The Effect That The Measure Of Strengthening Spleen And Nursing Kidney Treat To Malnutrition Caused By COPD Disease

Objective:Using Gu ben shengjinye which prepared by ourselves to treat the COPDpatients who are proved to have weak symptoms of the spleen and kidney, andcomparing with the diet instruction treatment group, we are intended toprobe into the effect that the measure of strengthening spleen and nursingkidney treat to malnutrition caused by COPD disease.Method:The object of 60 study examples totally, was divided into two groupsat random, 30 examples called the treatment group, 30 examples called thecompared group. Method of treatment: The compared group were treated withthe diet instruction only, the treatment group were treated with both ofGu benshengjinye and diet instruction. Two groups of treatment courses are2 months, two groups of patients simultaneously accept the COPD conventiontreatment. Grade to two groups of clinical symptom before and after thetreatment and compare their targets of the lung function, the bodymeasurement, the life quality, theserum albumin, the lymphocyte and thepartial immunity target and so on. All data ((?)±s) indicated by the meanvalue±standard deviation, group comparison: Variance even use two groupof independent sample T-tests, variance uneven use order and examination;before and after the treatment comparison uses the pair sample the T-test,the counting material uses x~2 the examination. The analysis completes bythe SPSS12.0 software package.Result:1. Comparison against curative effect: Two groups of total effectivenessrespectively are: The treatment group 90％, the compared group 73％, twogroups of comparisons have significant difference, P＜0.05.2. In improvement cough, expectorate, respite short of breath, chest stuffy, god weary lazy word, symptom aspects, waist knee worn out and aching aroundand so on, two groups compared within group have significant difference(P＜0.05), after the treatment comparison between the group, the treatmentgroup surpasses the compared group obviously (P＜0.01).3. Human body observed value result: In the aspect of body weight/idealbody weight (％) improvement, the treatment group surpasses the comparedgroup (P＜0.05).In the aspect of the arm myo- to encircle improvement andthe brachium tricep skin pleat thickness, two groups compared within thegroup and between the groups have no significant difference (P＞0.05).4. Immunity target: Before and after the treatment, two group of ALB, TLC,TRF, IgG, IgA content have increased in the varying degree, but thetreatment group surpasses the compared group, which has statisticssignificance (P＜0.05), although IgM also have increased, butnon-statistics significance (P＞0.05).5. Quality of life: After the process treatment, the treatment group' sscore of TMS, F1S, F2S, F4S and so on, are not obviously increasing,compared with that before the treatment, the difference does not have thesignificance (P＞0.05); After the process treatment, the compared group' sscore of TMS, F4S and so on, are increasing, compared with that beforethe treatment, two groups compared within group have significant difference(P＜0.05).6. Lung function: After the treatment, compared the lung function betweentwo groups, in the aspect of the improvement makes an effort the vitalcapacity to account for the predicted value proportion (FVC/Pre％), asecond quantity accounts for the predicted value proportion (FEV1/Pre％),the highest expiration speed of flow accounts for the predicted valueproportion (PEF/Pre％), the treatment group surpass the compared group, hasthe significant difference (P＜0.05); In the aspect of one second rateimprovement (FEV1/FVC％)t, the comparison between 2 groups has nosignificant difference.Conclusion:1. Gu benshengjinye can obviously improve the spleen and kidney two emptychronicity blocking lung disease malnutrition patient's clinical symptom,the clinical curative effect surpasses the comparison group.2. The measure of strengthening spleen and nursing kidney can improvemalnutrition situation in certain degree, enhance immunity and strengthen lung function.3. The measure of strengthening spleen and nursing kidney can delaythedowntrend on life quality of COPD patient which is caused by the diseasenatural advancement, it has the possibility toimprove life quality aftera longer time medication.