慢性阻塞性肺疾病稳定期患者网络管理平台的应用探讨

Application of network management platform in stable chronic obstructive pulmonary disease patients

目的探讨基于互联网平台的慢性阻塞性肺疾病(COPD)稳定期患者管理模式的应用效果。方法选取2019年12月至2021年5月杭州市临安区第一人民医院574例COPD稳定期患者作为研究对象,根据患者意愿分为实验组(参与网络平台管理,n=423)与对照组(不参与网络平台管理,n=151)。比较两组肺功能指标[第1秒用力呼气容积(FEV1)占正常预计值的百分比(FEV1%pred)、每分钟最大自主通气量(MVV)占正常预计值的百分比(MVV%pred)、FEV1占用力肺活量比值(FEV1/FVC)]、COPD自我评估测试(CAT)评分及急性加重次数。结果管理后,实验组FEV1/FVC、FEV1%pred和MVV%pred均高于管理前与对照组,差异有统计学意义(P<0.05);对照组FEV1/FVC、FEV1%pred和MVV%pred与管理前比较差异无统计学意义。管理后,两组CAT评分均低于管理前,且实验组低于对照组,差异有统计学意义(P<0.05)。18个月内,实验组共发生急性加重332次,人均次数为0.78次;对照组发生193次,人均次数为1.28次;实验组人均次数少于对照组。结论基于互联网平台的管理模式,可提高COPD患者自我管理能力,改善肺功能,减少急性加重发作次数,值得推广应用。

Objective To explore the application effect of management mode of patients with stable chronic obstructive pulmonary disease(COPD)based on Internet platform.Methods A total of 574 patients with stable COPD in the First People's Hospital of Lin'an District,Hangzhou City from December 2019 to May 2021 were selected as the research subjects,they were divided into the experimental group(participating in network platform management,n=423)and the control group(not participating in network platform management,n=151)according to the patients'wishes.The pulmonary function indexes(forced expiratory volume in one second[FEV1]as a percentage of normal predicted value(FEV1%pred),maximum voluntary ventilation[MVV]as a percentage of normal predicted value[MVV%pred],FEV1/forced vital capacity[FEV1/FVC]),COPD assessment test(CAT)score and the number of acute exacerbations were compared between the two groups.Results After management,the FEV1/FVC,FEV1%pred and MVV%pred in the experimental group were higher than those before management and the control group,and the differences were statistically significant(P<0.05);there were no significant differences in FEV1/FVC,FEV1%pred and MVV%pred before and after management in the control group.After management,the CAT scores of the two groups were lower than those of the manager,and the experimental group was lower than the control group,the differences were statistically significant(P<0.05).Within 18 months,332 acute exacerbations occurred in the experimental group,with an average of 0.78 times per capita,193 times occurred in the control group,with a per capita frequency of 1.28 times;the average number of per capita in the experimental group was less than that in the control group.Conclusion The management mode based on the Internet platform can improve the self-management ability of COPD patients,improve lung function,and reduce the number of acute exacerbations,it is worthy of popularization and application.