戒烟对慢性阻塞性肺疾病患者临床症状和肺功能的影响研究

发布时间：2018-04-07 16:14

本文选题：戒烟　切入点：肺疾病　出处：《成都中医药大学》2013年硕士论文

【摘要】：目的：探讨戒烟对慢性阻塞性肺疾病(chronic obstructive pulmonary disease, COPD)患者临床症状和肺功能的影响,提高COPD患者对吸烟危害性的认识,增强其戒烟的信心,并对中医药戒烟治疗的应用及其前景进行展望。方法：纳入符合COPD诊断标准的男性吸烟患者80例,根据患者意愿分为两组：一组为戒烟组；一组为吸烟组。两组各40人。对所有患者进行问卷调查以及临床症状综合评分,至3个月观察期结束时再次进行临床症状综合评分以及肺功能检查,统计观察期内急性加重次数。结果：戒烟组戒烟3个月后咳嗽、咳痰、喘息等临床综合症状评分较初始值明显下降,差异有统计学意义(P0.05),与吸烟组比较差异亦有统计学意义(P0.05)；戒烟组观察期内急性加重次数较入选前3个月明显减少,差异有统计学意义(P0.05),吸烟组自身前后急性加重次数比较差异无统计学意义(P0.05)；两组自身前后FEV1、FEV1/FVC%比较都有下降,但戒烟组前后比较统计学无明显差异(P0.05),而吸烟组前后比较有统计学差异(P0.05)。结论：戒烟可明显改善慢性阻塞性肺疾病患者咳嗽、咳痰、喘息等症状,减少患者急性加重次数,且在一定程度上能减轻肺功能损害,延缓肺功能进一步下降。
[Abstract]:Objective: to investigate the effect of smoking cessation on the clinical symptoms and pulmonary function in patients with chronic obstructive pulmonary disease (Copd), to improve the awareness of the harmful effects of smoking in COPD patients, and to enhance their confidence in quitting smoking.The application and prospect of smoking cessation therapy with traditional Chinese medicine were prospected.Methods: 80 male smoking patients who met the COPD diagnostic criteria were divided into two groups according to the wishes of the patients: one group was smoking cessation group and the other group was smoking group.There were 40 people in each group.All the patients were investigated with questionnaire and comprehensive clinical symptom score. The clinical symptom comprehensive score and pulmonary function test were performed again at the end of three months observation period, and the times of acute exacerbation during the observation period were counted.Results: the scores of cough, expectoration, wheezing and other clinical symptoms in the group of quitting smoking after 3 months of smoking cessation were significantly lower than those of the initial value.The difference was statistically significant (P 0.05), compared with the smoking group (P 0.05), the number of acute exacerbations in the smoking cessation group was significantly lower than that in the previous 3 months.The difference was statistically significant (P 0.05), but there was no significant difference in the acute exacerbation times before and after smoking group (P 0.05), but the FEV1 / FEV 1 / FVC% ratio decreased in both groups.However, there was no significant difference before and after smoking cessation group (P 0.05), but there was significant difference between smoking group and smoking group (P 0.05).Conclusion: quitting smoking can obviously improve cough, expectoration and wheezing in patients with chronic obstructive pulmonary disease, reduce the times of acute exacerbation, and to some extent alleviate the damage of pulmonary function and delay the further decline of pulmonary function.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R563.9

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