目的观察综合干预措施对改善老年慢性阻塞性肺疾病（ COPD）稳定期患者生存质量的效果。方法选取94例老年稳定期COPD患者随机分为干预组和对照组，每组47例。对照组除给予必要的日常用药外，不加任何限制及指导。干预组在对照组基础上，给予呼吸功能锻炼、饮食营养指导、戒烟、家庭氧疗、心理支持等综合干预措施。9月后比较2组患者的戒烟率、再住院率、运动能力及生活质量等相关指标的变化。结果干预后与对照组比较，干预组再住院率降低，戒烟率较高，COPD评估测试（CAT）评分[（24�90±3�72）分比（17�65±3�30）分]及多因素分级系统（BODE）指数（6�71±1�56比4�26±2�07）均降低，6分钟步行距离（6MWD）、呼吸困难程度均有改善（ P＜0�05）。但2组间体质量指数（ BMI）、第1秒用力呼气容积占预计值百分比（ FEV1％）无统计学差异。结论综合干预能降低老年COPD稳定期患者的再住院率，改善患者的生存质量及预后。%Objective To observe the effects of comprehensive intervention on quality of life in elderly patients with stable chronic obstructive pulmonary disease ( COPD) . Methods Ninety⁃four cases of elderly patients with stable COPD were randomly divided into intervention group and control group, with 47 cases in each group. The control group was given routine necessary medication without any restrictions and guidance. The intervention group was given comprehensive inter⁃vention measures including the respiratory function exercise,diet guidance,quit smoking,oxygen therapy,psychological sup⁃port on the basis of the control group. Two groups were compared of quit smoking rate,re⁃hospitalization rate,exercise ca⁃pacity and quality of life index after 9 months. Results Compared with control group, the re⁃hospitalization rate was low⁃er in the intervention group,quit smoking rate was higher, the CAT score ( 24�90 ± 3�72 vs 17�65 ± 3�30) ,BODE index ( 6�71 ± 1�56 vs 4�26 ± 2�07) was lower, 6 minutes walking distance( 6MWD) ,degree of dyspnea were improved. There were no differences in body mass index and FEV1%pred between two groups. Conclusions Comprehensive intervention can reduce the rate of re⁃hospitalization of elderly patients with COPD in stable stage and improve the quality of life and the prognosis.
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