| ObjectivesBy way of study untreated chronic hepatitis B patients, the suffers with Integrative Western Medicine and Chinese Medicine treatment, and only with Chinese Medicine treatment suffers, we can evaluate their quality of lives initially, and built quality of life evaluation system with Chinese characteristics, which is suitable for community.MethodsBy means of clinical epidemiology, DME, quoting chronic liver disease quality of life questionnaire-based Scale Branch of Guangdong Provincial Hospital of liver disease in patients with untreated chronic hepatitis B; for taking medicine, Integrative Medicine in patients≥1 year cross-sectional survey conducted quality of life. Information on the use of SPSS17.0 software using chi-square analysis, variance analysis, gradual regressive analysis.Results1. The basic characteristics of patientsNo treatment group:63 males,72 female patients, male to female ratio is:3.2:1, the oldest 70 years old, minimum 18 years old, mean age 37.29±14.37 years, the longest duration of 31 years and the shortest 1, the average 14.59±6.87 years; Chinese Medicine group of 64 cases of male, female 46, male to female ratio is:1.39:1, the oldest 69 years old, minimum of 19 years, mean age 36.68±13.26 years, the longest duration of 36 years and the shortest 1, the average 13.86±6.98 years; Integrative Medicine group of 66 males and 60 cases female, male to female ratio is:1.1:1, the oldest 57 years old, minimum 18 years old, mean age 36.21±12.75 years, the longest duration of 31 years and the shortest 4, the average 17.36±8.56X years; three groups of gender, age, mean disease duration was no significant difference between (P> 0.05), three groups were quite comparable.2. Three groups of patients with chronic hepatitis B Comparison of quality of lifeThe traditional Chinese medicine treatment group compared with the untreated group; in the abdominal symptoms (AS) average were 16.88±2.97., 11.17±1.002, sleepy (FA) 23.73±5.18,14.9±1.78, system symptoms (SS) 26.6±4.27,15.55±2.18, activity (AC) 16.67±3.51,10.93±1.28, emotional (EF) 41.85±7.07,34.38±4.92, anxiety (WO) 26.27±5.66,20.55±3.78, average dimension score 152.02±23.0,107.48±8.33, the results of each dimension and total average score of traditional Chinese medicine treatment group was significantly higher than the untreated group, The difference was statistically significant t test (P value<0.05). That Chinese medicine to improve the quality of life in patients with chronic hepatitis B has a unique advantage.In the combination therapy group and untreated group in the abdominal symptoms (AS) average were 18.93±2.10,11.17±1.002, sleepy (FA) 25.29±3.79,14.9±1.78, system symptoms (SS) 30.43±1.81,15.55±2.18, activity (AC) 17.45±2.59,10.93±1.28, Total average 154.26±14.89,107.48 dimension±8.33, the results of each dimension and total average score of traditional Chinese medicine treatment group was significantly higher than the untreated group, the difference was statistically significant t test (P value<0.05). emotional (EF) 38.7±5.87,34.38±4.92 Anxiety (WO) 23.45±4.83,20.55±3.78, a few differences between the two groups was not significant (P value> 0.05).The Chinese medical treatment group and in the combination therapy group compared with the abdominal symptoms (AS) average were 16.88±2.97,18.93±2.10, system symptoms (SS) 26.6±4.27,30.43±1.81, emotional (EF) 41.85±7.07,38.7±5.87, results in above average dimensions of combination therapy treatment was significantly higher than Chinese medicine treatment group, the difference was statistically significant t test (P value<0.05). Sleepy (FA) 23.73±5.18,25.29±3.79, activity (AC) 16.67±3.51,17.45±2.59, anxiety (WO) 26.27±5.66,23.45±4.83, average dimension score 152.02±23.0,154.26±14.89, a few differences between the two groups was not significant (P value> 0.05). 3. Patients with chronic hepatitis B quality of life factorsThis study shows that:gender and abdominal symptoms(AS),system symptoms (SS) has a negative correlation, scores of male patients than female patients, but no correlation in other areas. age, no correlation at all on every aspects. Marital, emotional (EF), anxiety (WO) has a positive correlation, while no correlation in other areas. Education level and system symptoms (SS) has a positive correlation, indicating that the higher education level, system symptoms higher scores, quality of life better; Professional no correlation in all aspects. Types of medical expenses in the total score, anxiety (WO) has a positive correlation. Course of the disease has a negative correlation with exhausted (FA), anxiety (WO) the longer the duration, the lower the score, the lower quality of life. ConclusionThe results show that the interference of Chinese medicine to improve different aspects of life in patients with chronic hepatitis B quality. Chinese medicine has fewer side effects and low cost, simple operation and other advantages and is worthy of promotion. It provides evidence and scientific reference for clinical development of efficient, safe and convenient operation standard clinical evaluation. |
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