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The Evaluation Of Quality Of Life On Chronic Phase Patients With Gouty Arthritis Treated By Therapy Combined Traditional Chinese Medicine And Western Medicine

Posted on:2012-07-12Degree:MasterType:Thesis
Country:ChinaCandidate:W C WangFull Text:PDF
GTID:2154330335967997Subject:TCM clinical basis
Abstract/Summary:PDF Full Text Request
Objection:The gout belongs to a kind of Pa disease (Li Jie disease) in the traditional Chinese medicine, it is metabolized mess and (or) uric acid to excrete decrease or uric acid to generate increase because of purine, cause uric acid concentration in blood over high, spark the uric acid sodium salt crystalline's deposition at the joint, cartilage, slippery bag liquid, muscle Jian or a kind of inflammation disease in the soft organization. The pathological changes often infringes upon joint, kidney etc. organization and be taken bad age much at 40 years old above, fall ill rate raise along with the age, economic development and The life habitually transforms, men and women of compare for 20:1, majority of female patients for unique through post women, often be taken bad in spring, autumn knot. This search purpose is in the Wu in the middle of the objective appraisal doctor wedge bonding treat the gout arthritis chronic expect the sufferer's quality of life appraisal, for raise origin disease dialectics theory cure horizontal to provide basis.Methods:Accumulate 70 gout arthritis sufferer conduct and actions in match in the rheumatism specialty unit in the no 1 affiliated hospital traditional Chinese medicine university of Guangzhou as tried object in March from 2010 to 2011. In the 70 test-receivers, the male is 59, female 11;The age is 18-70 years old. Adopt a random collate law to be divided into treatment set (conbined treatment of traditional Chinese medicine and western medicine) and matched control group (medical doctor treatment). Press the existence SF-36 mass questionnaire cure to give to review to measure respectively before and after, and as to it's review to measure a result progress comparative analysis.Results:This search result suggests, the ratio of the treatment set and matched control age result:P's value 0.195 is bigger than to confidence level 0.05;The ratio of men and women's sex is worth to 0.744 to be far larger than 0.05, means treatment set and matched control the sufferer constitutes aspect to have comparability in the age and the sex. Before curing two sets of MCS (mental component summary) four dimensions (included vitality VT, social function SF and role-emotional RE and mental health MH) and PCS((physical component summary) four dimension physical functioning(PF)and role-physical (RP) and body pain (BP) and generaly healthy (GH) compositionses. Through independent sample T test, the result display that grade point statistics' inspecting to be worth is aller obviously bigger than the setup point of confidence level 0.05, its discrepancy as well has no statistical significance. It means that two sets of sufferers treatment before are fundamental balancings in the aspects of including the VT and SF and RE and MH and PF and RP and BP and GH. Through the independent sample T test after curing shows that, two sets of treatment schemes proved have good effect on PF, RP, BP, GH and SF, At the same time through treatment set scheme the sufferer after curing compare matched control scheme treatment post of the sufferer obtained better quality of life at above 5 aspects. Two sets of sufferers at RE and MH and VT aspects don't improve obviously.Conclusion:This search aims at the conbined treatment of traditional Chinese medicine and western medicine contrast the pure medical doctor treatment on gout arthritis chronic to expect a sufferer in the study quality of life, We investigate and analysis the case of hospitalized clinical sufferer's disease, synthesizing all analysis of datas make the conclusion that the conbined treatment of traditional Chinese medicine and western medicine more than simple medicine doctor treatment on gout an arthritis to have positive curative effect in the aspects of improving a sufferer quality of life. Particularly there is better curative effect in the five aspects--PF, RP and BP, GH and SF, because of after the treatment the instauration of healthy condition as to it's the impersonation(for instance the source of father, family income) of physiology function(for instance run about, up and down stairs), these function have a direct and apparent exaltation; But for RE and MH and VT three aspects then improve anti obviously.
Keywords/Search Tags:Gout, uric acid, Purine, Quality of life, SF-36 health sur
PDF Full Text Request
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