摘要
目的探讨循证护理在异丙托溴铵联合布地奈德雾化吸入治疗慢性阻塞性肺疾病急性加重(AECOPD)中的应用价值。方法选取郑州大学附属洛阳中心医院2017年5月-2018年11月收治的104例AECOPD患者,采用数字随机分组法将其分为两组,对照组52例,观察组52例。两组患者均采用异丙托溴铵联合布地奈德雾化吸入治疗基础上,对照组实施常规护理,观察组实施循证护理,于治疗结束后,比较两组临床疗效;于护理期间观察并比较两组症状消失时间。结果观察组总有效率96.15%(50/52)明显高于对照组73.08%(38/52),差异有统计学意义(P<0.05);观察组咳嗽(2.54±0.71)d、憋喘(3.43±0.47)d、胸闷(3.59±1.31)d等症状消失时间均短于对照组(3.78±0.75)d、(4.16±0.37)d、(4.97±1.42)d,差异有统计学意义(P<0.05)。结论在对AECOPD患者采用异丙托溴铵联合布地奈德雾化吸入治疗基础上,实施循证护理干预,可有效改善患者临床症状,缩短治疗时间,提高临床疗效,促进患者康复,应用效果显著,值得临床推广应用。
Objective To explore the application value of evidence-based nursing in the treatment of acute exacerbation of chronic obstructive pulmonary disease(AECOPD) with ipratropium bromide combined with budesonide atomization inhalation.Methods 104 patients with AECOPD were randomly divided into two groups in the hospital from May, 2017 to November,2018,with 52 patients in each group. The control group was treated with routine nursing,and the observation group was treated with evidence-based nursing. The clinical efficacy and symptom disappearance time of the two groups were compared. Results The total effective rate in the observation group was 96.15%(50/52),which was significantly higher than that in the control group(73.08%,38/52)(P<0.05). The disappearance time of cough(2.54±0.71) d,wheezing(3.43±0.47) d and chest tightness(3.59±1.31) d in the observation group was significantly shorter than(3.78±0.75) d,(4.16±0.37) d and(4.97±1.42) d in the control group(P<0.05). Conclusion Evidence-based nursing intervention is more effective in the treatment of AECOPD with ipratropium bromide combined with budesonide atomization inhalation,which can effectively improve the clinical symptoms,shorten the treatment time,improve the clinical efficacy and promote the rehabilitation of patients.
作者
谢玉珍
XIE Yu-zhen(Respiratory Internal Department,Luoyang Central Hospital Affiliated of Zhengzhou University,Luoyang,Henan,471000,China)
出处
《黑龙江医学》
2020年第3期416-418,共3页
Heilongjiang Medical Journal
