朱卫华氧驱雾化吸入辅助治疗急性发作期慢阻肺疗效观察及护理体会.docVIP

氧驱雾化吸入辅助治疗急性发作期慢阻肺疗效观察及护理体会 朱卫华 盐城市亭湖区黄尖镇中心卫生院 （江苏 盐城） 224331 [摘要] 目的：探讨氧驱雾化吸入辅助治疗慢阻肺急性发作期临床疗效，总结其护理体会。方法：对我院2008年1月-2013年3月收治的46例急性发作期慢阻肺患者，按照入院的先后顺序随机分为两组，氧驱雾化吸入组和常规治疗组各23例，氧驱雾化吸入组在常规治疗组治疗的基础上，采用盐酸氨溴索氧驱雾化吸入辅助治疗，盐酸氨溴索7.5mg/次，2次/d，密切观察患者生命体征、临床表现，并采取精心的细节护理，7d一个疗程，疗程结束比较两组患者临床症状消失时间及总有效率。结果：氧驱雾化吸入组患者急性期临床症状缓解或消失平均时间为4.12±0.22d，常规治疗组为6.14±0.13d。氧驱雾化吸入组与常规治疗组总有效率分别为95.65%、82.61%。结论：氧驱雾化吸入盐酸氨溴索辅助治疗急性期慢阻肺，能较迅速的改善和控制急性病理症状，提高疾病治疗的总有效率。细节护理更能有效的促进治疗手段发挥临床作用最大化。 [关键词] 氧趋雾化吸入；慢阻肺；急性发作期；疗效观察与护理 Oxygen inhalation drive adjuvant treatment of acute exacerbation of chronic obstructive pulmonary disease and nursing observation ZHU Wei-hua Huang-jian Town Center Hospital ting-hu area in yancheng city( Yancheng ) 224331,china [ Abstract ] Objective : To investigate the adjuvant treatment of inhalation of oxygen flooding acute exacerbation of COPD clinical efficacy, summarize the nursing experience . Methods : The hospital in January 2008 -2013 in March were treated 46 cases of patients with acute exacerbation of chronic obstructive pulmonary disease , according to the order of admission were randomly divided into two groups , an oxygen group and conventional drive inhalation treatment group 23 cases oxygen inhalation flooding in the conventional treatment group group , based on the use of oxygen flooding ambroxol inhalation adjuvant therapy, ambroxol hydrochloride 7.5mg / times, 2 times / d, close observation of the patients vital signs , clinical performance and take meticulous care of the details , 7d a course of treatment, clinical symptoms were compared time and total efficiency . Results : oxygen inhalation drive group of patients with acute clinical symptoms or disappear average time of 4.12 ± 0.22d, the conventional treatment group was 6.14 ± 0.13d. Oxygen inhalation group and drive the conventional treatment group total effective rate was 95.65% , 82.61% . Conclusion : Oxygen inhalation drive ambroxol adjuvant treatment of acute chronic obstructive pulmonary disease ,