医教协同专科治疗对慢阻肺患者肺功能和疗效的影响  

Effect of Medical Education Combined with Specialized Treatment on Pulmonary Function and Efficacy in Patients with Chronic Obstructive Pulmonary Disease

作　　者：蔡懿[1] CAI Yi(Department of Respiratory and Critical Care Medicine,Bazhong Central Hospital,Bazhong 636000,Sichuan,China)

机构地区：[1]巴中市中心医院呼吸与危重症医学科,四川巴中636000

出　　处：《医学信息》2023年第19期110-113,共4页Journal of Medical Information

基　　金：四川省基层卫生事业发展研究中心课题(编号:SWFZ20-C-100)。

摘　　要：目的研究医教协同专科治疗对慢阻肺患者肺功能和临床疗效的影响。方法选取2021年1月-2022年1月在我院诊治的86例慢阻肺疾病患者为研究对象,采用随机数字表法分为对照组和观察组,各组43例。对照组采用常规治疗,观察组在对照组基础上采用医教协同专科治疗,比较两组临床治疗总有效率、肺功能指标、急性发作次数、6 min步行距离、生活质量(CAT)、呼吸困难评分。结果观察组治疗总有效率为95.35%,高于对照组的81.40%(P<0.05);两治疗后FVC、FEV1、FEV1/FVC%均高于治疗前,且观察组高于对照组(P<0.05);两组治疗后急性发作次数均小于治疗前,且观察组小于对照组(P<0.05);两组治疗后6 min步行距离均大于治疗前,且观察组大于对照组(P<0.05);两组治疗后CAT、呼吸困难评分均低于治疗前,且观察组低于对照组(P<0.05)。结论医教协同专科治疗对慢阻肺患者肺功能和疗效具有积极的影响,可提高治疗疗效,改善肺功能,减少急性发作次数,增大6 min步行距离,减轻呼吸困难,提高患者生后质量,具有重要的临床应用价值。Objective To study the effect of medical educational combined specialized treatment on pulmonary function and clinical efficacy in patients with chronic obstructive pulmonary disease.Methods A total of 86 patients with chronic obstructive pulmonary disease diagnosed and treated in our hospital from January 2021 to January 2022 were selected as the research objects.They were divided into control group and observation group by random number table method,with 43 patients in each group.The control group was treated with routine treatment,and the observation group was treated with medical educational combined specialized treatment on the basis of the control group.The total effective rate of clinical treatment,lung function index,acute attack frequency,6 min walking distance,quality of life(CAT)and dyspnea score were compared between the two groups.Results The total effective rate of treatment in the observation group was 95.35%,which was higher than 81.40%in the control group(P<0.05).After treatment,FVC,FEV1 and FEV1/FVC%were higher than those before treatment,and those in the observation group were higher than those in the control group(P<0.05).The number of acute attacks in the two groups after treatment was less than that before treatment,and that in the observation group was less than that in the control group(P<0.05).The 6 min walking distance of the two groups after treatment was greater than that before treatment,and that of the observation group was greater than that of the control group(P<0.05).The CAT and dyspnea scores of the two groups after treatment were lower than those before treatment,and those of the observation group were lower than those of the control group(P<0.05).Conclusion Medical educational combined specialized treatment has a positive impact on lung function and efficacy in patients with chronic obstructive pulmonary disease,which can improve the therapeutic effect,improve lung function,reduce the number of acute attacks,increase the 6 min walking distance,reduce dyspnea,and improve the qua

关 键 词：医教协同专科治疗 慢阻肺 肺功能 

分 类 号：R563.9[医药卫生—呼吸系统]