戒烟与防止被动吸烟在慢性阻塞性肺疾病患者中的应用效果

Effect of smoking cessation and passive smoking prevention in patients with chronic obstructive pulmonary disease

目的探讨戒烟与防止被动吸烟在慢性阻塞性肺疾病患者中的应用效果。方法选取2016年3月~2017年12月我院收治的300例慢性阻塞性肺疾病患者作为研究对象,根据患者收治时间顺序从1~300依次编号,单数编号患者被分为对照组,双数编号患者被分为实验组,每组150例。对照组予以传统治疗,实验组在对照组基础上予以戒烟与防止被动吸烟干预。比较两组患者的临床症状积分、肺功能指标、治疗效果以及出院后3个月的随访。结果治疗前,两组患者的临床症状积分的比较,差异无统计学意义(P>0.05)。治疗后,实验组患者的临床症状积分明显少于对照组,差异有统计学意义(P<0.05)。两组患者治疗前肺功能指标的比较,差异无统计学意义(P>0.05)。经过治疗,实验组患者的肺功能指标明显高于对照组,差异有统计学意义(P<0.05)。实验组患者的治疗总有效率明显高于对照组,差异有统计学意义(P<0.05)。出院后3个月,实验组患者出现疾病复发24例,对照组患者出现疾病复发41例,观察组患者的疾病复发率为21.05%(24/114),低于对照组的67.21%(41/61),差异有统计学意义(χ2=36.27,P=0.00)。结论戒烟与防止被动吸烟干预对改善慢性阻塞性肺疾病患者肺功能和降低发病率具有积极影响,可在今后临床中进一步推广实施。

Objective To explore the effect of smoking cessation and prevention of passive smoking in patients with chronic obstructive pulmonary disease.Methods A total of 300 patients with chronic obstructive pulmonary disease admitted to our hospital from March 2016 to December 2017 were selected as research objects.According to the time sequence of patients admitted,patients with odd numbers were divided into control group and patients with even numbers were divided into experimental group,with 150 cases in each group.The control group was given traditional treatment,and the experimental group was given smoking cessation and passive smoking prevention intervention on the basis of the control group.The clinical symptom score, pulmonary function index, treatment effect and 3 months follow-up after discharge were compared between the two groups.Conclusion Before treatment, there was no statistically significant difference in the scores of clinical symptoms between the two groups（P〉0.05）.After treatment,the scores of clinical symptoms in experimental group were significantly less than those in control group,and the difference was statistically significant（P〈0.05）.There was no significant difference between the two groups in lung function indexes before treatment（P〈0.05）.After treatment,the pulmonary function index of the experimental group was significantly higher than that of the control group,and the difference was statistically significant（P〈0.05）.The total effective rate of patients in the experimental group was significantly higher than that in the control group（P〈0.05）.Three months after discharge,there were 24 cases of disease recurrence in the experimental group and 41 cases of disease recurrence in the control group.The disease recurrence rate in the observation group was 21.05 %（24/114）,it was lower than 67.21 %（41/61） in the control group,and the difference was statistically significant（χ2=36.27,P=0.00）.Conclusion smoking cessation and prevention of passive smoking intervention have positive effects on improving lung function and reducing morbidity in patients with chronic obstructive pulmonary disease,which can be further promoted and implemented in clinical practice in the future.