绵阳市城区慢性阻塞性肺疾病患者急性加重后一年随访  

One-year follow-up of urban patients with chronic obstructive pulmonary disease after exacerbation in Mianyang city

作　　者：陈斌[1] 王开禄[2] 王永碧[3] 银春 王蓉[1] 

机构地区：[1]绵阳市中心医院,四川绵阳621000 [2]绵阳市第三人民医院 [3]绵阳市人民医院 [4]绵阳市404医院

出　　处：《中国呼吸与危重监护杂志》2003年第4期211-214,共4页Chinese Journal of Respiratory and Critical Care Medicine

摘　　要：目的　通过慢性阻塞性肺疾病 (COPD)患者急性加重住院后一年的追踪随访 ,了解绵阳市城区患者的防治现状 ,探讨合理的管理对策。方法　采用问卷调查方式 ,随访 10 0例一年前在绵阳城区 4家主要医院住院治疗的COPD患者。结果　患者出院后生活质量不良 ,急性加重频繁 ,治疗不力 ,治疗措施落后 ,主要制约因素是经济条件和医患双方的观念滞后。结论　提高医患双方对疾病的认识 ,推广慢性阻塞性肺疾病全球创议 (GOLD)为基础的治疗管理模式 ,并在卫生经济学研究的基础上修订医疗保障制度 ,有助于提高COPD患者的生活质量 ,降低致残率和死亡率。Objective To follow up the management and therapeutic status in the urban population with chronic obstructive pulmonary disease(COPD) during one year after hospitalization,to investigate the practical strategy.Methods Questionnaries were collected in 100 subjects who were hospitalized in the main five municipal hospital in Mianyang city.Results After discharged majority of the patients were suffered from frequent exacerbation with poor quality of life.The key obstacles were under-economic class and misunderstanding of the disease.Conclusions Renew the concepts both of physician and of patients,implement contemporary therapeutic pattren based on the GOLD,and innovate healty assurance system,will improve the quality of life and reduce mortality and disability of COPD patients.

关 键 词：慢性阻塞性肺疾病 急性加重 生活质量 问卷调查 

分 类 号：R563.9[医药卫生—呼吸系统]