[1]蔡 懿.医教协同专科治疗对慢阻肺患者肺功能和疗效的影响[J].医学信息,2023,36(19):110-113.[doi:10.3969/j.issn.1006-1959.2023.19.023]
　CAI Yi.Effect of Medical Education Combined with Specialized Treatment on Pulmonary Function and Efficacy in Patients with Chronic Obstructive Pulmonary Disease[J].Journal of Medical Information,2023,36(19):110-113.[doi:10.3969/j.issn.1006-1959.2023.19.023]
点击复制

医教协同专科治疗对慢阻肺患者肺功能和疗效的影响()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年19期
页码:
110-113
栏目:
论著
出版日期:
2023-10-01

文章信息/Info

Title:
Effect of Medical Education Combined with Specialized Treatment on Pulmonary Function and Efficacy in Patients with Chronic Obstructive Pulmonary Disease
文章编号:
1006-1959（2023）19-0110-04
作者:
蔡 懿
（巴中市中心医院呼吸与危重症医学科，四川 巴中 636000）
Author(s):
CAI Yi
(Department of Respiratory and Critical Care Medicine,Bazhong Central Hospital,Bazhong 636000,Sichuan,China)
关键词:
医教协同专科治疗; 慢阻肺; 肺功能
Keywords:
Medical educational combined specialized treatment; Chronic obstructive pulmonary disease; Lung function
分类号:
R563.9
DOI:
10.3969/j.issn.1006-1959.2023.19.023
文献标志码:
A
摘要:
目的 研究医教协同专科治疗对慢阻肺患者肺功能和临床疗效的影响。方法 选取2021年1月-2022年1月在我院诊治的86例慢阻肺疾病患者为研究对象，采用随机数字表法分为对照组和观察组，各组43例。对照组采用常规治疗，观察组在对照组基础上采用医教协同专科治疗，比较两组临床治疗总有效率、肺功能指标、急性发作次数、6 min步行距离、生活质量（CAT）、呼吸困难评分。结果 观察组治疗总有效率为95.35%，高于对照组的81.40%（P＜0.05）；两治疗后FVC、FEV1、FEV1/FVC%均高于治疗前，且观察组高于对照组（P＜0.05）；两组治疗后急性发作次数均小于治疗前，且观察组小于对照组（P＜0.05）；两组治疗后6 min步行距离均大于治疗前，且观察组大于对照组（P＜0.05）；两组治疗后CAT、呼吸困难评分均低于治疗前，且观察组低于对照组（P＜0.05）。结论 医教协同专科治疗对慢阻肺患者肺功能和疗效具有积极的影响，可提高治疗疗效，改善肺功能，减少急性发作次数，增大6 min步行距离，减轻呼吸困难，提高患者生后质量，具有重要的临床应用价值。
Abstract:
Objective To study the effect of medical educational combined specialized treatment on pulmonary function and clinical efficacy in patients with chronic obstructive pulmonary disease.Methods A total of 86 patients with chronic obstructive pulmonary disease diagnosed and treated in our hospital from January 2021 to January 2022 were selected as the research objects. They were divided into control group and observation group by random number table method, with 43 patients in each group. The control group was treated with routine treatment, and the observation group was treated with medical educational combined specialized treatment on the basis of the control group. The total effective rate of clinical treatment, lung function index, acute attack frequency, 6 min walking distance, quality of life (CAT) and dyspnea score were compared between the two groups.Results The total effective rate of treatment in the observation group was 95.35%, which was higher than 81.40% in the control group (P<0.05). After treatment, FVC, FEV1 and FEV1/FVC% were higher than those before treatment, and those in the observation group were higher than those in the control group (P<0.05). The number of acute attacks in the two groups after treatment was less than that before treatment, and that in the observation group was less than that in the control group (P<0.05). The 6 min walking distance of the two groups after treatment was greater than that before treatment, and that of the observation group was greater than that of the control group (P<0.05). The CAT and dyspnea scores of the two groups after treatment were lower than those before treatment, and those of the observation group were lower than those of the control group (P<0.05).Conclusion Medical educational combined specialized treatment has a positive impact on lung function and efficacy in patients with chronic obstructive pulmonary disease, which can improve the therapeutic effect, improve lung function, reduce the number of acute attacks, increase the 6 min walking distance, reduce dyspnea, and improve the quality of patients after birth, with important clinical application value.

