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目的:观察慢性阻塞性肺疾病(COPD)急性加重期患者应用中药雾化吸入治疗对排痰效果的影响。方法:将88例COPD急性加重期患者随机分为对照组和观察组,各44例,对照组患者入院后接受对症治疗及西药雾化吸入,观察组在对照组治疗基础上行中药雾化吸入治疗,2组患者在治疗过程中均接受针对性护理方案,观察2组患者排痰效果及症状改善情况、肺功能变化、生存质量等指标。结果:观察组总有效率93.18%,与对照组72.73%比较,差异有统计学意义(P<0.05);观察组治疗后3天、14天排痰量均高于对照组,差异有统计学意义(P<0.05);对照组治疗后咳嗽、喘息、呼吸困难等症状改善时间均较观察组长,差异有统计学意义(P<0.05)。观察组治疗后肺功能及生存质量均优于对照组,差异有统计学意义(P<0.05)。结论:COPD急性加重期实施中药雾化吸入治疗具有可行性,配合有效的护理方案可提高排痰效果,利于患者缩短症状改善时间,促进肺功能恢复,也可提高患者生存质量,利于预后。
Objective: To observe the effect of atomizing inhalation on the expectoration effect in patients with acute exacerbation of chronic obstructive pulmonary disease (COPD). Methods: 88 patients with acute exacerbation of COPD were randomly divided into control group and observation group, 44 cases in each group. Patients in the control group received symptomatic treatment and inhalation of western medicine after admission. The observation group was treated with atomization inhalation Two groups of patients received specific nursing regimen during the course of treatment. The sputum production and symptom improvement, lung function and quality of life in two groups were observed. Results: The total effective rate in the observation group was 93.18%, which was significantly higher than that in the control group (72.73%) (P <0.05). The sputum volume of the observation group at 3 and 14 days after treatment was significantly higher than that of the control group (P <0.05). The improvement time of cough, wheezing and dyspnea in the control group were significantly longer than those in the observation group (P <0.05). The lung function and quality of life in the observation group were better than those in the control group, the difference was statistically significant (P <0.05). Conclusion: It is feasible to carry out the inhalation therapy of traditional Chinese medicine in acute exacerbation of COPD. Combining with effective nursing regimen, it can improve the expectorant effect, shorten the time of symptom improvement, promote the recovery of pulmonary function, improve the quality of life of patients and promote the prognosis.