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摘 要 目的:探讨中药液经氧雾化吸入对慢性阻塞性肺疾病肺功能的影响及护理研究。方法:将入选80例慢性阻塞性肺疾病患者随机分为治疗组和对照组两组。治疗组在对照组治疗基础上加用中药液15ml经氧雾化吸入2次/日,每次10～15分钟,分别测定两组治疗前后第1秒用力肺活量(FEV1),用力肺活量(FVC)及FEV1/FVC。结果:治疗组FEV1、FVC,FEV1/EVC均明显高于对照组。结论:中药液经氧雾化吸入对COPD肺功能有改善作用。
关键词 慢性阻塞性肺疾病 中药液经氧雾化吸入 肺功能 临床护理
doi:10.3969/j.issn.1007-614x.2010.22.259
AbstractObjective:To investigate the nursing research and effect of pulmonary function in the liquid of traditional chinese medicine atomizated by the oxygen inhalation in chronic obstructive pulmonary disease.Methods:80 patients with chronic obstructive pulmonary disease were randomly divided into treatment group and control group .The treatment group was added in 15ml the liquid of traditional chinese medicine atomizated by the oxygen inhalation 10～15 minutes per time,bid,on the basis of the control group.The forced vital capacity(FEV1),forced vital capacity(FVC) and FEV1/FVC of the first second were measured in the two groups before and after treatment.Results FEV1 FVC,FEV1/EVC of the treatment group were significantly higher than the control group.Conclusion The liquid of traditional chinese medicine atomizated by the oxygen inhalation has improvement in pulmonary function of COPD.
Key Wordschronic obstructive pulmonary disease;the liquid of traditional chinese medicine atomizated by the oxygen inhalation;pulmonary function;nursing research
肺功能测定确定气流受限有重要意义。在吸入支气管舒张剂后,第1秒用力呼气容积(FEV1)/用力肺活量(FVC)<70%,表明存在气流受限,并且不能完全逆转。肺功能检查是判断气流受限的客观指标,其重复性好,对COPD的诊断,严重程度评价,疾病进展,预后及治疗反应等均有重要意义。COPD严重程度评估需根据患者的症状,肺功能异常,是否存在合并症(呼吸衰竭、心力衰竭)等确定,其中反映气流受阻程度的FEV1下降有重要参考意义,根据肺功能将COPD严重性分为Ⅰ级(轻度COPD)、Ⅱ级(中度COPD)、Ⅲ级(重度COPD)、Ⅳ级(极重度COPD),FEV1%预计值对反映COPD严重程度健康状况及病死率很重要[1]。雾化吸入疗法是利用气体射流原理,将水滴撞击的微小雾滴悬浮于气体中,形成气雾剂而输入呼吸道,以进行呼吸道湿化或药物吸入的治疗方法,作為全身治疗的辅助和补充。雾化吸入疗法直接作用于病变部位,与口服法相比具有用药剂量小、见效快、不良反应少和使用方便等优点,且疗效显著。
关键词 慢性阻塞性肺疾病 中药液经氧雾化吸入 肺功能 临床护理
doi:10.3969/j.issn.1007-614x.2010.22.259
AbstractObjective:To investigate the nursing research and effect of pulmonary function in the liquid of traditional chinese medicine atomizated by the oxygen inhalation in chronic obstructive pulmonary disease.Methods:80 patients with chronic obstructive pulmonary disease were randomly divided into treatment group and control group .The treatment group was added in 15ml the liquid of traditional chinese medicine atomizated by the oxygen inhalation 10～15 minutes per time,bid,on the basis of the control group.The forced vital capacity(FEV1),forced vital capacity(FVC) and FEV1/FVC of the first second were measured in the two groups before and after treatment.Results FEV1 FVC,FEV1/EVC of the treatment group were significantly higher than the control group.Conclusion The liquid of traditional chinese medicine atomizated by the oxygen inhalation has improvement in pulmonary function of COPD.
Key Wordschronic obstructive pulmonary disease;the liquid of traditional chinese medicine atomizated by the oxygen inhalation;pulmonary function;nursing research
肺功能测定确定气流受限有重要意义。在吸入支气管舒张剂后,第1秒用力呼气容积(FEV1)/用力肺活量(FVC)<70%,表明存在气流受限,并且不能完全逆转。肺功能检查是判断气流受限的客观指标,其重复性好,对COPD的诊断,严重程度评价,疾病进展,预后及治疗反应等均有重要意义。COPD严重程度评估需根据患者的症状,肺功能异常,是否存在合并症(呼吸衰竭、心力衰竭)等确定,其中反映气流受阻程度的FEV1下降有重要参考意义,根据肺功能将COPD严重性分为Ⅰ级(轻度COPD)、Ⅱ级(中度COPD)、Ⅲ级(重度COPD)、Ⅳ级(极重度COPD),FEV1%预计值对反映COPD严重程度健康状况及病死率很重要[1]。雾化吸入疗法是利用气体射流原理,将水滴撞击的微小雾滴悬浮于气体中,形成气雾剂而输入呼吸道,以进行呼吸道湿化或药物吸入的治疗方法,作為全身治疗的辅助和补充。雾化吸入疗法直接作用于病变部位,与口服法相比具有用药剂量小、见效快、不良反应少和使用方便等优点,且疗效显著。