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中国临床药理学与治疗学 ›› 2000, Vol. 5 ›› Issue (3): 231-234.

• 论著 • 上一篇    下一篇

支气管哮喘患者抗炎治疗前后生存质量的变化

张静波, 计焱焱   

  1. 上海市静安区中心医院临床免疫研究中心,上海200040
  • 收稿日期:2000-06-07 修回日期:2000-07-19 出版日期:2000-09-26 发布日期:2020-11-25
  • 作者简介:张静波,女,37岁,学士,主治医师。

Variation of asthma patient’s qual ity of life after anti-inflammation treatment

ZHANG Jing-Bo, JI Yan-Yan   

  1. Jing’an Central Hospital, Shanghai 200040
  • Received:2000-06-07 Revised:2000-07-19 Online:2000-09-26 Published:2020-11-25

摘要: 目的 全面评估抗炎治疗后过敏性哮喘患者生存质量的改善。方法 以问卷调查的形式就哮喘症状、活动受限、对刺激原的反应与回避、心理情绪等生存质量的四个方面对45 例哮喘患者在抗炎治疗3 mon 的前、后分别进行调查,并对其中20例患者同期检测血清嗜酸性细胞阳离子蛋白(ECP)水平。结果 抗炎治疗前哮喘患者生存质量的影响以“对刺激原的反应与回避” 的均分最高,“哮喘症状”与“心理情绪”的均分次之,而“活动受限”的均分最低。抗炎治疗后,生存质量的四方面均有明显改善,表现为均分明显下降,差异具有显著统计学意义(分别为P<0.001 和P<0.01),而同期的血清ECP水平亦明显下降(P<0.01)。虽然以男性、年龄大于50岁组、文化程度较高的哮喘患者生存质量受损的均分相对较高,但总均分于抗炎治疗前后在不同性别、年龄、文化程度间并未显示明显差异(P>0.05)。结论 支气管哮喘不仅严重危害患者的身体健康,也使患者的日常生活、社会适应能力、心理情绪等受到较大影响,积极抗炎治疗能明显地改善哮喘患者的生存质量。

关键词: 支气管哮喘, 生存质量, 抗炎治疗

Abstract: Aim To evaluate the influence of asthma and the effect of anti-inflammation therapy on the quality of life (QOL)in allergic asthma patients.Methods The QOL of 45 patients with asthma were investigated by collecting questionnaire before and after three months anti-inflammation treatment, at the same time the serum eosinophil cationic protein(ECP) level was detected in 20 patients.The QOL questionnaire included 4 domains, they were respiratory symptoms, physical activity limitation, emotional function and environmental stimuli.Results The factors which influenced the QOL in asthma patients ranging from high to low were environmental stimuli, respiratory symptom and emotion function and physical activity limitation.After anti-inflammation treatment, the QOL was significantly improved and the serum ECP was decreased (P<0.001 and P<0.01).Al though the male patient, those the aging more than 50 and those with advanced education had relatively higher score, there was no significant difference amongsex, age and education before and after anti-inflammation treatment.Conclusion Asthma not only severe impacts patient shealth, but also affects patient diary, social activity and emotional function.Anti-inflammation treatment would significant improve the QOL for asthma patients.

Key words: asthma, quality of life, Anti-inflammation therapy

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