摘要
目的观察加温加氧超声雾化对急性加重期慢性阻塞性肺疾病(AECOPD)的疗效。方法选取2018年4月至2019年8月广西壮族自治区江滨医院收治的AECOPD患者60例,采用随机数字表法将其分为对照组和观察组,每组30例。对照组予传统氧气雾化吸入治疗,观察组予加温加氧超声雾化吸入治疗。两组疗程均为1周。比较两组治疗前后慢性阻塞性肺疾病评估测试(CAT)评分、动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))、第1秒用力呼气容积占预计值百分比(FEV 1%pred)。结果治疗前,两组CAT评分、PaO_(2)、PaCO_(2)、FEV 1%pred比较差异无统计学意义(P>0.05)。治疗后,观察组CAT评分、PaCO_(2)低于对照组,PaO_(2)、FEV 1%pred高于对照组,差异有统计学意义(P<0.05)。结论与传统氧气雾化相比,加温加氧超声雾化对AECOPD的疗效更佳。
Objective To observe the effect of heated and oxygenated ultrasonic atomization on acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods Sixty patients with AECOPD who were admitted to Jiangbin Hospital of Guangxi Zhuang Autonomous Region from April 2018 to August 2019 were selected and divided into a control group and an observation group by random number table method,with 30 cases in each group.The control group received conventional oxygen atomization inhalation therapy,while the observation group was treated with heated and oxygenated ultrasonic atomization.The course of treatment for both groups was 1 week.The Chronic Obstructive Pulmonary Disease Assessment Test(CAT)scores,arterial partial pressure of oxygen(PaO_(2)),arterial partial pressure of carbon dioxide(PaCO_(2))and the forced expiratory volume in one second to predicted value ratio(FEV 1%pred)were compared between the two groups before and after treatment.Results Before treatment,there were no significant differences between the two groups in CAT scores,PaO_(2),PaCO_(2),and FEV 1%pred(P>0.05).After treatment,the CAT scores and PaCO_(2)of the observation group were lower than those of the control group,and PaO_(2)and FEV 1%pred of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Compared with conventional oxygen atomization,heated and oxygenated ultrasonic atomization has better curative effect on AECOPD.
作者
陈彩明
经庆玲
郑立
宋小睛
戴小英
唐悦婵
CHEN Cai-ming;JING Qing-ling;ZHENG Li(Department of Respiratory Rehabilitation,Jiangbin Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China)
出处
《中国临床新医学》
2021年第9期893-896,共4页
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
基金
广西卫健委科研课题(编号:Z20180836)。
关键词
雾化吸入
急性加重期慢性阻塞性肺疾病
加温雾化
Atomization inhalation
Acute exacerbation of chronic obstructive pulmonary disease(AECOPD)
Heated atomization
