慢性阻塞性肺疾病作为呼吸系统疾病的常见病、多发病,其患病率、致残率和死亡率也非常高。然而,在慢性阻塞性肺疾病的诊治中存在一定的问题。本文通过六大模块实现了慢阻肺数据平台的框架建设,提出了平台建设的意义。通过平台的建设,在...慢性阻塞性肺疾病作为呼吸系统疾病的常见病、多发病,其患病率、致残率和死亡率也非常高。然而,在慢性阻塞性肺疾病的诊治中存在一定的问题。本文通过六大模块实现了慢阻肺数据平台的框架建设,提出了平台建设的意义。通过平台的建设,在患者的闭环化管理、患者及家属对疾病管理的依从性、稳定期管理及研究慢阻肺管理新模式方面有着重要的应用前景。平台的建设和应用只是慢阻肺研究和探索的开始,未来也期望通过平台的建设和探索,实现医院间患者的同质化管理、慢阻肺患者的个体化精准化管理,不断培养临床医生研究思维和研究能力,推动慢性阻塞性肺疾病的诊治新发展。Chronic obstructive pulmonary disease (COPD), as a common and frequently-occurring respiratory disease, has a very high morbidity, disability and mortality rate. However, there are some problems in the diagnosis and treatment of chronic obstructive pulmonary disease. This paper realizes the framework construction of COPD data platform through six modules and puts forward the significance of the platform construction. Through the construction of the platform, it has an important application prospect in the closed-loop management of patients, the compliance of patients and their families to disease management, the management of stable period and the research of a new model of COPD management. The construction and application of the platform is only the beginning of COPD research and exploration. In the future, it is also expected that through the construction and exploration of the platform, homogenized management of patients between hospitals and individualized and precise management of COPD patients can be achieved, and clinicians’ research thinking and research ability can be continuously cultivated to promote the new development of the diagnosis and treatment of chronic obstructive pulmonary disease.展开更多
文摘目的 分析俯卧位通气(Prone position ventilation,PPV)在中重度急性呼吸窘迫综合征(Acute Respiratory Distress Syndrome,ARDS)患者中的应用价值。方法 选取61例ARDS患者为研究对象,采用随机数字表法分为对照组30例和观察组31例。对照组行仰卧位通气(supine position ventilation,SPV)治疗,观察组行自制俯卧位通气装置实施俯卧位通气(prone position ventilation,PPV)治疗。对比两组氧合指数、呼吸力学参数、APACHEⅡ评分情况。结果观察组患者通气后1、2、3 d氧合指数高于对照组,差异有统计学意义(P<0.05)。观察组呼吸力学参数、APACHEⅡ评分均显著优于对照组(P<0.05)。结论 使用自制俯卧位通气装置对重症ARDS患者行PPV治疗,能够显著改善患者氧合状态、呼吸力学参数和APACHEⅡ评分,值得推广应用。
文摘慢性阻塞性肺疾病作为呼吸系统疾病的常见病、多发病,其患病率、致残率和死亡率也非常高。然而,在慢性阻塞性肺疾病的诊治中存在一定的问题。本文通过六大模块实现了慢阻肺数据平台的框架建设,提出了平台建设的意义。通过平台的建设,在患者的闭环化管理、患者及家属对疾病管理的依从性、稳定期管理及研究慢阻肺管理新模式方面有着重要的应用前景。平台的建设和应用只是慢阻肺研究和探索的开始,未来也期望通过平台的建设和探索,实现医院间患者的同质化管理、慢阻肺患者的个体化精准化管理,不断培养临床医生研究思维和研究能力,推动慢性阻塞性肺疾病的诊治新发展。Chronic obstructive pulmonary disease (COPD), as a common and frequently-occurring respiratory disease, has a very high morbidity, disability and mortality rate. However, there are some problems in the diagnosis and treatment of chronic obstructive pulmonary disease. This paper realizes the framework construction of COPD data platform through six modules and puts forward the significance of the platform construction. Through the construction of the platform, it has an important application prospect in the closed-loop management of patients, the compliance of patients and their families to disease management, the management of stable period and the research of a new model of COPD management. The construction and application of the platform is only the beginning of COPD research and exploration. In the future, it is also expected that through the construction and exploration of the platform, homogenized management of patients between hospitals and individualized and precise management of COPD patients can be achieved, and clinicians’ research thinking and research ability can be continuously cultivated to promote the new development of the diagnosis and treatment of chronic obstructive pulmonary disease.
