分型论治对慢阻肺稳定期患者生存质量的影响

目的：观察西医治疗基础上中医分型论治对慢阻肺稳定期患者生存质量的影响。方法：选择符合纳入标准的68例慢阻肺稳定期患者，随机分为观察组和对照组各34例，两组患者均接受陧阻肺的西医常规治疗和护理，均连续用药3个月为1个疗程，观察组同时中医辨证后分痰浊阻肺、痰热壅肺、肺肾气虚、阳虚水泛四型论治。结果：两组患者治疗后的呼吸系统症状、日常活动能力及心理状态三项评分均有明显下降，与治疗前对比差异均具有统计学意义（P〈O．05）；治疗后组间对比，观察组的三项评分均低于对照组，差异均具有统计学意义（P〈0．05）。结论：西医常规治疗的基础上结合中医分型论治能更有效的提高慢阻肺稳定期患者的生存质量，值得临床推广。

The effect of differential treatment on life quality of patients with stable COPD

Objective： To observe the effect of differential treatment on life quality of patients with stable COPD. Methods： 68 patients with stable COPD were randomly divided into observation group and control group, 34 cases, patients received conventional modem COPD treatment and care, both as a continuous medication, the observation group, after the TCM treatment for COPD. Results： After treatment, respiratory symptoms, daily activities and psychological state three ratings were significantly decreased compared with the before, differences were statistically significant （P〈0.05）; three scores in the observation group were lower than the control group, the differences were statistically significant （P〈0.05）. Conclusion： The treatment based on conventional modem medicine combined with TCM treatment can more effectively improve the survival of patients with stable COPD quality, worthy of promotion.