参考文献/References:

[1]张静,尚茜,马利军,等.肺康复治疗中重度稳定期慢性阻塞性肺疾病患者的疗效观察[J].中国呼吸与危重监护杂志,2019,36(4):314-317.[2]代岩,金博,姜乐.糖皮质激素联合特布他林治疗对慢阻肺急性加重期外周血单核细胞PD-1/PD-L1表达的影响[J].中国免疫学杂志,2019,35(13):1621-1626.[3]李正欢,张晓云,陈杨,等.基于2021年GOLD《COPD诊断、治疗与预防全球策略》解析慢性阻塞性肺疾病稳定期非药物管理策略[J].中国全科医学,2022,25(2):131-138.[4]彭显如,黄敏於,赵文驱,等.首诊慢阻肺错失早期诊断时间与疾病严重程度相关[J].南方医科大学学报,2018,38(12):54-58.[5]张云凤,曲玲,吴颖,等.医教协同下全专联合慢阻肺管理模式[J].解放军医院管理杂志,2020,30(12):280-283.[6]刘美璇,张倩,黄建浩,等.白三烯受体拮抗剂(LTRA)对哮喘-慢阻肺重叠(ACO)患者气道炎症的影响及相关机制[J].复旦学报,2018,45(6):852-857.[7]江雁琼,伍慧妍,文艳琼.慢阻肺急性加重期感染病原菌分布与机体免疫功能检测及其临床意义[J].中国病原生物学杂志,2019,25(2):213-216.[8]中华医学会呼吸病学分会慢性阻塞性肺疾病学组,中国医师协会呼吸医师分会慢性阻塞性肺疾病工作委员会.慢性阻塞性肺疾病诊治指南(2021年修订版)[J].中华结核和呼吸杂志,2021,44(3):170-205.[9]魏新萍,邱瑾,潘志刚,等.基于科研的慢性阻塞性肺疾病社区“全专结合”防治模式构建及效果初探[J].中华全科医师杂志,2019,18(1):89－91.[10]朱赵月.稳定期慢阻肺患者全科-专科管理的效果研究[D].遵义:遵义医科大学,2021.[11]中华医学会,中华医学会杂志社,中华医学会全科医学分会,等.慢性阻塞性肺疾病基层诊疗指南(2018年)[J].中华全科医师杂志,2018,17(11):856-87.[12]谭漫琳,简文星,梁秋菊,等.不同评价系统对慢阻肺患者病情及治疗疗效的评估价值[J].南方医科大学学报,2021,15(7):347-350.[13]杨娟,朱慕云.吸气肌群功能康复在慢阻肺患者康复治疗中的作用[J].临床肺科杂志,2018,24(8):471-473.[14]王辉,张庆军,李小丽.盐酸氨溴索联合康复训练对慢阻肺的临床疗效及其对患者肺功能的影响研究[J].海南医学院学报,2020,17(2):333-335.[15]叶亮,张静,史莹,等.基于紧密型医联体的慢阻肺社区防治网络体系建立的临床应用研究[J].临床肺科杂志,2019,24(9):317-319.[16]王雅立,唐欧风,黄晓艳,等.呼吸运动锻炼康复疗法对稳定期慢阻肺患者肺功能、运动耐力及生活质量的影响[J].吉首大学学报,2021,25(11):178-180.[17]周钰焱.慢阻肺常用临床评分差异及其与肺功能相关性研究[D].昆明:昆明医科大学,2020.[18]余保.噻托溴铵对哮喘-慢阻肺重叠综合征的治疗作用及对血清肿瘤坏死因子-α、白细胞介素-6的影响[J].黑龙江医药,2021,23(8):85-87.[19]王炳森.缓解期雾化吸入糖皮质激素的哮喘患者全科治疗及专科治疗的临床效果分析[J].云南医药,2020,22(4):74-76.[20]黄俏雯.基于家庭医生签约服务下三球式呼吸训练器在稳定期慢性阻塞性肺疾病的社区应用及效果评价[D].上海:中国人民解放军海军军医大学,2020. [21]邹菊香.布地奈德对慢性阻塞性肺疾病急性加重期患者IL-8、CRP水平及生活质量的影响[J].中华保健医学杂志,2017,19(4):313-315.

