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中华肺部疾病杂志(电子版) ›› 2023, Vol. 16 ›› Issue (02) : 251 -253. doi: 10.3877/cma.j.issn.1674-6902.2023.02.027

临床研究

延续管理对老年COPD髋部骨折术后患者肺功能恢复的临床分析
匡芸芸1, 张悦1, 张其梦1, 张玉梅1,()   
  1. 1. 400037 重庆,陆军(第三)军医大学第二附属医院骨科
  • 收稿日期:2022-12-13 出版日期:2023-04-25
  • 通信作者: 张玉梅

Clinical analysis of continuous management on pulmonary function recovery in elderly patients with COPD after hip fracture surgery

Yunyun Kuang1, Yue Zhang1, Qimeng Zhang1   

  • Received:2022-12-13 Published:2023-04-25
引用本文:

匡芸芸, 张悦, 张其梦, 张玉梅. 延续管理对老年COPD髋部骨折术后患者肺功能恢复的临床分析[J]. 中华肺部疾病杂志(电子版), 2023, 16(02): 251-253.

Yunyun Kuang, Yue Zhang, Qimeng Zhang. Clinical analysis of continuous management on pulmonary function recovery in elderly patients with COPD after hip fracture surgery[J]. Chinese Journal of Lung Diseases(Electronic Edition), 2023, 16(02): 251-253.

目的

分析延续管理对老年慢性阻塞性肺部疾病(chronic obstructive pulmonary disease, COPD)髋部骨折患者术后肺功能的影响。

方法

回顾性分析2020年1月至2021年12月收治的老年COPD髋部骨折行骨科手术患者,根据纳排标准最终纳入98例,根据所采用的照护模式分为两组:2020年1月至12月的患者采取照护模式是常规出院指导为对照组48例;2021年1月至12月的患者采取的照护模式是常规出院模式加院外延续管理为观察组50例。

结果

出院1月后,观察组PaO2(68.77±8.15)mmHg、SaO2(89.52±5.09)%、FEV1/FVC(67.92±4.21)%、FEV1%(2.94±0.21)L/s高于对照组PaO2(62.31±6.19)mmHg、SaO2(83.57±6.91)%、FEV1/FVC(65.62±3.85)%、FEV1%(2.46±0.15)L/s;PaCO2(51.80±7.85)mmHg低于对照组(56.11±6.33)mmHg,差异具有统计学意义(P<0.05)。

结论

延续管理能够改善老年COPD髋部骨折患者术后肺功能,具有临床意义。

表1 两组患者血气分析结果比较(±s)
表2 患者肺功能检查结果比较(±s)
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