[1]黄婷霞,荀林娟,毛燕君.中医特色慢病管理对酒精性肝硬化患者自我管理能力和生活质量的影响[J].西部中医药,2023,36(06):122-125.[doi:10.12174/j.issn.2096-9600.2023.06.29]
　HUANG Tingxia,XUN Linjuan,MAO Yanjun.Effects of TCM - featured Chronic Disease Management on Self-management Ability and Quality of Life of Patients with Alcoholic Liver Cirrhosis[J].Western Journal of Traditional Chinese Medicine,2023,36(06):122-125.[doi:10.12174/j.issn.2096-9600.2023.06.29]
点击复制

中医特色慢病管理对酒精性肝硬化患者自我管理能力和生活质量的影响
分享到：

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
36
期数:
2023年06期
页码:
122-125
栏目:
出版日期:
2023-06-15

文章信息/Info

Title:
Effects of TCM - featured Chronic Disease Management on Self-management Ability and Quality of Life of Patients with Alcoholic Liver Cirrhosis
作者:
黄婷霞1, 荀林娟1, 毛燕君2
1.上海市第十人民医院/同济大学附属第十人民医院，上海 200072
2.上海市肺科医院，上海 200433
Author(s):
HUANG Tingxia1, XUN Linjuan1, MAO Yanjun2
1.Shanghai Tenth People's Hospital/Tenth People's Hospital of Tongji University, Shanghai 200072, China
2.Shanghai Pulmonary Hospital, Shanghai 200433, China
关键词:
肝硬化; 酒精性; 慢病管理; 自我管理能力; 生活质量; 肝功能
Keywords:
liver cirrhosis;  alcoholic; chronic disease management; self-management ability; quality of life; liver function
分类号:
R657.3+1
DOI:
10.12174/j.issn.2096-9600.2023.06.29
文献标志码:
B
摘要:
目的探讨中医特色慢病管理对酒精性肝硬化患者自我管理能力和生活质量的影响。 方法选取84例酒精性肝硬化患者，应用随机数字分组法分为观察组与对照组，每组42例。对照组实施常规延续性护理，观察组实施中医特色慢病管理，共护理6个月。对比两组患者治疗总体疗效，不同时间点自我管理能力与生活质量评分及血清谷氨酰转移酶（gamma-glutamyltransferase，GGT）、门冬氨酸氨基转移酶（aspartase aminotransferase，AST）/丙氨酸氨基转移酶（alanine aminotransferase，ALT）的表达水平。 结果观察组总有效率［92.86%（39/42）］明显高于对照组［73.81%（31/42）］（P＜0.05）；两组干预后3、6个月自我管理能力与生活质量评分明显升高，且观察组高于对照组（P＜0.05）；两组干预后3、6个月AST/ALT水平明显升高，GGT明显降低，且观察组改善程度优于对照组（P＜0.05）。 结论对酒精性肝硬化患者应用中医特色慢病管理能够提升患者治疗效果，提升患者出院后的自我管理能力，改善肝功能，进而提升患者生活质量。
Abstract:
ObjectiveTo discuss the influence of TCM - featured chronic disease management on self-mana-gement ability and quality of life of patients with alcoholic liver cirrhosis. MethodsAll 84 patients were chosen and separated into the control group and the observation group using random number grouping method with 42 cases in each group. The control group carried out conventional continuing care, and the observation group TCM - featured chronic disease management, all cared for six months. To compare overall efficacy of the treatment, self-management ability at different times, the scores of quality of life, the expressions of GGT and AST/ALT between both groups. ResultsTotal effective rate of the observation group was [92.86%(39/42)], noticeably higher than [73.81%(31/42)] of the control group (P<0.05); the scores of self-management ability and quality of life of the two groups increased remarkably three and six months after the intervention, and the observation group was higher than the control group (P<0.05); the levels of AST/ALT of the two groups raised apparently three and six months after the intervention, GGT decreased obviously, and the improvements of the observation group were better than these of the control group (P<0.05). ConclusionTCM - featured chronic disease management for patients with alcoholic liver cirrhosis could improve therapeutic effects, raise self-management ability after discharging, improve liver function, and then improve the patients' quality of life.

