慢性阻塞性肺疾病急性加重期非药物治疗的研究现状.docVIP

慢性阻塞性肺疾病急性加重期非药物治疗的研究现状 马丽雯1 （综述）戴路明2 （审稿） （1昆明医科大学附属延安医院呼吸内科云南昆明650051） （2昆明医科大学第一附属医院呼吸内科云南昆明650032） 慢性阻塞性肺疾病（COPD）指南明确指出，急性加重期治疗包括 药物治疗和非药物治疗。非药物治疗包括肺康复、体力活动、氧疗等。目前非药 物治疗的依从性差，增加了再入院率和医疗成木。根据慢病照护模式的组件，完 善COPD急性加重后的非药物治疗方法，可以增加患者依从性，达到更好的疾病 管理和减少医疗成木的目的。木文对近几年COPD急性加重期的非药物治疗现状 概述如下。 关键词 慢性阻塞性肺疾病；急性加重；肺康复；自我管理；体力活动; 氧疗；依从性；慢病照护模式 R453 A 2095-1752 （2015） 10-0011-03 Research status of Non?drug therapy in aggravating period of the chronic obstructive pulm on ary disease Ma Liwenl 1 Yan an Hospital Affiliated to Kunming Medical University, Yunnan Province, Kunming 650051, China; Dai Luming2 2 The First Affiliated Hospital of Kunming Medical University, Yunnan Provinee, Kunming 650032, China [Abstract] Guidelines for the COPD following an AE are now well established and in elude both pharmacological and non? pharmacological therapies. Non? pharmacological in terve ntions in elude pulm on ary rehabilitati on, physical activity and home oxyge n, ect.. Poor adhere nee to non? pharmacological interventions will impact on hospital readmission rates and health care costs? By refining the delivery of non?phairnacological therapies following an AECOPD accordi ng to comp orients of the chr onic care model, adhere nee may be improved, resulting in better disease management and possibly reducing health care utilization. The review summarized non-pharmacological therapies following an AECOPD in recent years. Key words］ Chronic obstructive pulmonary disease; Acute exacerbation; Pulm on ary rehabilitatio n; Self-ma nageme nt; Physical activity; oxyge n; Adhere nee; Chronic care model 慢性阻塞性肺疾病(Chronic objective pulmonary disease, COPD)是种严重危 害健康的常见病，目前居全球死亡原因的第4位［1］。COPD急性加重(acute exacerbations of chronic obstructive pulmonary disease, AECOPD)指 COPD 患者在慢 性的疾病进程中出现急性的症状加重，超岀日常变化，需要增加药物的治疗［2］。 反复住院会花费大量医疗费，约有30%的患者出院后在8周内复发而再住院⑶。 临床上为COPD稳定期患者开发的治疗策略不能充分满足急性加重期患者。为 COPD急性加重期后的患者重新设计新的干预手段是必要的。 1 ?非药物治疗的意义 慢性阻塞性肺疾病指南明确指出，急性加重期治疗包括药物治疗和非药物治 疗。非药物治疗包括肺康复、体力活动、氧疗、助行器、自我管理。COPD急