不同风险慢性阻塞性肺疾病患者戒烟干预后临床症状及肺功能变化的研究

摘要

目的：探讨不同风险慢性阻塞性肺疾病患者戒烟干预后临床症状及肺功能变化。方法：收治慢性阻塞性肺疾病患者200例，分为试验低风险组、试验高风险组、对照低风险组、对照高风险组，试验组均给予戒烟护理干预，同时给予个体化的咨询、电话随访和戒烟宣传教育等。结果：试验低风险组和对照低风险组在干预前后的症状评分、1 s用力呼气容积的变化量比较，差异有统计学意义(P＜0.05)；干预前后试验高风险组与对照高风险组的临床症状评分、1 s用力呼气容积的变化量比较，差异有统计学意义(P＜0.05)。结论：慢性阻塞性肺疾病越早给予戒烟指导康复治疗效果就越好。%Objective:To explore the changing of clinical symptom and pulmonary function in patients with different risk chronic obstructive pulmonary disease after they received smoking cessation intervention.Methods:200 patients with chronic obstructive pulmonary disease(COPD) were selected.They were divided into the low risk experimental group,the high risk experimental group, the low risk control group,and the high risk control group.Patients in the experimental group were given smoking cessation inter-vention,and also given individualized counseling,telephone follow-up and cessation of propaganda and education.Results:Chang-es of symptom score and 1s forced expiratory volume before and after the intervention was difference between the low risk experi-mental group and the low risk control group(P<0.05);and changes of symptom score and 1s forced expiratory volume before and after the intervention was also difference between the high risk experimental group and the high risk control group(P<0.05).Con-clusion:The sooner to give smoking cessation guidance for patients with chronic obstructive pulmonary,the better of the rehabilita-tion effect.