| 引用本文:李彬1，陈静2，赵慧辉2，王娟2，王伟2.基于证候要素治疗方案对慢性心衰患者生活质量的影响[J].世界中医药,2016,(05):. |
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| 基于证候要素治疗方案对慢性心衰患者生活质量的影响 |
| Influence on Quality Life of CHF Based on Syndrome Element Differentiation Treatment |
| 投稿时间：2016-01-27 |
| DOI：10.3969/j.issn.1673-7202.2016.05.017 |
| 中文关键词: 慢性心衰 证候要素 生活质量 慢性心衰生存质量量表 |
| English Keywords:Chronic heart failure Syndrome element Quality of life Evaluating scale of the quality of life of chronic heart failure |
| 基金项目:国家中医药管理局主管的行业专项——“慢性心衰社区普适中医诊治方案研究”(编号:200807007) |
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| 中文摘要: |
| 目的:评价基于证候要素辨证论治对慢性心衰患者生活质量的影响。方法:将99例慢性心衰患者随机分为试验组和对照组,对照组给予常规西药治疗,试验组在西药常规治疗基础上通过证候要素辨证给予相应的中药治疗,观察患者治疗前后的慢性心衰生存质量量表总积分及SF-36量表各维度积分的变化。结果:1)2组患者的慢性心衰生存质量量表总分较治疗前均有提高,差异有统计学意义(P<0.05),组间比较差异无统计学意义(P>0.05)。2)以SF-36量表为评价工具:组间比较:2组在生理功能、生理职能、躯体疼痛、一般健康、健康变化等5项的积分没有差异统计学意义(P>0.05)。试验组在精力、社会功能、情感职能等3项的积分高于对照组,且差异有统计学意义(P<0.05);组内比较:与治疗前比较,用药28 d后,2组在生理功能、躯体疼痛、社会功能、健康变化均有提高,差异均有统计学意义(P<0.05)。试验组在生理职能、一般健康、精力、情感职能较治疗前有提高,差异有统计学意义(P<0.05),对照组比较差异无统计学意义(P>0.05)。结论:以证候要素辨证论治慢性心衰可以提高慢性心衰患者的生存质量,值得进一步研究。 |
| English Summary: |
| To observe the improvement on quality life of chronic heart failure(CHF) patients with syndrome element differentiation treatment. Methods: Total 99 patients with CHF were randomly divided into two groups: treatment group and control group, both groups were given conventional treatment, Chinese medicine were treated with syndrome element differentiation on basis of western medicine treatment. Then the quality of life was observed with evaluating scale of the quality of life in chronic heart failure and SF-36. Results: Quality of life improved in both groups after the treatment(P<0.05), but no difference was shown between groups(P>0.05). Secondly, there was statistical difference on energy, social ability, emotional function and mental health between two groups (P<0.05), which means patients improved more in treatment group, while patients felt no difference on physical function, physical ability, body pain, general health after the treatment (P>0.05). Patients felt better in each group at following terms of physical function, body pain and social ability (P<0.05). While treatment group scored higher at some terms such as physical ability, general health, energy, emotional function after the treatment (P<0.05), but the control group were not (P<0.05). Conclusion: Treatment with syndrome element differentiation can improve the quality of life of patients with chronic heart failure. |
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