首页|规范化管理在慢性阻塞性肺疾病缓解期患者中的应用效果

规范化管理在慢性阻塞性肺疾病缓解期患者中的应用效果

扫码查看
目的 分析规范化管理在慢性阻塞性肺疾病(COPD)缓解期患者中的应用效果.方法 选取2019年6月至2020年5月在泰州市第四人民医院明确诊断为COPD缓解期并加入"慢阻肺之家"的 120 例患者作为研究对象,在常规治疗方案基础上给予规范化管理,包括肺康复指导、吸入装置操作培训、流感、肺炎疫苗督导、健康宣教等.结果 管理后6 个月、1年,患者的慢性阻塞性肺疾病评估测试(CAT)评分、6 min步行试验(6MWT)距离、第 1 秒用力呼气容积/用力肺活量(FEV1/FVC)及第 1 秒钟用力呼气容积占预计值的百分比(FEV1%pred)均明显优于管理前(P<0.05).管理后 1 年内,患者急性加重次数少于管理前 1 年内,因COPD急性加重再次住院率明显低于管理前1年内(P<0.01).管理后6个月、1年,患者的吸入装置使用正确率均高于管理前(P<0.05).结论 规范化管理可显著改善COPD缓解期患者的肺功能,促进疾病恢复,减少住院次数.
Application effect of standardized management in patients with chronic obstructive pulmonary disease in remission stage
Objective To analyze the application effect of standardized management in patients with chronic obstructive pulmonary disease(COPD)in remission stage.Methods From June 2019 to May 2020,120 patients who were clearly diagnosed as COPD in remission stage in Taizhou Fourth People's Hospital and joined the"COPD home"were selected as the research objects.The subjects were given standardized management on the basis of routine treatment,including lung rehabilitation guidance,inhalation device operation training,influenza,pneumonia vaccine supervision,health education and so on.Results At 6 months and 1 year after management,the Chronic Obstructive Pulmonary Disease Assessment Test(CAT)score,6-min walking test(6MWT)distance,forced expiratory volume in one second/forced vital capacity(FEV1/FVC)and percentage of predicted forced expiratory volume in one second(FEV1%pred)of patients were significantly better than those before management(P<0.05).Within 1 year after management,the number of patients with acute exacerbations was less than that within 1 year before management,and the rate of re-hospitalization due to acute exacerbation of COPD was significantly lower than that within 1 year before management(P<0.01).At 6 months and 1 year after management,the correct rate of inhalation device use was higher than that before management(P<0.05).Conclusion Standardized management can significantly improve the lung function of patients with COPD in remission stage,promote disease recovery,and reduced the number of hospitalizations.

chronic obstructive pulmonary diseasestandardized managementlung function

丁荣、张勇、吴凌华

展开 >

泰州市第四人民医院呼吸与危重症医学科,江苏 泰州,225300

慢性阻塞性肺疾病 规范化管理 肺功能

海陵区科技项目

HLKF-2019-4

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(26)