在心房的患者中实施慢性阻塞性肺病的查和管理途径
Rachel M J van der Velden1, Maartje J M Hereijgers1, Nazia Arman1
1Department of Cardiology, Maastricht University Medical Centre and Cardiovascular Research Institute Maastricht, P. Debyelaan 25, 6229 HX Maastricht, the Netherlands.
概括
在心房动 (AF) 诊所实施慢性阻塞性肺病 (COPD) 查途径,在20.3%的患者中发现空气流量限制. 这种综合方法旨在通过管理潜在的呼吸道疾病来提高AF治疗效率.
科学领域:
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
- 公共卫生 公共卫生
背景情况:
- 慢性阻塞性肺病 (COPD) 是心房动 (AF) 的危险因素,可能降低治疗效果.
- 缺乏用于查AF患者的COPD的实际指导.
研究的目的:
- 在现有的AF门诊基础设施内实施和评估COPD综合查和管理途径.
- 评估在接受AF导管切除手术的患者中对空气流量限制的查的可行性和产量.
主要方法:
- 使用手持式 (微型) 呼吸计,对连续AF患者进行手持式 (微型) 呼吸计的前期查.
- 对于有空气流量限制的患者,转诊肺科.
- 对查结果和患者转诊决定的分析.
主要成果:
- 在232名查的AF患者中,88.8%的患者获得了可解释的结果.
- 在20.3%的患者中检测到空气流量限制.
- 62%的空气流量限制患者选择了肺科医生转诊,7.3%的患者最终被诊断为COPD或喘.
结论:
- 一个COPD护理途径可以成功地集成到AF门诊使用 (微) 呼吸计.
- 患者教育和预选可能会提高这种查策略的诊断产量.
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