老年慢性阻塞性肺病患者规范化诊治初探  

Standardized treatment of chronic obstructive pulmonary disease in eldtrly patients

作　　者：夏世金[1] 王耀辉[2] 王耀丽[3] 

机构地区：[1]复旦大学附属华东医院上海市老年医学研究所,上海200040 [2]复旦大学附属中山医院肝内科,上海20032 [3]复旦大学附属中山医院肺科,上海20032

出　　处：《老年医学与保健》2009年第2期104-105,共2页Geriatrics & Health Care

基　　金：中国博士后科学基金（No.20070420596）

摘　　要：目的初步探讨规范化治疗老年慢性阻塞性肺病患者的有效性和安全性。方法对50例老年慢性阻塞性肺病患者，在根据患者的病情、合并疾病等调整治疗方案个体化治疗的基础上，统一进行为期1年的规范化诊治和科学化管理。结果推行规范化诊治过程中，无1例治疗失败，生活治疗明显改善，不良反应减少，住院次数减少，疗程缩短，降低了医疗费用。结论慢性阻塞性肺病患者规范化诊治，有望为老年慢性阻塞性肺病患者提供安拿、有效的管理。Objective To explore the safety and efficacy of standardized treatment of chronic obstructive pulmonary disease （COPD） in old patients. Methods 50 COPD patients older than 60 years were enrolled into this study. The individualization of the treatment was based on the patient＇s condition, history and accompanying diseases. The standardized of the treatment was based on the management of GOLD and ATS/ERS. The following-up period was 12 months from Jan- uary 2008 to December 2008. Results No patient died of COPD, and all patients responded well to the treatment. Side effects in patients receiving the standardized treatment were significantly lower than before. Conclusions Standardized treat- ment was safer and more effective in elderly COPD patients.

关 键 词：肺疾病 慢性阻塞性 药物疗法 老年人 

分 类 号：R563[医药卫生—呼吸系统]