(肺脾气虚型)疗效显著,可以减轻临床症状,增加活动耐力,提高生活质量,改善肺功能,防止急性加重和疾病进展。
文摘In vocational school English teaching,cooperative learning is an available classroom structure.It can encourage and support most of the affective factors which correlate positively with language learning:i.e.reducing debilitating anxiety,increasing motivation,facilitating the development of positive attitudes toward language learning,as well as promoting self-esteem.And many effective cooperative activities are recommended in this thesis,which greatly enhanced the enthusiasm and initiative of students to learn English.
