老年慢性阻塞性肺疾病康复治疗的综合评估

Comprehensive assessment in rehabilitation treatment of the elderly with chronic obstructive pulmonary disease

  • 摘要: 目的 探讨老年综合评估(CGA)在老年慢性阻塞性肺疾病(COPD)患者康复治疗中的应用。 方法 将82例老年COPD患者随机分为观察组(n=41)和对照组(n=41), 患者均接受CGA及常规治疗,观察组在此基础上根据CGA结果给予个体化康复治疗方案。比较2组治疗前后各项评分结果,并采用肺功能测量仪测量患者各项肺功能指标水平。 结果 2组治疗后躯体功能评分、心理功能评分、日常生活能力量表(ADL)评分以及社会功能评分均高于治疗前,且观察组以上各项评分高于对照组,差异均有统计学意义(P<0.05); 治疗后, 2组COPD评估测试(CAT)评分低于治疗前(P<0.05); 2组治疗后用力肺活量(FVC)、第1秒用力呼气量(FEV1)、呼气峰值流速(PEF)及第1秒用力呼气量与用力肺活量比值(FEV1/FVC)均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。 结论 老年COPD患者应用CGA可增强患者自我管理能力,加速康复进程。

     

    Abstract: Objective To explore the application of comprehensive geriatric assessment(CGA)in rehabilitation treatment of elderly patients with chronic obstructive pulmonary disease(COPD). Methods A total of 82 elderly patients with COPD were randomly divided into observation group(n=41)and control group(n=41). All patients received CGA and conventional treatment. On this basis, the observation group was additionally given individualized rehabilitation treatment according to the CGA results. The results of evaluation scores before and after treatment were compared between the two groups, and lung function indicators were measured by pulmonary function instrument. Results After treatment, the scores of physical function, mental function, ability of daily living(ADL)and social function of the two groups were significantly higher than those before treatment, and the scores of above indicators in the observation group after treatment were significantly higher than those of the control group(P<0.05). After treatment, the COPD assessment test(CAT)scores of the two groups were significantly lower than before treatment(P<0.05). After treatment, forced vital capacity(FVC), forced expiratory volume in one second(FEV1), peak expiratory flow(PEF), and ratio of forced expiratory capacity in the first second to forced vital capacity(FEV1/FVC)in the two groups were all higher than that before treatment, and were significantly higher in the observation group than those in the control group(P<0.05). Conclusion The application of CGA in the elderly patients with COPD can enhance the self-management, and promote rehabilitation.

     

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