人文医学在慢性阻塞性肺疾病治疗中的应用  

Application Efficacy of Human Medicine in the Treatment of Chronic Obstructive Pulmonary Disease

作　　者：冯思芳[1] 张琴[1] 张兰[1] 蒋春燕[1] FENG Sifang;ZHANG Qin;ZHANG Lan(The First Affiliated Hospital of Xi'an ]iaotong University,Xi'an,710061,China)

机构地区：[1]西安交通大学第一附属医院,陕西西安710061

出　　处：《中国社会医学杂志》2018年第6期582-585,共4页Chinese Journal of Social Medicine

基　　金：陕西省自然科学基础研究计划项目(2018JQ8040)

摘　　要：目的探索应用人文医学理念及加强型后续治疗策略在慢性阻塞性肺疾病治疗中的意义。方法选取2015年1—12月某大型综合性三级甲等医院呼吸内科收住的200例慢性阻塞性肺疾病患者,按照数字表法随机分为观察组与对照组,每组100例。对照组采用常规诊疗模式及策略,干预组采用临床评估、功能锻炼、人文医学理念治疗及加强型后续治疗策略,观察两组患者干预前后肺功能状况、生命质量、运动耐力、患者满意度、住院时间、再次入院次数等指标。结果两组患者干预前一般资料差异无统计学意义;两组患者干预前肺功能状况、生命质量、运动耐力等情况各项观察指标差异无统计学意义,但干预后两组患者与干预前相比,差异有统计学意义(P<0.05),且观察组干预后各项指标显著优于对照组(P<0.05);干预组在治疗满意度、住院时间及再次入院次数等方面差异有统计学意义(P<0.05)。结论针对慢性阻塞性肺疾病患者提供有效的规范诊疗及人文医学理念治疗和加强型后续治疗的策略,能够有效改善患者的临床症状,提高运动能力,进而增长抵抗力和免疫力,同时还能提高患者对临床服务的满意度及生活质量,有效降低患者的住院时间以及再次入院次数,实现对疾病的特异性全程化管理。Objective To observe the efficacy of human medicine therapy and treatment combined with enforced sequential treatment in the patients of chronic obstructive pulmonary disease(COPD).Methods Totally 200 patients of COPD from respiratory department of a tertiary hospital were enrolled from Jan 2015 to Dec 2015.Patients were divided into observation group(experimental group)and control group randomly by number table method,each group contained 100 patients.The patients of control group received common treatment strategy and the normal therapy period,the observation group patients received standardization diagnosis and treatment combined with clinical evaluation,treatment of human medication and enforced sequential treatment.After the different strategies were carried out,the differences of pulmonary function,quality of life,exercise tolerance,patients’ satisfaction degree,hospital stays,hospital admission number were compared between the two group.Results No significant differences were observed between the common items of two groups,including the gender ratio,ages,basic and chronic diseases.The differences of pulmonary function,quality of life,which was evaluated by SGRQ,exercise tolerance,patients’ satisfaction degree,hospital stays,hospital admission number were not significant between two groups before application of two different strategies,however,turned to significant after two therapy mode was applied respectively(P<0.05),and the indicators in the observation group were significantly better than the control group(P<0.05);The observation group were excellent in terms of treatment satisfaction,hospitalization time and number of re-admissions than those of control group(P<0.05).Conclusion Through providing patients of COPD with human medicine therapy and treatment combined with enforced sequential treatment,we could subsequently alleviate the clinical symptoms,improve the exercise performance and then strengthen immune system response.Together with the comprehensive improvement of clinical factors,patients�

关 键 词：慢性阻塞性肺疾病 人文医学 规范诊疗 加强型后续治疗 全程化管理 

分 类 号：R563[医药卫生—呼吸系统] R-052[医药卫生—内科学]