运动锻炼药学服务联合干预社区慢性阻塞性肺疾病患者的效果观察  

The clinical effect observation of interferences by exerise training combined with pharmaceutical care for chronic obstructive pulmonary disease patients in community

作　　者：杨容[1] 方宗君[1] 卞蓉民 周萍 葛明建[1] 祝娅[1] 

机构地区：[1]上海市宝山区张庙街道长江路社区卫生服务中心,200431

出　　处：《临床合理用药杂志》2018年第4期33-35,共3页Chinese Journal of Clinical Rational Drug Use

基　　金：上海市宝山区科学技术发展基金项目(No:12-E-57)

摘　　要：目的观察运动锻炼药学服务联合干预社区慢性阻塞性肺疾病(COPD)的效果。方法于2013年11月-2015年12月选取本地区部分确诊的处于稳定期的COPD患者140例作为研究对象,将其随机分为PR组和P组各70例。P组接受系统的合理用药教育,PR组除接受P组相同的合理用药教育外,另开展"421"运动锻炼法。比较干预前后2组患者用药种类、年就诊数、年医药费、肺功能相关体检指标、BODE指数。结果干预前,2组用药种类、年就诊数、年医药费用差异均无统计学意义(P>0.05);干预后,2组上述指标均有所改善,且PR组优于P组,差异均有统计学意义(P<0.05)。干预前2组肺功能相关指标比较差异无统计学意义(P>0.05),干预后PR组指标如症状、体征、肺活量(VC)、用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、FEV1/FVC、每分钟最大通气量(MVV)均有改善,与P组相比较差异有统计学意义(P<0.05)。干预前,2组患者BODE指数、体质指数(B)、气流阻塞程度(O)、呼吸困难程度(D)、运动能力(E)比较差异无统计学意义(P>0.05);干预后PR组上述指标均优于P组,差异有统计学意义(P<0.05)。结论运动锻炼联合药学服务干预社区COPD患者有良好的综合效应,值得推广应用。Objective To observe the clinical effects of interferences by exercise training combined with pharmaceutical care for chronic obstructive pulmonary disease（ COPD） patients in community. Methods From November 2013 to December 2015,140 patients with stable COPD in the region were selected as the subjects. They were randomly divided into PR group and P group,70 cases in each group. Group P received rational medication education. And group PR,in addition to the same rational drug use education in group P,carried out the ＂421＂exercise method. The types of drug use,annual medical treatment number,annual medical fee,lung function related physical examination index and BODE evaluation were compared between the two groups before and after the intervention. Results Before intervention,there was no statistically significant difference between the two groups in the type of medication,the number of visits per year and the annual medical cost（ P 0. 05）. After intervention,the above indexes in the two groups were all improved,and the PR group was better than the P group,the differences were statistically significant（ P 0. 05）. Before the intervention,there was no significant difference in the pulmonary function related indexes between the two groups（ P 0. 05）; after intervention,symptom score,physical sign score,vital capacity（ VC）,forced vital capacity（ FVC）,forced expiratory volume（ FEV1）,FEV1/FVC and maximal ventilation volume（ MVV） per minute in group PR were all improved,the difference was statistically significant compared with the P group（ P 0. 05）. Before intervention,there was no significant difference in BODE index,body mass index（ B）,airflow obstruction degree（ O）,dyspnea（ D）and exercise capacity（ E） between the two groups（ P 0. 05）; the above indexes in PR group were better than that in group P,and the differences were statistically significant（ P 0. 05）. Conclusion Exercise and pharmaceutical care intervention in community COPD patients have a good com

关 键 词：社区 慢性阻塞性肺疾病 药学 运动 

分 类 号：R473.2[医药卫生—护理学]