慢性阻塞性肺疾病的社区康复新模式初探

New Model of Community Rehabilitation on Chronic Obstructive Pulmonary Disease

目的探讨慢性阻塞性肺疾病(COPD)稳定期在社区康复的模式。方法对辖区内建立健康档案的COPD患者进行分级管理和康复指导,包括戒烟、呼吸操运动训练、家庭氧疗、支气管扩张药物的使用等,一年后统计康复效果。结果经康复管理,COPD患者的急性发作次数、自觉气短症状、体重指数与康复前比较差异均有显著性意义(P<0.05)。结论社区康复是COPD患者综合治疗中的重要环节,康复训练能增强体质,减轻症状,从而提高生活质量。

Objective To approach the model ot community rehabilitation Ior the patients with chromc obstructive pulmonary disease （COPD） during the remission stage, Methods The grade-based management and rehabilitation instruction were conducted for the patients with COPD whose health record had been established in community, including giving up smoking, breath exercise training, oxygen therapy in family, bronchodilator usage, The rehabilitation effect was analyzed one year later, Results Through rehabilitation management, the COPD patients had significantly statistic improvement in acute episode, subjective symptom of shortness of breath and body mass index as compared with pre-rehabilitation （P 〈0.05）. Conclusion The community rehabilitation management is an important link in comprehensive therapy for patients with COPD, it can strengthen physique, relieve the clinical symptoms and improve the life quality.