【摘要】 目的 :评价"全-专"结合团队社区管理稳定期慢性阻塞性肺疾病(慢阻肺)的效果。方法 :以2019年9月上海市宝山区淞南镇慢阻肺高危人群筛查被确诊的100例稳定期慢阻肺患者作为研究对象,采用随机数字表法分为管理组和常规组,常规组患者接受全科普通门诊基本诊疗,管理组患者与家庭医生"1+1+1"签约服务,接受"全-专"结合团队规范化(规范药物治疗和非药物治疗)管理。管理时间为12个月,观察两组患者的肺功能、呼吸症状、焦虑、生活质量等的变化情况。结果 :管理12个月后,管理组的FVC值、CAT和m MRC症状评估、焦虑和生活质量评分、慢阻肺防治知识知晓率、吸入剂药物正确使用率的改善均明显优于常规组,差异均有统计学意义(P <0.05)。结论:"全-专"结合团队管理模式可改善慢阻肺的症状和生活质量,提升了基层医疗机构管理慢阻肺的能力。更多还原

【Abstract】 Objective: To evaluate the effect of "general practitioner-specialist combination" team in the community management of chronic obstructive pulmonary disease(COPD) in stable period. Methods: In September 2019, 100 patients with stable COPD who were diagnosed in the high-risk population screening for COPD in Songnan Community of Baoshan District, Shanghai were selected as the research objects, and divided into a management group and a conventional group by random number table method, the patients in the conventional group received basic diagnosis and treatment in general outpatient clinics, and the patients in the management group signed "1 + 1 + 1" services with family doctors, and received standardized management of "general practitioner-specialist" combination team(standardized drug treatment and non drug treatment). The management time was 12 months. The changes of pulmonary function, respiratory symptoms, anxiety and quality of life of the two groups were observed. Results: After 12 months of management, FVC value, CAT and m MRC symptom assessment, anxiety and quality of life score, awareness rate of COPD prevention and treatment knowledge, and correct use rate of inhalant drugs in the management group were significantly better than those in the conventional group(P<0.05). Conclusion: The management mode of "general practitioner-specialist" combination team can improve the symptoms and quality of life of COPD, and improve the ability of primary medical institutions to manage COPD.更多还原