ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2025-06-032 康复与疾病管理 2025, (06)

探析慢阻肺全流程管理在慢阻肺患者病程中的作用

甘肃省敦煌市总医院

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摘要

摘要:目的 慢性阻塞性肺疾病(COPD)是全球第三大常见死因,影响着世界十分之一的人口,已被世界卫生组织确定为全球未满足的主要健康需求,成为全球公共卫生问题,然而对其全流程管理的作用尚不明确,因此本研究拟探究全流程管理对 COPD 患者的影响。方法 选取本院 2024 年 1 月至 2024 年 12 月128 例门诊或住院的诊断为 COPD 的患者作为研究对象,并采用随机数表法分为两组,每组 64 人。通过肺功能检测、慢性阻塞性肺疾病评估测试(CAT)、第一秒用力呼气容积(FEV1)水平变化,分析全流程管理在 COPD 患者管理中的作用。结果 128 例患者中有 121 例完成研究,完成率 94.5%,根据随机分组在研究开始前对所有指标进行分析,两组的基线数据无统计学差异,可以满足研究需要。在研究结束时,全流程管理组的 FEV1(89.55%±0.26%)、Borg 呼吸窘迫评分(4.55±0.26)、CAT 评分(16.94±5.34)在研究结束后均显著优于普通管理组 FEV1(81.11%±1.25%)、Borg 呼吸窘迫评分(6.11±0.25)、CAT 评分(19.49±5.92),差 异有统计学意义。结论 对慢阻肺患者进行全流程管理有助于缓解患者肺部功能损伤,对患者恢复或保持身体状况有积极作用。

Abstract

Abstract: Objective chronic obstructive pulmonary disease (COPD) is the third leading cause of death worldwide, affecting one-tenth of the global population. It has been identified by the World Health Rrganization (WHO) as a major unmet global health need and has become a global public health issue. However, the role of full-process management in COPD remains unclear. Therefore, this study intends to explore the impact of full-process management on patients with COPD. Methods A total of 128 outpatients or inpatients diagnosed with COPD in our hospital from January 2024 to December 2024 were selected as the research objects and divided into two groups by random number table method, with 64 patients in each group. Through pulmonary function tests, chronic obstructive pulmonary disease assessment test (CAT), and changes in the forced expiratory volume in 1 second (FEV1) levels, the role of the full-process management in the management of COPD patients was analyzed. Results Among the 128 patients, 121 completed the study, with a completion rate of 94.5%. Before the start of the study, all indicators were analyzed based on the random grouping. There was no statistically significant difference in the baseline data between the two groups, which met the requirements of the study. At the end of the study, the FEV1 (89.55%±0.26%), Borg dyspnea score (4.55±0.26), and CAT score (16.94±5.34) of the full-process management group were significantly better than those of the routine management group, which were FEV1 (81.11%±1.25%), Borg dyspnea score (6.11±0.25), and CAT score (19.49±5.92), respectively. The differences were statistically significant. Conclusion Full-process management for COPD patients helps alleviate lung function damage and plays a positive role in patients’ recovery or maintenance of physical condition.

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[1]刘园园.探析慢阻肺全流程管理在慢阻肺患者病程中的作用[J],2025,01(06):.