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目的:分析社区门诊对慢性阻塞性肺疾病的治疗效果。方法:研究对象选取本社区2012年4月至2013年3月收治的90例慢性阻塞性肺疾病患者,随机分为两组。对照组患者接受常规药物治疗,实验组患者在此基础上辅以肺功能锻炼指导,对比分析两组患者治疗后二氧化碳分压(PCO2)、氧气分压(PO2)的变化,随访1年,对比分析两组患者急性发作次数、6min步行距离等指标的变化。结果:经过治疗后所有患者PCO2明显下降,PO2明显上升,差异有统计学意义(P<0.05);治疗后两组间PCO2、PO2差异无统计学意义(P>0.05)。随访期间实验组患者急性发作次数明显少于对照组,6min步行距离明显大于对照组,差异有统计学意义(P<0.05)。结论:社区门诊对慢性阻塞性肺疾病的药物治疗期间辅以肺功能锻炼指导可减少急性发作,改善肺功能。
Objective: To analyze the treatment effect of community outpatient on chronic obstructive pulmonary disease. Methods: The subjects selected 90 patients with chronic obstructive pulmonary disease from April 2012 to March 2013 in our community were randomly divided into two groups. Patients in the control group received routine medical treatment. Patients in the experimental group were supplemented with pulmonary function training guidance. The changes of PCO2 and PO2 were compared between the two groups after one year of follow-up. Analysis of two groups of patients the number of acute attacks, 6min walking distance and other indicators of change. Results: After treatment, the PCO2 and PO2 in all patients decreased significantly (P <0.05). There was no significant difference in PCO2 and PO2 between the two groups after treatment (P> 0.05). During the follow-up period, the number of acute attacks in the experimental group was significantly less than that in the control group, and the walking distance at 6min was significantly larger than that in the control group (P <0.05). Conclusion: Community outpatient treatment of chronic obstructive pulmonary disease during the drug therapy supplemented by pulmonary function training guidelines can reduce the acute attack, improve lung function.