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目的:应用SF-36量表中文问卷,评价中西医结合治疗初治肺结核的意义。方法:实验组(中西结合治疗组)与对照组(西医组)均在治疗前、治疗2月末、治疗结束分别进行SF-36健康状况问卷的调查。结果:①治疗前两组患者的SF-36总的得分(Sf-sum)及8个维度得分比较无统计学差异,P值均>0.05。②治疗2月末生活质量测量值显示实验组总的得分(Sf-sum)及7个纬度得分较西医组高,除BP纬度得分无差异外,其余均有统计学差异,P值均<0.05。③治疗结束两组患者的SF-36总的得分(Sf-sum)及8个维度得分比较无统计学差异,P值均>0.05。④实验组治疗前、治疗2月末、治疗结束的生活质量测量值显示,总的得分(Sf-sum)及7个纬度得分渐渐升高,除BP纬度得分无差异外,其余均有统计学差异,P值均<0.05。⑤对照组治疗前、治疗2月末、治疗结束的生活质量测量值显示,总的得分(Sf-sum)及7个纬度得分渐渐升高,除BP纬度得分无差异外,其余均有统计学差异,P值均<0.05。结论:实验组与对照组经治疗后,患者生命质量最终均能获得明显改善,并且中西结合治疗较单纯西医治疗能更早改善患者的生活质量,提高患者的依从性,减少耐药结核杆菌的发生。
OBJECTIVE: To evaluate the significance of Chinese-Western medicine in the treatment of newly diagnosed tuberculosis by using Chinese SF-36 questionnaire. Methods: The experimental group (combination of Chinese and western medicine) and the control group (Western medicine group) were investigated before and after the end of treatment and the end of treatment respectively. Results: (1) There was no significant difference between the two groups before treatment in SF-36 total score (Sf-sum) and eight dimensions (P> 0.05). ②The quality of life measurements at the end of February showed that the total score (Sf-sum) and the seven latitude scores of the experimental group were higher than those of the western medicine group except for the difference of the latitude of BP, all of which had statistical significance (P <0.05). ③ At the end of treatment, there was no significant difference between the two groups in the SF-36 total score (Sf-sum) and the scores of 8 dimensions (P> 0.05). ④ Before the treatment, the measured quality of life at the end of treatment after the end of treatment in the experimental group showed that the total score (Sf-sum) and the scores of 7 latitudes gradually increased, except for the difference of BP latitude, the rest were statistically different , All P <0.05. (5) Before the treatment, the measured quality of life at the end of treatment after the end of treatment in the control group showed that the total score (Sf-sum) and the score of 7 latitudes gradually increased, except for the fact that there was no difference in BP latitude scores , All P <0.05. Conclusion: After treatment, the quality of life of experimental group and control group can be significantly improved, and the combination of Chinese and western medicine can improve the quality of life, improve patient compliance and reduce the rate of drug-resistant Mycobacterium tuberculosis occur.