医院与社区联合诊治慢性阻塞性肺疾病的体会

Hospital and Community Joint Diagnosis and Treatment of Chronic Obstructive Pulmonary Disease

目的:探讨69例COPD患者经医院诊疗后转社区卫生服务站后续治疗的治疗效果。方法:本院自2008年8月-2012年6月共收治COPD患者69例,经医院治疗后病情较稳定而转来社区卫生服务站,在社区卫生服务站经吸氧、支气管扩张剂雾化吸入、糖皮质激素及一般对症支持等治疗,观察疗效。结果:显效38例,有效19例,12例因并发气胸或肺心病、心衰而转去医院,经医院治疗好转出院10例,死亡2例。结论:慢性COPD可防可治,通过社区与医院双向转诊,可获得较好的社会效益和经济效益。

Objective： To study the 69 COPD patients turn after the hospital diagnosis and treatment of community health service station for follow-up treatment effect. Method： In our hospital from August 2008 to June 2012 treated 69 COPD patients, after hospital treatment for the illness was stable and turn to community health service stations, in community health service station by oxygen, bronehodilator atomization inhalation, glucocorticoid and general support therapy, observation curative effect. Result： 38 cases were markedly improved, effective 19 cases, 12 cases were complicated with pneumothorax or lung, heart failure and turned to the hospital, the hospital treatment of 10 patients were improved, 2 cases died. Couelusiorl： Chronic COPD can remedy, through community and two-way referral hospital, and can obtain good social benefits and economic benefits.