目的评估基于治未病理论构建的慢病管理方案对哮喘患者生命质量的影响。方法将100例支气管哮喘患者按照患者意愿分为慢病管理组、对照组,其中慢病管理组49例,对照组51例,对照组根据病情给予中西医结合基础治疗,慢病管理组在中西医结合...目的评估基于治未病理论构建的慢病管理方案对哮喘患者生命质量的影响。方法将100例支气管哮喘患者按照患者意愿分为慢病管理组、对照组,其中慢病管理组49例,对照组51例,对照组根据病情给予中西医结合基础治疗,慢病管理组在中西医结合基础治疗上实施基于治未病理论构建的慢病管理方案,定时健康教育、随访、治未病指导,观察24周内哮喘控制情况、哮喘控制测试(Asthma Control Test,ACT)评分、简易哮喘生命质量调查问卷(mini Asthma Quality of Life Questionnaire,mini AQLQ)总分、急性发作次数、住院次数。结果在第12周、24周两个时点慢病管理组哮喘控制率、ACT评分均高于对照组,差异有统计学意义(P<0.05),第12周两组mini AQLQ总分比较慢病管理组高于对照组,差异有统计学意义(P<0.05),24周时慢病管理组高于对照组,但差异无统计学意义(P>0.05)。两组患者急性发作次数、住院次数差异无统计学意义(P>0.05)。结论基于治未病理论构建的慢病管理方案能改善哮喘患者控制率及ACT评分,提高生命质量。展开更多
Sixty-nine patients with severe acute respiratory syndrome (SARS) discharged from Guangdong Provincial TCM Hospital were followed up from January to April 2003 during which the patients were asked to fill the question...Sixty-nine patients with severe acute respiratory syndrome (SARS) discharged from Guangdong Provincial TCM Hospital were followed up from January to April 2003 during which the patients were asked to fill the questionnaire form and at the same time received blood routine examination, hepatic, renal,pulmonary and immune function tests, and spiral computerized tomography (CT) of the chest, color B-ultrasonography of the heart with the collected data treated by descriptive analysis and deductive analysis.The results showed that in the 69 followed-up patients, impairment of the hepatic function was found in 5 cases, hypoimmune state in 18, impediment of ventilation in the distal air passages with normal major air passages in 15, increased residual volume in 40, mild disturbance of pulmonary diffusion function in 14,incomplete absorption of inflammatory exudatcs, focal or multiple interstitial lesions, pulmonary interstitial fibrosis and pleural adhesion in 24; increased resistance or mild systolic hypertension in the pulmonary circulation, and segmental ischemia of the left myocardium in 34; and decreased visual acuity in 2. According to TCM differentiation 24 cases belonged to the type of deficiency of both qi and yin, 8 deficiency of both the heart and spleen, 37 depression of the liver and deficiency of the spleen, 18 intermingling with damp-heat, and 7 intermingling with stagnant blood. Some patients still had psychological problems. The study indicates that though clinically cured and discharged from hospital,some SAPS patients have functional impairment of the heart, lung and liver, hypoimmnne state as well as psychologic/d problems, and need to be treated accordingly for a complete recovery. A rationale for suggested TCM treatment is expounded.展开更多
文摘目的评估基于治未病理论构建的慢病管理方案对哮喘患者生命质量的影响。方法将100例支气管哮喘患者按照患者意愿分为慢病管理组、对照组,其中慢病管理组49例,对照组51例,对照组根据病情给予中西医结合基础治疗,慢病管理组在中西医结合基础治疗上实施基于治未病理论构建的慢病管理方案,定时健康教育、随访、治未病指导,观察24周内哮喘控制情况、哮喘控制测试(Asthma Control Test,ACT)评分、简易哮喘生命质量调查问卷(mini Asthma Quality of Life Questionnaire,mini AQLQ)总分、急性发作次数、住院次数。结果在第12周、24周两个时点慢病管理组哮喘控制率、ACT评分均高于对照组,差异有统计学意义(P<0.05),第12周两组mini AQLQ总分比较慢病管理组高于对照组,差异有统计学意义(P<0.05),24周时慢病管理组高于对照组,但差异无统计学意义(P>0.05)。两组患者急性发作次数、住院次数差异无统计学意义(P>0.05)。结论基于治未病理论构建的慢病管理方案能改善哮喘患者控制率及ACT评分,提高生命质量。
文摘Sixty-nine patients with severe acute respiratory syndrome (SARS) discharged from Guangdong Provincial TCM Hospital were followed up from January to April 2003 during which the patients were asked to fill the questionnaire form and at the same time received blood routine examination, hepatic, renal,pulmonary and immune function tests, and spiral computerized tomography (CT) of the chest, color B-ultrasonography of the heart with the collected data treated by descriptive analysis and deductive analysis.The results showed that in the 69 followed-up patients, impairment of the hepatic function was found in 5 cases, hypoimmune state in 18, impediment of ventilation in the distal air passages with normal major air passages in 15, increased residual volume in 40, mild disturbance of pulmonary diffusion function in 14,incomplete absorption of inflammatory exudatcs, focal or multiple interstitial lesions, pulmonary interstitial fibrosis and pleural adhesion in 24; increased resistance or mild systolic hypertension in the pulmonary circulation, and segmental ischemia of the left myocardium in 34; and decreased visual acuity in 2. According to TCM differentiation 24 cases belonged to the type of deficiency of both qi and yin, 8 deficiency of both the heart and spleen, 37 depression of the liver and deficiency of the spleen, 18 intermingling with damp-heat, and 7 intermingling with stagnant blood. Some patients still had psychological problems. The study indicates that though clinically cured and discharged from hospital,some SAPS patients have functional impairment of the heart, lung and liver, hypoimmnne state as well as psychologic/d problems, and need to be treated accordingly for a complete recovery. A rationale for suggested TCM treatment is expounded.
