基于家庭医生服务的社区肺康复对稳定期COPD患者的临床效果OA
Clinical Effect of Community Lung Rehabilitation based on Family Doctor Service on Stable COPD Patients
目的 探讨基于家庭医生服务的社区肺康复对稳定期慢性阻塞性肺疾病(COPD)患者的临床效果.方法 选取2022年1月至2023年12月在苏州市姑苏区苏锦街道平江新城社区卫生服务中心管理的120例稳定期COPD患者,依据入院时间先后分为对照组和研究组,每组60例.对照组采用常规社区管理,研究组在对照组基础上采用基于家庭医生服务的社区肺康复方案.比较两组患者干预前后肺功能指标运动耐力、生活质量与急性加重次数.结果 干预后,研究组FEV1%和FEV1/FVC均显著高于对照组,P<0.05.干预后,研究组6MWD显著大于对照组,CAT评分显著低于对照组,P<0.05.研究组12周内急性加重次数显著少于对照组,P<0.05.结论 基于家庭医生服务的社区肺康复可有效改善稳定期COPD患者的肺功能、运动耐力和生活质量,降低病情急性加重风险.
Objective:To explore the clinical effect of community lung rehabilitation based on family doctor service on patients with stable chronic obstructive pulmonary disease(COPD).Methods:One hundred and twenty-eight pa-tients with stable COPD who were managed by Pingjiang Xincheng Community Health Service Center in Sujin Street,gusu district,Suzhou from January 2022 to December 2023 were divided into control group and study group according to admission time,with 64 patients in each group.The control group adopted conventional community management,and the research group adopted community lung rehabilitation program based on family doctor service on the basis of the control group.The lung function indexes、exercise endurance、quality of life and the times of acute exacerbation were compared between the two groups before and after intervention.Results:After the intervention,FEV1%and FEV1/FVC in the study group were significantly higher than those in the control group,P<0.05.After the intervention,the 6MWD of the study group was significantly higher than that of the control group,and the CAT score was significantly lower than that of the control group,P<0.05.The number of acute exacerba-tions in the study group was significantly less than that in the control group within 12 weeks,P<0.05.Conclusion:Community lung rehabilitation based on family doctor service can effectively improve the lung function,exercise en-durance and quality of life of stable COPD patients,and reduce the risk of acute exacerbation.
张豪;孙俊;施美华;王小红;张亚娟;聂莉;何维;赵宗权
苏州市姑苏区苏锦街道平江新城社区卫生服务中心全科医疗科,江苏苏州 215000苏州市姑苏区苏锦街道平江新城社区卫生服务中心全科医疗科,江苏苏州 215000苏州市姑苏区苏锦街道平江新城社区卫生服务中心全科医疗科,江苏苏州 215000苏州市姑苏区苏锦街道平江新城社区卫生服务中心全科医疗科,江苏苏州 215000苏州市姑苏区苏锦街道平江新城社区卫生服务中心全科医疗科,江苏苏州 215000苏州市姑苏区苏锦街道平江新城社区卫生服务中心全科医疗科,江苏苏州 215000苏州市姑苏区苏锦街道平江新城社区卫生服务中心全科医疗科,江苏苏州 215000苏州市姑苏区苏锦街道平江新城社区卫生服务中心全科医疗科,江苏苏州 215000
临床医学
慢性阻塞性肺疾病家庭医生社区肺康复
Chronic obstructive pulmonary diseaseFamily physicianCommunity-based pulmonary rehabilita-tionClinical efficacy
《生命科学仪器》 2025 (1)
86-88,3
苏州市科技局科研项目(SKY2022088)苏州市科技局科研项目(SKJYD2021042)2023年度苏州市姑苏卫生人才科研项目(GSWS2023019)
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