中西医结合治疗支气管哮喘并肺气肿的临床护理分析(1)
摘要目的：将中西医结合的方法，用于支气管哮喘并肺气肿的治疗过程中，并分析探讨其临床治疗效果。方法：选取2014年12月至2016年12月重庆市忠县人民医院收治的符合要求的支气管哮喘并肺气肿肾患者104例作为本次研究对象，采用随机分组的方法将其平均分为观察组和对照组，每组52例。对照组患者采用间断抗生素以及平喘药进行治疗。观察组患者在对照组的基础上外加中药进行治疗。分析比较2组患者的临床治疗效果、护理满意度和睡眠质量。结果：经过一系列的治疗后，观察组的患者治疗总有效率高达10000%，相较于对照组的治疗总有效率(7690%)而言，差异有统计学意义(P<005)。观察组患者的护理满意度为9615%，相对于对照组的8846%来说，差异有统计学意义(P<005)。2组治疗后的匹兹堡睡眠质量指数(PSQI)评分较治疗前降低(P<001)，且观察组显著低于对照组(P<001)。讨论：中西医结合治疗的方法，用于治疗支气管哮喘并肺气肿的治疗效果良好，可改善睡眠质量比单一治疗的方法更具可用性，值得大力推广。
关键词中西医结合；支气管哮喘并肺气肿；临床护理分析；睡眠质量
中图分类号：R33863文献标识码：Adoi：103969/jissn2095-7130201804026
AbstractObjective：To analyze the clinical effect of Chinese and wester medicine in treatment of bronchial asthma combined with pulmonary emphysema.Methods：From December 2014 to December 2016，104 cases of patients with bronchial asthma combined with pulmonary emphysema on demand were selected as study subjectsPatients were randomly divided into experimental group and control groupThe 52 patients in control group were treated with intermittent antibiotics and antiasthmatic drugsThe 52 patients in experimental group were treated with traditional Chinese medicine on the basis of the control groupAnalyze and compare the clinical effect of the treatment，nursing satisfaction and sleeping quality.Results：After treatment，the total effective rate was 100% in the experimental group，which was significantly higher than 7690% in the control group(P<005)，and the nursing satisfaction was 9615% in the experimental group，which was significantly higher than 8846% in the control group(P<005)Compared with before treatment the Pittsburgh Sleep Quality Index(PSQI)scores of 2 groups were significantly lower than that before treatment(P<001)，and the experimental group was significantly lower than the control group(P<001).Conclusion：Chinese and wester medicine in treatment of bronchial asthma combined with pulmonary emphysema can improve the sleeping quality，and the clinical effect is better than using single treatmentIt′s well worth developing.
Key WordsCombination of Chinese and wester medicine； bronchial asthma combined with pulmonary emphysema； analysis of clinical nursing； sleeping quality
1資料与方法
11一般资料选取2014年12月至2016年12月期间在我院进行治疗的符合要求的支气管哮喘并肺气肿肾患者104例作为本次研究对象，这些患者均符合哮喘诊断标准。临床特征主要有咳嗽、胸闷、发作性呼吸困难、呼吸急促、桶状胸，两肺叩过清音，发作时双肺闻及散在或弥漫的哮鸣音，2次呼气期明显。X线检查肋间隙有增宽的现象，肋骨变平，横隔部位降低且平，肺透亮度明显增强。肺功能检查FEV1、PEF的基础值与预计值相比，下降了20%，支气管扩张剂吸入后增值大于15%，预算生存期比1年多。采用随机分组法将其平均分为观察组和对照组，每组52例，其中，观察组男20例，女32例，年龄50～77岁，平均年龄(6832±534)岁。病程13～30年，平均病程(213±23)年。对照组男31例，女21例，年龄53～78岁，平均年龄(7025±262)岁。病程10～31年，平均病程(247±41)年。分析比较2组患者的年龄、疾病史等一般资料比较，差异无统计学意义(P>005)，具有可比性。, http://www.100md.com(江红艳)
关键词中西医结合；支气管哮喘并肺气肿；临床护理分析；睡眠质量
中图分类号：R33863文献标识码：Adoi：103969/jissn2095-7130201804026
AbstractObjective：To analyze the clinical effect of Chinese and wester medicine in treatment of bronchial asthma combined with pulmonary emphysema.Methods：From December 2014 to December 2016，104 cases of patients with bronchial asthma combined with pulmonary emphysema on demand were selected as study subjectsPatients were randomly divided into experimental group and control groupThe 52 patients in control group were treated with intermittent antibiotics and antiasthmatic drugsThe 52 patients in experimental group were treated with traditional Chinese medicine on the basis of the control groupAnalyze and compare the clinical effect of the treatment，nursing satisfaction and sleeping quality.Results：After treatment，the total effective rate was 100% in the experimental group，which was significantly higher than 7690% in the control group(P<005)，and the nursing satisfaction was 9615% in the experimental group，which was significantly higher than 8846% in the control group(P<005)Compared with before treatment the Pittsburgh Sleep Quality Index(PSQI)scores of 2 groups were significantly lower than that before treatment(P<001)，and the experimental group was significantly lower than the control group(P<001).Conclusion：Chinese and wester medicine in treatment of bronchial asthma combined with pulmonary emphysema can improve the sleeping quality，and the clinical effect is better than using single treatmentIt′s well worth developing.
Key WordsCombination of Chinese and wester medicine； bronchial asthma combined with pulmonary emphysema； analysis of clinical nursing； sleeping quality
1資料与方法
11一般资料选取2014年12月至2016年12月期间在我院进行治疗的符合要求的支气管哮喘并肺气肿肾患者104例作为本次研究对象，这些患者均符合哮喘诊断标准。临床特征主要有咳嗽、胸闷、发作性呼吸困难、呼吸急促、桶状胸，两肺叩过清音，发作时双肺闻及散在或弥漫的哮鸣音，2次呼气期明显。X线检查肋间隙有增宽的现象，肋骨变平，横隔部位降低且平，肺透亮度明显增强。肺功能检查FEV1、PEF的基础值与预计值相比，下降了20%，支气管扩张剂吸入后增值大于15%，预算生存期比1年多。采用随机分组法将其平均分为观察组和对照组，每组52例，其中，观察组男20例，女32例，年龄50～77岁，平均年龄(6832±534)岁。病程13～30年，平均病程(213±23)年。对照组男31例，女21例，年龄53～78岁，平均年龄(7025±262)岁。病程10～31年，平均病程(247±41)年。分析比较2组患者的年龄、疾病史等一般资料比较，差异无统计学意义(P>005)，具有可比性。, http://www.100md.com(江红艳)
参见：首页 > 医疗版 > 疾病专题 > 呼吸内科 > 气管、支气管疾病 > 支气管哮喘