社区肺康复治疗对中重度COPD患者的临床应用  

The clinical application of pulmonary rehabilitation in community for patients with severe COPD

作　　者：陈仲进[1] 潘文[2] 肖磊[3] 

机构地区：[1]广州医学院羊城医院普通内科,广东广州510140 [2]广东第二师范学院医务所普通内科 [3]广州医学院第四附属医院普通内科

出　　处：《现代预防医学》2012年第23期6172-6173,6180,共3页Modern Preventive Medicine

基　　金：广东省医学科研基金项目(A2010280)

摘　　要：目的探讨社区肺康复治疗对重度COPD患者的临床疗效。方法入选2010年1月～2011年12月广州市荔湾区昌华街COPD患者234人,根据患者病情严重程度将所有患者分为A组(Ⅱ级、78例)、B组(Ⅲ级、80例)和C组(Ⅳ级,76例),对患者进行社区肺康复干预治疗2年,比较干预前后患者临床表现和肺功能变化情况。结果 COPD患者经社区肺康复治疗后,生活质量较治疗前显著改善,差异有统计学意义(P﹤0.05);各组患者治疗前后肺功能无明显改善,与治疗前相比,差异无统计学意义(P﹥0.05)。结论社区肺康复治疗能显著改善患者的临床症状,提高生活质量,具有一定的临床价值。OBJECTIVE To study the clinical curative effect of pulmonary rehabilitation in community for patients with severe COPD.METHODS Selected 234 COPD patients on Changhua Street of Liwan District in Guangzhou City from January 2010December 2011,and divided them into group A（Ⅱ,78 cases）,B group（Ⅲ,80 cases） and C group（Ⅳ,76 cases） according to the disease severity.All patients were given with pulmonary rehabilitation intervention treatment in community for 2 years,then compared clinical manifestations and changes of the pulmonary function before and after intervention.RESULTS COPD patients＇ quality of life was improved significantly by pulmonary rehabilitation after treatment,the difference was statistically significant（P﹤0.05）;pulmonary function before and after treatment did not improve significantly,compared with before treatment,the differences were not statistically significant（P ﹥ 0.05）.CONCLUSION Pulmonary rehabilitation therapy in community can significantly improve the clinical symptoms of patients,improve the quality of life,and has a certain clinical value.

关 键 词：社区肺康复治疗 慢性阻塞性肺疾病 肺功能 临床应用 

分 类 号：R563[医药卫生—呼吸系统]