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中国初级卫生保健:2022,36(11):119-122
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社区呼吸康复治疗在慢性呼吸系统 疾病患者干预管理中的应用*
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中文摘要: 摘 要:目的:探究社区呼吸康复治疗在慢性呼吸系统疾病干预管理中的应用效果。方法:选择2019年1月—2021年 1月在上海市静安区彭浦镇第二社区卫生服务中心确诊为慢性呼吸系统疾病的患者76例,将其随机分为对照组和干预组,每 组各38例。对照组给予常规治疗,干预组在对照组基础上给予社区呼吸康复治疗。观察并比较两组患者肺功能、临床症 状、运动耐力、就诊次数及心理状况。结果:治疗后,干预组患者用力肺活量 (FVC)、第一秒用力呼气量 (FEV1) 及 FEV1/FVC,均高于对照组,差异有统计学意义(t值分别为3.310、2.994、1.601,P值均<0.05);干预组咳嗽及咳痰症状评 分均低于对照组,差异有统计学意义 (t值分别为2.736、2.394,P值均<0.05);干预组运动耐力 (6-MWD) 高于对照组, 呼吸困难指数(mMRC)低于对照组,差异有统计学意义(t值分别为2.029、1.201,P值均<0.05)。结论:采用社区呼吸康 复治疗,可增强慢性呼吸系统疾病患者肺功能,提高其运动耐力,具备较好的治疗效果。
Abstract:Abstract: OBJECTIVE To explore the application effect of community respiratory rehabilitation therapy in the intervention management of chronic respiratory diseases. METHODS A total of 76 patients diagnosed with chronic respiratory diseases on this community platform from January 2019 to January 2021 were selected and divided into a control group and an intervention group by simple random grouping, with 38 cases in each. The control group was given routine treatment, and the intervention group was given community respiratory rehabilitation. The pulmonary function, clinical symptoms, exercise tolerance, number of visits and psychologi⁃ cal status of the two groups of patients were observed and compared. RESULTS After treatment, FVC, FEV1 and FEV1/FVC in the intervention group were higher than those in the control group, the difference was statistically significant (t=3.310, 2.994, 1.601, P< 0.05); the symptoms of cough and expectoration in the intervention group were lower than those in the control group, the difference was statistically significant (t=2.736, 2.394, P<0.05); the 6-MWD of the intervention group was higher than that of the control group, and the mMRC was lower than that of the control group, the difference was statistically significant (t=2.029, 1.201, P<0.05). CONCLUSION Intervention and management of community respiratory health treatment can enhance the lung function of patients with chronic respiratory system diseases and improve their exercise tolerance. It has a good therapeutic effect and is worthy of promotion.
文章编号:3202110036     中图分类号:R183.3    文献标志码:
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