摘要
目的分析探讨不同雾化吸入方式对COPD急性期的临床护理疗效。方法将120例笔者所在医院治疗的COPD患者随机分为对照组及观察组,对照组给予超声雾化吸入治疗,观察组给予氧驱动雾化吸入治疗。结果两组患者治疗前PaO2、PaCO2、SO2 3项指标比较差异均无统计学意义。治疗第3天时两组PaO2、SO2均出现显著的提升,观察组两项指标显著高于对照组,两组间比较差异有统计学意义(P<0.05);治疗第7、14天时观察组PaO2、SO2显著高于对照组,两组间比较差异有统计学意义(P<0.05);观察组在第7、14天的PaCO2显著低于对照组,两组间比较差异有统计学意义(P<0.05)。对照组显效33例(55.0%),有效17例(28.3%),总有效率83.3%;观察组显效38例(63.3%),有效20例(33.3%),总有效率为96.7%,观察组显著高于对照组,两组总有效率比较差异有统计学意义(P<0.05)。结论氧驱动雾化吸入与超声雾化相比较,能更好的改善COPD患者肺通气换气功能,提高COPD治疗的总有效率,应在临床推广使用。
Objective To explore the clinical care efficacy of the different aerosol inhalation on patients with COPD in acute phase.Methods 120 patients with COPD in our hospital were randomly divided into control group and observation group.The control group was treated with ultrasound inhalation therapy,and the observation group were treated with oxygendriven inhalation therapy.Results PaO2,PaCO2,SO2 of the two groups before treatment had no significant difference in treatment on day 3.PaO2 and SO2 of two groups were significantly improved,but the two indicators of the observation group was significantly higher（P 〈 0.05）.The 7th and 14th days of treatment,PaO2 and SO2 of the observation group were significantly higher than that of the control group（P 〈 0.05）.PaCO2 of observation group was significantly lower,and there were significant differences between the two groups（P〈0.05）.In control group,33 cases were significantly effective（55.0%）,17 cases were effective（28.3%）,and the total effective rate was 83.3%.In observation group,38 cases were significantly effective（63.3%）,20 cases were effective（33.3%）,and total effective rate was 96.7%.The total effective rate of two group were significant difference（P 〈 0.05）,and the observation group was significantly higher.Conclusion Compared with ultrasonic atomization,oxygen atomizing inhalation is better to improve the ventilation function of lung ventilation of patients with COPD,improve the treatment total efficiency of COPD,and should be used in clinical practice.
出处
《中国医药科学》
2012年第15期146-148,共3页
China Medicine And Pharmacy
关键词
慢性阻塞性肺疾病
雾化吸入
Chronic obstructive pulmonary disease
Aerosol inhalation
