应用圣乔治呼吸问卷评价舌下谷胱甘肽对慢性阻塞性肺病患者生活质量的影响

Ali H. Farag, Wassan A. Abass, Hyder S. Qassem
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摘要

背景:慢性阻塞性肺疾病(COPD)是一种气道慢性炎症性疾病,伴有气道狭窄和气流阻塞,导致呼吸困难、日常活动受损和生活质量下降。患者与方法:将50例诊断为COPD的患者分为两组,第一组25例患者给予富马酸福莫特罗12微克吸入器常规治疗,每日2次;第二组25例患者给予舌下谷胱甘肽(300 mg/ 2次,每日)常规治疗,疗程2个月。分别在治疗后1个月和2个月测量两组患者的圣乔治呼吸问卷(SGRQ)。研究目的:本研究旨在评估COPD患者舌下谷胱甘肽补充治疗后使用SGRQ对生活质量的改变。结果与结论:治疗2个月后,两组患者SGRQ均值均较治疗前显著升高(P<0.01)。两组COPD患者治疗2个月后SGRQ均有极显著改善,干预组改善更为显著,这可能提示在COPD患者常规治疗方案中添加谷胱甘肽舌下给药补充剂的有益效果。
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Evaluation the Effect of Sublingual Glutathione on the Quality of Life in COPD Patient by Using Saint George respiratory questionnaire
Background: Chronic obstructive pulmonary disease (COPD)  is  a  chronic  inflammatory  disorder  of  the  airways associated  with  airway  narrowing  with  airflow  obstruction  leading to difficulty in breathing impair daily activity and cause poor quality of life. Patients  and  methods:  Fifty  patients whom  diagnosed with COPD are divided into   two  groups,  1st control group  includes  25 patients  assigned  to  receive  conventional  therapy of Formoterol fumarate 12 microgram inhaler twice daily,  and 2nd interventional group also includes  25  patients  assigned  to  receive  conventional  therapy with  (300 mg/ 2 times daily)   sublingual glutathione  for  two months. Saint George respiratory questionnaire (SGRQ) were  measured  before and after  first and second months after treatment  in  both  study groups. Aim  of  the  study: This  study  was  object to  assess the  changes  in quality of life by using SGRQ following sublingual glutathione supplements  therapy in COPD patients. Results and conclusion: After  two months  treatment ,  the  mean  values  of  SGRQ showed a significant  increase  compared  to  pre-treatment levels in  both  groups  (P<0.01).  There  was  highly  significant  improvement  in SGRQ in both  COPD  patients  groups after 2 months of treatment with much significant improvement in intervention group which may indicate the beneficial effects of adding glutathione sublingually administered supplements in COPD patients conventional therapeutic regiment.
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