排痰护理对老年支气管哮喘急性发作期辅助疗效的观察  

Observation of the auxiliary role of expectoration care in the treatment of the elderly patients with acute exacerbation of bronchial asthma

作　　者：庄岚[1] 陆沛[2] 赵澐[3] 

机构地区：[1]复旦大学附属华山医院急诊科,上海市200040 [2]复旦大学附属华山医院中西医结合科,上海市200040 [3]复旦大学附属华东医院急诊科,上海市200040

出　　处：《实用老年医学》2013年第6期526-528,共3页Practical Geriatrics

摘　　要：目的探讨老年支气管哮喘急性发作期辅助治疗的护理方法。方法选择2010年11月至2012年12月在华山医院急诊科住院治疗的老年支气管哮喘患者90例,随机分为排痰护理组和常规护理组,每组45例。常规护理组患者只采用常规护理,排痰护理组在相同的常规护理基础上再加排痰护理,连续7d。在护理前后对2组患者的临床疗效、症状与体征消失时间和肺功能变化等结果进行比较。结果排痰护理组的有效率明显高于常规治疗组(P<0.01),喘息、咳嗽、胸闷、肺部哮鸣音等症状、体征消失的时间皆比常规护理组显著减少(P<0.01或P<0.05)。与治疗前比较,2组治疗后1秒用力呼气容积/用力呼气量预计值的百分比(FEV1%)、1秒用力呼气容积/用力肺活量百分比(FEV1/FVC%)、最大呼气峰值流速实测值占预计值的百分比(PEF%)皆显著升高(P<0.01);与常规护理组治疗后比较,排痰护理组治疗后的FEV1%、FEV1/FVC%和PEF%均明显升高(P<0.01)。结论排痰护理对老年支气管哮喘有辅助疗效,值得在临床上推广应用。Objective To explore the nursing methods of auxiliary treatment of acute exacerbation of bronchial asthma in the elderly. Methods Ninety elderly cases with acute exacerbation of bronchial asthma were randomly divided into expectoration care group (n=45) and conventional care group (n=45). The efficacy, disappearing time of clinical symptoms and signs and the levels of FEV1%, FEV1/FVC%, PEF% in the two groups were compared and statistically analyzed. Results The efficient rate of the expectoration care group was significantly higher than that of the conventional care group (P<0.01). The disappearing time of wheezing, coughing, chest tightness and pulmonary wheezing sound of the expectoration care group were significantly shorter than those of the conventional care group (P<0.01 or P<0.05). The levels of FEV1%, FEV1/FVC%, PEF% were significantly increased in two groups after care(P<0.01). Compared with the conventional care group, the levels of FEV1%, FEV1/FVC%, PEF% were significantly increased in the expectoration care group after care (P<0.01). Conclusions Expectoration care has good assisted treatment effect on bronchial asthma in the elderly patients, which is worth in the clinical application.

关 键 词：老年 哮喘 排痰 护理 

分 类 号：R473.5[医药卫生—护理学]