摘要
目的探讨综合排痰护理佐治老年支气管哮喘急性发作期的临床效果，寻求老年支气管哮喘急性发作期有效的护理手段。方法选择2011年11月-2013年4月急诊科住院治疗的老年支气管哮喘患者100例，随机分为常规护理组（n=50）和排痰护理组（力=50），常规护理组患者仅仅采用常规护理，排痰护理组在与对照组相同的常规护理基础上再加综合排痰护理，连续7d。于护理后分别对两组患者的临床疗效、症状与体征消失时间等进行详细记录，其结果进行统计学比较分析。结果排痰护理组显效29例、有效14例、无效7例、总有效率86％，而常规护理组显效22例、有效15例、无效13例、总有效率74％，排痰护理组总有效率显著高于常规护理组（P〈0．01）；排痰护理组与常规护理组临床症状、体征消失时间天数明显减少：喘息（3．07±0．43vs．5．35±0．75，P〈0．01）、肺部哮鸣音（3．02±0．42vs．5．05±0．71，P〈0．01）、胸闷（3．11±0．44vs．5．42±0．76，P〈0.01）、咳嗽（4．19±0．59vs．5．66±0．79，P〈0．05）。结论综合排痰护理对老年支气管哮喘有较显著的辅助疗效，值得临床推广应用。
Objective To explore the nursing methods of auxiliary treatment of acute exacerbation of bronchial asthma in the elderly. Methods 100 elderly cases with acute exacerbation of bronchial asthma were randomly divided into expectoration care group and conventional care group, 50 cases each group. The efficacy, clinical symptoms and signs disappeared time in the two groups were compared and statistically analyzed. Results The efficient rate of the expectoration care group was significantly higher than that of the conventional care group （86% vs. 74%, P〈0.01）. The disappeared days of wheezing （3.07±0.43 vs. 5.35±0.75, P〈0.01 ）, pulmonary wheezing sound （3.02±0.42 vs. 5.05±0.71, P〈0.01 ）, chest tightness （3.11±0.44vs. 5.42±0.76, P〈0.01 ） and coughing （4.19±0.59vs. 5.66±0.79, P〈0.05） of the expectoration care group were significantly shorter than those of the conventional care group. Conclusion Expectoration care has good assisted treatment effects on bronchial asthma in elderly patients, which is worth in the clinical application.
出处
《老年医学与保健》
CAS
2013年第5期325-328,共4页
Geriatrics & Health Care
关键词
老年
哮喘
排痰
护理
Elderly
Asthma
Expectoration
Care
