Evaluation of standardized treatment system for stable COPD patients in primary community hospitals
基层社区医院针对稳定期COPD患者的规范化治疗体系评价

摘要

目的 论基层社区医院的规范化治疗体系在稳定期COPD患者中的应用。方法 随机选择在我院医治的稳定期COPD患者30例，按随机方式分组，其中15例采取常规治疗（对照组），另15例实施基层社区医院的规范化治疗体系（观察组），经观察对比，得出结论。结果 对于各项数据的对比来说，观察组治疗方法的各项数据更加有优势，差异有统计学意义（P＜0.05）。治疗之后观察组患者治疗后膈肌肌力、膈肌活动幅度和吸气峰流速、FEV1、FVC、FEV1/FVC、PaO2、PaCO2和氧合指数明显优于对照组，差异有统计学意义（P＜0.05）。结论 使用本研究方法进行治疗，可有效改善稳定期COPD患者的膈肌功能、肺通气功能及动脉血气紊乱，值得临床推广应用。

Abstract

Objective theory of the standardization of the grassroots community hospital treatment system in the application of stabilization COPD patients.
Methods randomly selected in our hospital to heal the stability of COPD patients, 30 cases grouped by random way, including 15 cases treated with conventional (control group), the other 15 cases implement the standardization of the grassroots community hospital treatment system (observation group) and compared with observations and conclusions.
Results for all the data contrast, observation group treatment in all kinds of data have more advantages, the difference was statistically significant (P<0.05). After treatment group after treatment in patients with diaphragmatic muscle strength, peak velocity, amplitude of diaph- ragmatic muscle activity and breathe in FEV1, FVC, FEV1/FVC, PaO2, PaCO2 and oxygenation index was better than control group, the difference was statistically significant (P<0.05).
Conclusion   the treatment method used in this study, which can effectively improve the stability of diaphragmatic muscle function in patients with COPD, lung ventilation function and arterial blood gas disorder, worthy of clinical popularization and application.