戒烟干预在慢性阻塞性肺疾病患者中的应用效果(1)
[摘要]目的 研究戒烟干预在慢性阻塞性肺疾病(COPD)患者中的应用效果。方法 选取2016年2月～2017年2月我院收治的100例COPD患者作为研究对象，根据电脑随机法分为观察组和对照组，每组各50例。观察组实施戒烟干预，对照组实施常规干预，比较两组的肺功能指标、生活质量、干预总满意度。结果 观察组的肺泡毛细血管床容量(Vc)[(86.32±1.54)%]、最大通气量(MVV)[(80.32±1.02)L/min]、用力肺活量(FVC)[(2.98±1.02)L]、1 s用力呼气量(FEV1)[(1.98±0.32)L]，均高于對照组，差异均有统计学意义(P<0.05)。观察组症状评分[(30.12±1.02)分]、活动能力评分[(50.21±1.34)分]、疾病对生活的影响评分[(60.14±1.54)分]均低于对照组(P<0.05)。观察组干预总满意度为98.00%，高于对照组，差异有统计学意义(P<0.05)。结论 戒烟干预对COPD患者预后有明显改善作用，值得推广应用。
[关键词]戒烟干预;慢性阻塞性肺疾病;预后
[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721(2019)6(b)-0245-03
[Abstract] Objective To study the effect of smoking cessation intervention in patients with chronic obstructive pulmonary disease(COPD). Methods A total of 100 patients with COPD admitted to our hospital from February 2016 to February 2017 were selected as the research objects. According to the computer random method， they were divided into observation group and control group， 50 cases in each group. The observation group was given smoking cessation intervention， while the control group was given routine intervention. The pulmonary function index， quality of life and total satisfaction of intervention were compared. Results The alveolar capillary bed volume (Vc) ([86.32±1.54]%)， maximum ventilation volume (MVV) ([80.32±1.02] L/min)， forced vital capacity (FVC) ([2.98±1.02] L) and forced expiratory volume (FEV1) ([1.98±0.32] L) in the observation group were higher than those in the control group， the differences were statistically significant (P<0.05). The symptoms score ([30.12±1.02] points)， activity score ([50.21±1.34] points) and the effect of disease on life score ([60.14±1.54] points) of patients with chronic obstructive pulmonary disease in the observation group were lower than those in the control group(P<0.05). The total satisfaction rate in the observation group was 98.00%， higher than that in the control group， the difference was statistically significant (P<0.05). Conclusion Smoking cessation intervention can significantly improve the prognosis of patients with COPDe， which is worth studying.
[Key words] Smoking cessation intervention; Chronic obstructive pulmonary disease， Prognosis
慢性阻塞性肺疾病(COPD)为临床常见疾病，属于慢性呼吸系统疾病，其在临床有十分高的发病率和死亡率，同时有进展缓慢等特点，而导致患者治疗困难。目前临床对该疾病通常以药物治疗为主，但由于多数患者在症状得到缓解后，依从性下降，复吸烟进而导致疾病复发。而在COPD的发生和发展中，吸烟占据重要地位，加强患者戒烟干预十分重要。本研究对所有COPD患者实施戒烟干预，现报道如下。
1资料与方法
1.1一般资料
选取2016年2月～2017年2月我院收治的100例COPD患者作为研究对象，根据电脑随机法分为观察组和对照组，每组各50例。纳入标准：所有患者均知情本研究，且经过医院医学伦理委员会批准。符合我国COPD的诊断标准[1]。排除标准：患者伴有认知障碍及精神障碍，无法良好沟通;患者有造血系统异常和血液系统疾病。观察组中，男28例，女22例;年龄38～78岁，平均(58.13±1.25)岁;病程11～35个月，平均(23.65±1.32)个月。对照组中，男29例，女21例;年龄39～79岁，平均(58.56±1.97)岁;病程11～36个月，平均(24.22±1.32)个月。两组的性别、年龄等一般资料比较，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(冉柳 张琴 张苑)
[关键词]戒烟干预;慢性阻塞性肺疾病;预后
[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721(2019)6(b)-0245-03
[Abstract] Objective To study the effect of smoking cessation intervention in patients with chronic obstructive pulmonary disease(COPD). Methods A total of 100 patients with COPD admitted to our hospital from February 2016 to February 2017 were selected as the research objects. According to the computer random method， they were divided into observation group and control group， 50 cases in each group. The observation group was given smoking cessation intervention， while the control group was given routine intervention. The pulmonary function index， quality of life and total satisfaction of intervention were compared. Results The alveolar capillary bed volume (Vc) ([86.32±1.54]%)， maximum ventilation volume (MVV) ([80.32±1.02] L/min)， forced vital capacity (FVC) ([2.98±1.02] L) and forced expiratory volume (FEV1) ([1.98±0.32] L) in the observation group were higher than those in the control group， the differences were statistically significant (P<0.05). The symptoms score ([30.12±1.02] points)， activity score ([50.21±1.34] points) and the effect of disease on life score ([60.14±1.54] points) of patients with chronic obstructive pulmonary disease in the observation group were lower than those in the control group(P<0.05). The total satisfaction rate in the observation group was 98.00%， higher than that in the control group， the difference was statistically significant (P<0.05). Conclusion Smoking cessation intervention can significantly improve the prognosis of patients with COPDe， which is worth studying.
[Key words] Smoking cessation intervention; Chronic obstructive pulmonary disease， Prognosis
慢性阻塞性肺疾病(COPD)为临床常见疾病，属于慢性呼吸系统疾病，其在临床有十分高的发病率和死亡率，同时有进展缓慢等特点，而导致患者治疗困难。目前临床对该疾病通常以药物治疗为主，但由于多数患者在症状得到缓解后，依从性下降，复吸烟进而导致疾病复发。而在COPD的发生和发展中，吸烟占据重要地位，加强患者戒烟干预十分重要。本研究对所有COPD患者实施戒烟干预，现报道如下。
1资料与方法
1.1一般资料
选取2016年2月～2017年2月我院收治的100例COPD患者作为研究对象，根据电脑随机法分为观察组和对照组，每组各50例。纳入标准：所有患者均知情本研究，且经过医院医学伦理委员会批准。符合我国COPD的诊断标准[1]。排除标准：患者伴有认知障碍及精神障碍，无法良好沟通;患者有造血系统异常和血液系统疾病。观察组中，男28例，女22例;年龄38～78岁，平均(58.13±1.25)岁;病程11～35个月，平均(23.65±1.32)个月。对照组中，男29例，女21例;年龄39～79岁，平均(58.56±1.97)岁;病程11～36个月，平均(24.22±1.32)个月。两组的性别、年龄等一般资料比较，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(冉柳 张琴 张苑)