督导戒烟及肺康复对慢阻肺患者肺功能及戒烟效果的影响

A Study on the Effects of Smoking Cessation and Lung RehaBilitation on Lung Function and Smoking Cessation in COPD Patients

目的研究督导戒烟及肺康复对吸烟慢阻肺患者的作用及临床价值。方法收集2018年6月至2019年8月在昆明市第一人民医院呼吸与危重症医学住院的有长期吸烟史,入组时未戒烟男性慢阻肺患者的年龄、身高等一般资料及肺功能指标。按照顺序原则随机分为对照组(自行意志力戒烟),督导组(督导戒烟,COPD及肺康复知识宣教)。比较两组患者一般资料及肺功能指标(出院1周,半年)的差异及吸烟支数变化。结果两组患者半年后随访,吸烟支数[督导组(11±11.995)支,对照组(17.1±11.784)支],均有下降,差异有统计学意义(P<0.05)。半年后,两组比较,督导组优于对照组,差异有统计学意义(P<0.05)。FEV1预计值(%)[督导组(71.14±14.077)%,对照组(65.20±14.028)%],督导组上升,差异有统计学意义(P<0.05),对照组下降,差异无统计学意义。半年后,2组比较,督导组优于对照组,差异有统计学意义(P<0.05)。FEV1[督导组(1.656±0.4708)L,对照组(1.462±0.4637)L],督导组上升,差异无统计学意义(P>0.05),对照组下降,差异无统计学意义(P>0.05)。半年后,2组比较,差异有统计学意义(P<0.05)。FVC[督导组(3.0144±0.5326)L,对照组(2.9118±0.5048)L],督导组上升,对照组下降,差异无统计学意义(P>0.05)。半年后,两组比较,差异无统计学意义(P>0.05)。结论对吸烟COPD患者进行督导戒烟及肺康复,能减少患者吸烟支数,提高戒烟成功率,能很好的延缓,甚至改善部分患者的肺功能,临床疗效显著。

Objective To study the effect and clinical value of supervised quitting smoking and lung rehabilitation on patients with chronic obstructive pulmonary smoking.Methods The general data and pulmonary function indexes of male patients with chronic obstructive pulmonary disease(COPD)who had been hospitalized in our department from June 2018 to August 2019 were collected.According to the principle of order,they were randomly divided into control group and supervised group.The differences of general data,lung function indexes(1 week,half year)and smoking expenditure were compared.Results After six months of follow-up,the number of cigarrette[supervised group(11±11.995)and control group(17.1±11.784)]decreased,and the difference was statistically significant(P<0.05).Half a year later,compared with the two groups,the supervised group smoked much less than the control group,and the difference was statistically significant(P<0.05).Estimated FEV1(%)[supervised group(71.14±14.077%)and control group(65.20±14.028%)]were different,with statistically significant difference(P<0.05).Half a year later,compared with the two groups,the supervised group was superior to the control group,and the difference was statistically significant(P<0.05).FEV 1(supervised group supervised group 1.656±0.4708)L,control group(1.462±0.4637)L)showed no significant difference(P>0.05).The control group decreased,and the difference was not statistically significant(P>0.05).Half a year later,the difference between the two groups was statistically significant(P<0.05).FVC[supervised group(3.0144±0.5326)L,control group(2.9118±0.5048)L]in the supervised group increased,control group decreased,and the difference was not statistically significant(P>0.05).Six months later,there was no significant difference between the two groups(P>0.05).Conclusion The supervision of quitting smoking and lung rehabilitation in patients with smoking COPD can reduce the number of cigarette,improve the success rate of quitting smoking,delay and even improve the pulmonary function of some patients,and the clinical effect is remarkable.