摘要
目的探讨呼吸慢病管理平台在C、D组稳定期COPD患者康复中的应用效果。方法随机选取2017年1月~2018年1月我院诊治的评分为C、D组稳定期COPD患者132例,根据随机数字表法分为观察组和对照组各66例,对照组患者予常规治疗,观察组患者则在常规治疗上应用呼吸慢病管理平台进行管理,并观察两组患者的治疗效果、肺功能指标、生存质量及CAT、mMRC与BODE指数变化。结果观察组患者治疗有效率高于对照组,差异有统计学意义(P<0.05);治疗后,两组患者的FEV1、FVC显著高于治疗前,差异有统计学意义(P<0.05);治疗后,观察组患者的FEV1、FVC显著高于对照组,差异有统计学意义(P<0.05);治疗后观察组患者生存质量评分显著高于对照组,差异有统计学意义(P<0.05);观察组患者CAT低于对照组;观察组患者处于0级和1级的患者比例高于对照组,组间比较差异有统计学意义(P<0.05)。结论应用物联网技术对C、D组稳定期COPD患者进行慢病管理,能够有效提高患者的康复效率,改善患者的肺功能,提高患者的生存质量,具有临床推广价值。
Objective To explore the application effect of respiratory chronic disease management platform in the rehabilitation of patients with stable COPD in group C and D.Methods A total of 132 patients with stable COPD in group C and D who were diagnosed and treated during the period from January 2017 to January 2018 were randomly selected.According to the random number table method,the patients were divided into the observation group and the control group,with 66 patients in each group.Patients in the control group were given routine treatment.Patients in the observation group were given the management via the respiratory chronic disease management platform on the basis of routine treatment.The therapeutic effect,lung function index,quality of life and changes of CAT,mMRC and BODE indices were observed in both groups.Results The effective rate of treatment in the observation group was higher than that in the control group,and the difference was significant(P<0.05);After treatment,the FEV1 and FVC of the two groups were significantly higher than those before treatment,and the difference was significant(P<0.05);After treatment,the FEV1 and FVC in the observation group were significantly higher than those in the control group,and the difference was significant(P<0.05);After treatment,the quality of life in the observation group was higher than that in the control group,and the difference was significant(P<0.05);The CAT in the observation group was lower than that in the control group;The proportion of patients in the observation group at grade 0 and grade 1 was higher than that in the control group,and the difference between the groups was statistically significant(P<0.05).Conclusion The application of Internet of Things technology for chronic disease management in the patients with stable COPD in group C and D can effectively improve patients'rehabilitation efficiency,improve their lung function index,and improve their quality of life,which has a clinical promotion value.
作者
陆卫芬
陈文宇
方志仙
水小芳
LU Weifen;CHEN Wenyu;FANG Zhixian;SHUI Xiaofang(Department of Respiratory Medicine,the First Hospital of Jiaxing in Zhejiang Province,Jiaxing 314000,China)
出处
《中国现代医生》
2020年第12期82-86,共5页
China Modern Doctor
基金
浙江省医药卫生科技计划项目(2017ZH022)。
关键词
物联网
呼吸慢病管理平台
COPD
稳定期
肺康复
Internet of things
Respiratory chronic disease management platform
COPD
Stable period
Lung rehabilitation
作者简介
通讯作者:陈文宇。
