肺功能档案在稳定期COPD患者肺康复治疗中的应用

目的 探讨肺功能档案用于稳定期COPD患者肺康复治疗的效果.方法 将62例稳定期COPD患者随机分成两组各31例.对照组出院后采用常规专科门诊电话随访(每个月1次),要求患者每年复查肺功能;观察组在此基础上出院前建立肺功能档案,提出每年确保FEV1下降≤50 mL的目标,要求患者出院后3、6、12个月分别复查肺功能,根据肺功能档案内容进行动态干预.结果 干预12个月后,观察组肺功能指标及相关健康行为显著优于对照组(P＜0.05,P＜0.01).结论 建立稳定期COPD患者肺功能档案能使患者动态了解肺功能情况,增强患者自我健康管理行为,提高肺康复效果.

Pulmonary function profiles of outpatients with stable chronic obstructive pulmonary disease:effects on pulmonary rehabilitation

Objective To investigate effects of pulmonary function profiles on pulmonary rehabilitation in stable COPD patients.Me-thods Sixty-two stable COPD patients were divided into two groups of 31 randomly.Patients in the control group were monthly given telephone follow-up and were asked to yearly complete pulmonary function test,while for the observation group additional measures were taken: pulmonary function test results were documented,decrease of FEV1 less than 50 mL in a year was set as a goal,patients were asked to take pulmonary function test 3,6,and 12 months after discharge,and dynamic interventions were implemented according to test results.Results After twelve-month intervention,parameters of pulmonary function and rates of patients adopting healthy behaviors in the observation group were significantly better and higher than those in the control group(P<0.05,P<0.01).Conclusion Pulmonary function test results documented for stable COPD patients can allow patients to dynamically monitor their pulmonary function,strengthen their self-management behaviors,and improve effect of pulmonary rehabilitation.