本文選題：戒煙　切入點(diǎn)：肺疾病　出處：《成都中醫(yī)藥大學(xué)》2013年碩士論文

【摘要】：目的：探討戒煙對慢性阻塞性肺疾病(chronic obstructive pulmonary disease, COPD)患者臨床癥狀和肺功能的影響,提高COPD患者對吸煙危害性的認(rèn)識,增強(qiáng)其戒煙的信心,并對中醫(yī)藥戒煙治療的應(yīng)用及其前景進(jìn)行展望。 方法：納入符合COPD診斷標(biāo)準(zhǔn)的男性吸煙患者80例,根據(jù)患者意愿分為兩組：一組為戒煙組；一組為吸煙組。兩組各40人。對所有患者進(jìn)行問卷調(diào)查以及臨床癥狀綜合評分,至3個(gè)月觀察期結(jié)束時(shí)再次進(jìn)行臨床癥狀綜合評分以及肺功能檢查,統(tǒng)計(jì)觀察期內(nèi)急性加重次數(shù)。 結(jié)果：戒煙組戒煙3個(gè)月后咳嗽、咳痰、喘息等臨床綜合癥狀評分較初始值明顯下降,差異有統(tǒng)計(jì)學(xué)意義(P0.05),與吸煙組比較差異亦有統(tǒng)計(jì)學(xué)意義(P0.05)；戒煙組觀察期內(nèi)急性加重次數(shù)較入選前3個(gè)月明顯減少,差異有統(tǒng)計(jì)學(xué)意義(P0.05),吸煙組自身前后急性加重次數(shù)比較差異無統(tǒng)計(jì)學(xué)意義(P0.05)；兩組自身前后FEV1、FEV1/FVC%比較都有下降,但戒煙組前后比較統(tǒng)計(jì)學(xué)無明顯差異(P0.05),而吸煙組前后比較有統(tǒng)計(jì)學(xué)差異(P0.05)。 結(jié)論：戒煙可明顯改善慢性阻塞性肺疾病患者咳嗽、咳痰、喘息等癥狀,減少患者急性加重次數(shù),且在一定程度上能減輕肺功能損害,延緩肺功能進(jìn)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.
【學(xué)位授予單位】：成都中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2013
【分類號】：R563.9

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