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1、慢性阻塞性肺疾病穩(wěn)定期綜合治療的效果分析蔣勤軍(南充市第四人民醫(yī)院四川南充637000)【摘要】目的探討綜合治療對(duì)慢性阻塞性肺疾病穩(wěn)定期康復(fù)的效果。方法常規(guī)治療及綜合治療COPD康復(fù)期患者各43例,分別視為對(duì)照組及綜合組。對(duì)照組給予藥物治療,綜合組在對(duì)照組治療的基礎(chǔ)上,給予心理干預(yù)、健康教育、功能鍛煉、氧療、改變不良生活方式、院外治療指導(dǎo),隨訪治療6月后兩組患者的治療效果。結(jié)果綜合組患者呼吸困難及呼吸氣流受阻程度均明顯較對(duì)照組降低,而運(yùn)動(dòng)耐力顯著比對(duì)照組提高,兩組比較差異有顯著性(p<0.05);綜合組患者再入院或急
2、診率也顯著比對(duì)照組減少,兩組比較有統(tǒng)計(jì)學(xué)意義(p<0.05)。結(jié)論綜合治療可以明顯改善COPD穩(wěn)定期患者的呼吸困難及運(yùn)動(dòng)耐力,并提高患者的生活質(zhì)量,值得推廣應(yīng)用?!娟P(guān)鍵詞】慢性阻塞性肺疾病治療肺康復(fù)【中圖分類號(hào)】R563【文獻(xiàn)標(biāo)識(shí)碼】A【文章編號(hào)】2095-1752(2014)19-0118-02ChronicobstructivepulmonarydiseasestabilizationeffectanalysisofcomprehensivetreatmentSichuannanchong(637000)Nanc
3、hongthefourthpeopledhospital【abstract】objectivetoexplorethecomprehensivetreatmentofchronicobstructivepulmonarydiseasestabilizationeffectofrehabilitation.MethodsroutinetherapyandcomprehensiverehabilitationtreatmentforCOPDpatients,43casesascontrolgroupandmaintaining
4、respectively.Controlgroupgivenmedication,maintaininginthecontrolgrouponthebasisofthetreatment,givepsychologicalinterventionandhealtheducation,functionalexercise,oxygentherapy,changinglifestyle,lobbyiststreatmentguidelines,follow-uptreatmentthecurativeeffectoftwogr
5、oupsofpatientsafterJune.Resultsinpatientswithmaintainingbreathingdifficultyandrespiratoryairflowobstructionlevelsweresignificantlyreducedthanthecontrolgroup,andmovementendurancewassignificantlyhigherthanthatofcontrolgroup,comparingthetwogroupshavesignificantdiffer
6、ence(p<0.05);Maintainingpatientstohospitaloremergencyroomratewasalsosignificantlythanthecontrolgroup,comparingthetwogroupshavestatisticalsignificance(p<0.05).ConclusioncomprehensivetreatmentcanobviouslyimprovethepatientswithCOPDstabilizationofdifficultyinbre
7、athingandmovementendurance,andimprovethepatient'squalityoflife,isworthpopularizationandapplication.【keywords】chronicobstructivepulmonarydiseaseTreatmentPulmonaryrehabilitation慢性阻塞性肺疾病(chronicobstructivepulmonarydisease,COPD)是一種累及氣道,具有氣流受限不完全可逆,呈進(jìn)行性發(fā)展為特征的疾病[1】??祻?fù)期C
8、OPD患者治療0的是改善患者呼吸閑難,提高運(yùn)動(dòng)耐力及生活質(zhì)量。我們對(duì)COPD康復(fù)期患者進(jìn)行綜合治療,取得較好臨床療效,現(xiàn)報(bào)告如下。1資料與方法1.1一般資料選擇2009年1月2012年11月,在我科治療的86例COPD患者,所有患者出院后都得到6月以上隨訪,診斷均符合慢性阻塞性肺疾病穩(wěn)定