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出院后督导在缓解期哮喘患者中的应用价值
  • 分类:R562.25[医药卫生—呼吸系统;医药卫生—临床医学;医药卫生—内科学]
  • 作者机构:[1]浙江省海盐县中医院内科,浙江海盐314300, [2]浙江大学医学院附属第二医院呼吸内科,浙江杭州310009
  • 相关基金:国家自然科学基金(81070013)
中文摘要:

目的探讨出院督导治疗对缓解期支气管哮喘患者的应用价值。方法选择住院治疗的100例慢性支气管哮喘患者,随机分为对照组和观察组,每组各50例。对照组给予规范的哮喘治疗,观察组在规范治疗的基础上给予出院后督导治疗。分析两组患者肺功能、哮喘控制情况及患者的生命质量。结果治疗1年后,两组患者的第1秒用力呼气量(FEV1)、FEV1/预计值百分比及ACT评分均得到改善(P〈0.05),观察组患者提高程度更明显(P〈0.05)。观察组GINA标准达到控制率及ACT评分良好率分别为60.00%、68.00%,均优于对照组(24.00%、40.00%)。治疗1年后观察组生命质量各项评分及总分均优于对照组(P〈0.01)。结论出院督导治疗能显著提高患者肺功能,改善哮喘的控制情况,提高缓解期哮喘患者的生命质量。

英文摘要:

Objective To investigate the therapeutic value of the supervision after discharged in patients with stable bronchial asthma. Methods A total of 100 hospitalized patients with chronic bronchial asthma were randomly divided into control group and observation group, 50 cases in each group. The control group received standard asthma treatment, observation group was given supervision after discharge on the basis of standard asthma treatment. Lung function,asthma control conditions and quality of life were analyzed after one year of treatment. Results After one year of treatment, the first second expiratory volume(FEV1), percentage of FEV1/the the predicted value and ACT scores of both groups were improved(P〈0.05). The observation group improved obviously than control group(P 〈0.05). According to the asthma control test and the GINA criteria, the rate of controlled asthma and ACT score in observation group were60.00% and 68.00%, which were better than the control group(24.00%, 40.00%). After one year of treatment, each subscore and total score of quality of life in the observation group were better than those in the control group( P〈0.01).Conclusion The supervision after discharge can significantly improve patients' lung function, improve the control of asthma and the quality of life of stable asthmatic patients.

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