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中西医结合在慢性疾病管理中的应用及其在肺康复中的疗效评估

Application of traditional Chinese and Western medicine combined with chronic disease management in pulmonary rehabilitation and evaluation of efficacy.

作者信息

Xi Chaojun, Li Fengri, Cheng Wuzhong, Wang Shaoxia, Zhang Rong, Wang Yaping, Liu Lili

机构信息

Department of Critical Care Medicine, Shanghai Construction Group (SCG) Hospital Hongkou, Shanghai 200083, China.

Department of Pain, Shanghai Quyang Hospital Hongkou, Shanghai 200092, China.

出版信息

Am J Transl Res. 2021 Jun 15;13(6):6372-6381. eCollection 2021.

Abstract

OBJECTIVE

This study evaluated the efficacy of traditional Chinese and western medicine combined with chronic disease management on rehabilitation of chronic obstructive pulmonary disease (COPD) patients.

METHODS

A total of 199 COPD patients in Shanghai Construction Group (SCG) Hospital were recruited as research objects. The control group (CG) consisted of 100 patients treated with conventional western chronic disease management, and the research group (RG) consisted of 99 patients treated with chronic disease management with combined traditional Chinese and western medicine. The efficacy, pulmonary rehabilitation performance, compliance score, 6-minute walk test (6MWT), modified Medical Research Council dyspnoea scale (MMRC), COPD assessment test (CAT), pulmonary function (PaO, PaCO, FEV1, PEF), self-rating anxiety scale (SAS), self-rating depression scale (SDS) and patient satisfaction between the two groups were compared.

RESULTS

Pulmonary rehabilitation performance, 6MWT results, and patient satisfaction in the RG were significantly better than those in the CG. The total effective rate, compliance score, PaO, FEV1 and PEF of the RG were significantly higher than those of the CG. After treatment, the COPD symptom score, CAT score, PaCO, SAS score and SDS score in the RG were significantly lower than those in the CG.

CONCLUSION

Chronic disease management with combined traditional Chinese and western medicine has great application value and high efficacy in pulmonary rehabilitation.

摘要

目的

本研究评估中西医结合的慢性病管理对慢性阻塞性肺疾病(COPD)患者康复的疗效。

方法

选取上海建工集团医院的199例COPD患者作为研究对象。对照组(CG)由100例接受传统西医慢性病管理的患者组成,研究组(RG)由99例接受中西医结合慢性病管理的患者组成。比较两组的疗效、肺康复表现、依从性评分、6分钟步行试验(6MWT)、改良医学研究理事会呼吸困难量表(MMRC)、慢性阻塞性肺疾病评估测试(CAT)、肺功能(PaO、PaCO、FEV1、PEF)、自评焦虑量表(SAS)、自评抑郁量表(SDS)及患者满意度。

结果

研究组的肺康复表现、6MWT结果及患者满意度显著优于对照组。研究组的总有效率、依从性评分、PaO、FEV1及PEF显著高于对照组。治疗后,研究组的COPD症状评分、CAT评分、PaCO、SAS评分及SDS评分显著低于对照组。

结论

中西医结合的慢性病管理在肺康复方面具有很大的应用价值和较高的疗效。

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