摘要
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 discuss effect of Chinese Medicine（CM） aerosol inhalation for patients in acute exacerbation of chronic obstructive pulmonary disease（COPD） on sputum excretion and care. Methods：Divided 88 cases of patients of acute exacerbation of COPD into two groups. The control group received symptomatic treatment and western medicine aerosol inhalation,the observation group received CM aerosol inhalation on the basis of therapy of the control group,and both group all receive targeted care solution during treatment. Observed sputum excretion effect, condition of symptomatic improvement, lung function change and life quality after treatment in two groups. Results： The total effective rate was93.18% in the observation group, and was 72.73% in the control group, difference being significant（P 0.05）. Sputum excretion quantity of the observation group was higher than the control group after 3 days and 14 days of treatment（P 〈0.05）,and the improvement time of cough,gasp and dyspnea of the control group was longer than that in the observation group（P 〈0.05）.The lung function and life quality of the observation group were all superior to those of the control group after treatment.Conclusion： It is feasible to use CM aerosol inhalation during acute exacerbation of COPD. If combined with effective care solution,this therapy can improve sputum excretion effect,and is conducive to short symptom improvement time,promote recover of lung function,as well as improve life quality and benefit to prognosis.
作者
石正娟
赖仕宇
SHI Zhengjuan LAI Shiyu
出处
《新中医》
CAS
2016年第10期216-218,共3页
New Chinese Medicine
关键词
慢性阻塞性肺疾病急性加重期(COPD)
中药雾化吸入
排痰
护理
Acute exacerbation of chronic obstructive pulmonary disease
Chinese Medicine（CM） aerosol inhalation
Sputum excretion
Care