相似文献/References:

[1]黄朝宗.无创呼吸机对慢性阻塞性肺疾病急性加重患者治疗效果的影响[J].医学信息,2018,31(01):112.[doi:10.3969/j.issn.1006-1959.2018.01.042]
　HUANG Chao-zong.Effect of Noninvasive Ventilator on the Treatment of Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease[J].Journal of Medical Information,2018,31(19):112.[doi:10.3969/j.issn.1006-1959.2018.01.042]
[2]温 蕾.复方异丙托溴铵常温雾化与加温雾化治疗 慢阻肺的护理效果分析[J].医学信息,2018,31(06):170.[doi:10.3969/j.issn.1006-1959.2018.06.061]
　WEN Lei.Analysis of Nursing Effect of Compound Ipratropium Bromide Nebulization at Room Temperature and Heating Atomization in Treatment of Chronic Obstructive Pulmonary Disease[J].Journal of Medical Information,2018,31(19):170.[doi:10.3969/j.issn.1006-1959.2018.06.061]
[3]王春艳,平玉卓,赵秀芹,等.协同护理干预对慢阻肺患者预后及自我护理能力的影响观察[J].医学信息,2018,31(13):181.[doi:10.3969/j.issn.1006-1959.2018.13.057]
　WANG Chun-yan,PING Yu-zhuo,ZHAO Xiu-qin,et al.Effect of Cooperative Nursing Intervention on Prognosis and Self-care Ability of Patients with Chronic Obstructive Pulmonary Disease[J].Journal of Medical Information,2018,31(19):181.[doi:10.3969/j.issn.1006-1959.2018.13.057]
[4]鲁 婧,杜 君.肺心病左室舒张功能障碍发病机制的研究进展[J].医学信息,2019,32(04):54.[doi:10.3969/j.issn.1006-1959.2019.04.019]
　LU Jing,DU Jun.Advances in the Pathogenesis of Left Ventricular Diastolic Dysfunction in Pulmonary Heart Disease[J].Journal of Medical Information,2019,32(19):54.[doi:10.3969/j.issn.1006-1959.2019.04.019]
[5]周 笳,董丽霞.阿替普酶联合华法林治疗慢阻肺合并肺栓塞的有效性分析[J].医学信息,2019,32(05):146.[doi:10.3969/j.issn.1006-1959.2019.05.046]
　ZHOU Jia,DONG Li-xia.Efficacy Analysis of Alteplase Combined with Warfarin in the Treatment of Chronic Obstructive Pulmonary Disease with Pulmonary Embolism[J].Journal of Medical Information,2019,32(19):146.[doi:10.3969/j.issn.1006-1959.2019.05.046]
[6]刘伟娜.CD64感染指数、BODE指数与降钙素原在慢阻肺患者中的水平变化[J].医学信息,2019,32(06):125.[doi:10.3969/j.issn.1006-1959.2019.06.039]
　LIU Wei-na.Changes of CD64 Infection Index,BODE Index and Procalcitonin Levels in Patients with Chronic Obstructive Pulmonary Disease[J].Journal of Medical Information,2019,32(19):125.[doi:10.3969/j.issn.1006-1959.2019.06.039]
[7]钟红燕.盐酸氨溴索治疗慢阻肺合并肺部感染的临床效果[J].医学信息,2019,32(12):154.[doi:10.3969/j.issn.1006-1959.2019.12.051]
　ZHONG Hong-yan.Clinical Effect of Ambroxol Hydrochloride in the Treatment of Chronic Obstructive Pulmonary Disease with Pulmonary Infection[J].Journal of Medical Information,2019,32(19):154.[doi:10.3969/j.issn.1006-1959.2019.12.051]
[8]郑 新,张 颖.慢阻肺患者PSQI评分与NLR、PLR、CRP水平及急性加重频率的相关性[J].医学信息,2020,33(12):103.[doi:10.3969/j.issn.1006-1959.2020.12.031]
　ZHENG Xin,ZHANG Ying.Correlation of PSQI Score with NLR,PLR,CRP Level and Frequency of Acute Exacerbation in COPD Patients[J].Journal of Medical Information,2020,33(19):103.[doi:10.3969/j.issn.1006-1959.2020.12.031]
[9]田 芳.叙事护理对COPD患者负性情绪和呼吸症状群管理的效果[J].医学信息,2020,33(19):178.[doi:10.3969/j.issn.1006-1959.2020.19.058]
　TIAN Fang.The Effect of Narrative Nursing on the Management of Negative Emotion and Respiratory Symptoms in COPD Patients[J].Journal of Medical Information,2020,33(19):178.[doi:10.3969/j.issn.1006-1959.2020.19.058]
[10]李 婷.呼吸功能锻炼联合饮食护理干预对COPD生活质量的影响[J].医学信息,2021,34(01):188.[doi:10.3969/j.issn.1006-1959.2021.01.053]
　LI Ting.Effect of Respiratory Function Exercise Combined with Diet and Nursing Intervention on Life Quality of Chronic Obstructive Pulmonary Disease[J].Journal of Medical Information,2021,34(19):188.[doi:10.3969/j.issn.1006-1959.2021.01.053]

更新日期/Last Update: 1900-01-01