社区COPD患者药物治疗不良反应及生存质量分析  

Analysis of the adverse reaction of drug therapy and the quality of life about COPD patients in shanghai communities

作　　者：沈菲[1,2] 韩一平[3] 吴学智[4] 凌小媛[5] 陈慎[2] 

机构地区：[1]第二军医大学研究生院,上海市200000 [2]上海市杨浦区殷行社区卫生服务中心,200438 [3]上海市第二军医大学附属长海医院呼吸内科,200433 [4]昆明医科大学公共卫生学院,650500 [5]上海市第二军医大学附属长征医院感染科,200003

出　　处：《中华全科医学》2014年第9期1444-1445,共2页Chinese Journal of General Practice

基　　金：上海市杨浦区卫生计生系统"百医登高计划"资助项目

摘　　要：目的了解上海市部分社区慢性阻塞性肺疾病(COPD)稳定期患者药物治疗不良反应、活动耐力、生存质量满意度等情况。方法参考2011年COPD诊疗规范制定问卷调查表进行随机问卷调查。结果行肺功能检查明确不完全可逆气流受限确诊为COPD患者1024例,药物治疗出现不良反应112例(10.9%),吸入12.5%、口服63.4%、静脉24.1%;COPD患者进行活动耐力训练者64例(6.3%);COPD患者生存质量满意34例(3.3%)。结论社区COPD患者稳定期药物治疗使用途径以口服为主,出现不良应较多。患者活动耐力训练较少,生存质量满意度差。Objective To understand the adverse reaction of drug therapy,activity tolerance and quality of life about chronic obstructive pulmonary disease（ COPD） patients in Shanghai communities. Methods Making the same protocol questionnaire according to COPD guideline in 2011. Results Spirometry was performed in 1024 cases,lung function indices were regarded as gold criteria of diagnosis of COPD. 112 cases（ 10. 9%） were appeared drug adverse reactions in various types： inhalation of 12. 5%,oral 63. 4%,intravenous 24. 1%. 64 cases（ 6. 3%） of COPD patients with active endurance training. 34 cases（ 3. 3%） were full of satisfaction about the quality of life. Conclusion At present,the major route of drug administration was oral in Shanghai communities. Some COPD patients with drug therapy had adverse reactions,deficiency of endurance training,and less satisfaction about quality of life.

关 键 词：慢性阻塞性肺疾病(COPD) 社区干预 药物使用途径 基层医疗 

分 类 号：R563[医药卫生—呼吸系统] R197.61[医药卫生—内科学]