远程医学干预对慢性阻塞性肺疾病稳定期患者慢性阻塞性肺疾病评估测试评分的影响

目的评估远程医学干预对慢性阻塞性肺疾病（COPD）稳定期患者COPD评估测试（CAT）中文版的评分影响。方法选择2011年11月-2012年11月在呼吸内科住院治疗出院时达到稳定的COPD患者244例,随机分为远程医学干预组及对照组各122例,远程医学干预组除接受对照组常规出院后随访外还接受远程医疗服务。出院时及出院后3个月分别应用CAT中文版评估患者的生命质量并收集患者基本资料。结果出院时两组患者CAT评分分别为（23.99±8.03）和（22.14±7.71）分,两组评分比较差异无统计学意义（P〉0.05）。3个月后两组患者CAT评分分别为（17.54±7.83）和（20.93±7.21）分,两组比较差异有统计学意义（P〈0.05）。结论远程医学干预对COPD稳定期患者CAT评分改善具有价值。

Effect of Long-distance Medical Intervention on Chronic Obstructive Pulmonary Disease Assessment Test Scores of Stable Chronic Obstructive Pulmonary Disease Patients

Objective To evaluate the effect of long-distance medical intervention on chronic obstructive pulmonary disease（COPD） assessment test（CAT） scores of stable COPD patients. Methods A total of 244 stable COPD patients treated in our hospital between November 2011 and November 2012 were randomly divided into two groups with 122 in each. Group one was treated with long-distance medical intervention and group two with route nursing care. CAT scores were obtained at discharge from hospital and 3 months later. Results Baseline CAT scores of the two groups were respectively 23.99 ± 8.03 and 22.14 ± 7.71 with no signifi cant difference between the two groups（P 〉0.05）. Three months later, CAT scores of the two groups were respectively 17.54 ± 7.83 and 20.93 ± 7.21, and the difference was statistically signifi cant（P〈 0.05）. Conclusion The CAT score of stable COPD patients can be improved by long-distance medical invention.