相似文献/References:

[1]高舒迪,扈晓宇△.中医药治疗酒精性肝病的辨病论治概况及研究述评[J].西部中医药,2013,26(02):122.
　GAO Shudi,HU Xiaoyu.Research Review and Survey of TCM in Treating Alcoholic Liver Disease[J].Western Journal of Traditional Chinese Medicine,2013,26(06):122.
[2]李盛华,周明旺,潘文,等.酒精性股骨头坏死与中医体质类型的关系*[J].西部中医药,2014,27(03):80.
　LI Shenghua,ZHOU Mingwang,PAN Wen,et al.Exploration on the Relationship between Alcohol-induced Osteonecrosis Femoral Head and TCM Constitution Types[J].Western Journal of Traditional Chinese Medicine,2014,27(06):80.
[3]黄鸿娜,黄晶晶△,王振常,等.柔肝化纤颗粒治疗肝硬化脾功能亢进症的临床观察[J].西部中医药,2014,27(09):111.
[4]张萍,朱建坤.肝硬化患者应用中医食疗的临床护理分析[J].西部中医药,2013,26(07):112.
　ZHANG Ping,ZHU Jiankun.Analysis on Clinical Nursing for Liver Cirrhosis Patients Given with TCM Food Therapy[J].Western Journal of Traditional Chinese Medicine,2013,26(06):112.
[5]刘建军,曾贤翠,郝淑萍,等.腹水超滤浓缩回输联合中医辨证治疗肝硬化顽固性腹水40例临床观察[J].西部中医药,2013,26(06):1.
　LIUJianjun,ZENGXiancui,HAOShuping,et al.ClinicalObservationonUltrafiltrationReinfusionofConcentratedAscitesandSyndromeDifferentiationforRefractoryAscitesofLiverCirrhosis:AReportof40Cases[J].Western Journal of Traditional Chinese Medicine,2013,26(06):1.
[6]樊红,冯彦虎,张德奎△,等.中西医结合治疗肝炎后肝硬化腹水疗效观察[J].西部中医药,2013,26(02):91.
　FAN Hong,FENG Yanhu,ZHANG Dekui,et al.Clinical Observation on Integrative Medicine in Treating Cirrhosis Ascites of Patients with Hepatitis[J].Western Journal of Traditional Chinese Medicine,2013,26(06):91.
[7]田旭东,孙平,李彦龙,等.甜菜碱对酒精性肝病大鼠肝细胞色素P450 2E1基因和蛋白表达的影响*[J].西部中医药,2014,27(07):8.
　TIAN Xudong,SUN Ping,LI Yanlong,et al.Therapeutic Effects of Betaine on the Expressions of Hepatocyte Cytochrome P450 2E1 Gene and Protein of Rats with Alcoholic Liver Disease[J].Western Journal of Traditional Chinese Medicine,2014,27(06):8.
[8]闫雪华.恩替卡韦联合复方鳖甲软肝片治疗代偿期乙肝肝硬化疗效观察[J].西部中医药,2014,27(07):84.
　YAN Xuehua.Clinical Observation on Entecavir Combined with Compound BieJia RuanGan Tablets in Treating Decompensated Liver Cirrhosis of Hepatitis B[J].Western Journal of Traditional Chinese Medicine,2014,27(06):84.
[9]柳海平,周明旺,李盛华,等.酒精性股骨头坏死高发中医体质类型研究[J].西部中医药,2017,30(01):51.
　LIU Haiping,ZHOU Mingwang,LI Shenghua,et al.Study on TCM Constitutions of High-incidence Alcohol-induced Osteonecrosis of Femoral Head[J].Western Journal of Traditional Chinese Medicine,2017,30(06):51.
[10]龚红霞,邱晶.多层螺旋CT门静脉成像在肝硬化中医证型诊断中的应用价值[J].西部中医药,2018,31(12):147.
　GONG Hongxia,QIU Jing.Application Value of Multilayer Spiral CT Portal Vein Imaging in the Diagnosis of TCM Patterns of Liver Cirrhosis[J].Western Journal of Traditional Chinese Medicine,2018,31(06):147.

备注/Memo

备注/Memo:
黄婷霞（1988—），女，硕士学位，主管护师。研究方向：慢病管理及临床护理。上海市“科技创新行动计划”自然科学基金（19ZR1446500）。
更新日期/Last Update: 2023-06-15