摘要
目的 为了减少慢性阻塞性肺疾病(COPD)患者急性发作的频率和提高患者的生活质量。方法 40例符合COPD诊断标准的患者来自本院门诊病人,随机分为2组。一组进行综合干预(治疗组)包括COPD知识的宣传教育,肺炎疫苗的接种,定期得到医生的主动治疗和咨询,同时吸人布地奈德400μg/d,福莫特罗9~18μg/d,必要的家庭氧疗等。另一组维持一般治疗(对照组)。结果干预组的住院率由干预前19%下降为5%有显著性差异(P〈0.05),干预组的急性加重住院时间12±4.4d,较对照组19.24±12.2d,有显著差异(P〈0.05)。干预组戒烟8例(40%),较对照组3例(15%),有显著差异(P〈0.05)。干预组生命质量评分低于对照组,2组比较差异有显著性意义(P〈0.05)。结论 对COPD患者的宣教是有益的,综合干预是阻止疾病进展的关键环节。
Objective To improve the quality of life and to decrease the frequency of acute exacerbation in patients with chronic obstructive pulmonary disease. Methods Clinical data of 40 patients who have met the requirements as indicated in the guideline of COPD ( respiratory division of Chinese Medical Association) from our hospital were collected. The patients were randomly divided into two groups. One group used systemic interference (observation group), including COPD education, pneumonia vaccine injection, direct instruction and consultation from doctors, budesonide inhaling of 400 μg/d, formoterol 9 -18 μg/d, among others. The other group didn' t receive systemic interference (control group), having been given medication only on patient's demand. Results There existed group difference in the smoking - abating rate: 40% in the observation group and 15 % in the control group ( P 〈 0. 05). The frequency of acute exacerbation decreased. The group difference was also manifested in hospital stay:The observation group had the mean of 12 ( ±4.4 days) and the control group of 19. 24 ( ± 12. 2 days) (P 〈 0. 05 ). The quality of life was significantly improved more in the intervention group as compared with that in the control group. Conclusion Patients' education is beneficial to the patients with COPD and systemic interference is much better than simple treatment as demanded by patients.
出处
《临床肺科杂志》
2007年第5期453-454,共2页
Journal of Clinical Pulmonary Medicine