两种雾化吸入法对慢性阻塞性肺疾病急性加重期患者肺功能和治疗效果的影响  

Effect of two atomization inhalations on pulmonary function and efficacy for patients with chronic obstructive pulmonary disease in acute exacerbation

作　　者：顾永萍[1] 孙国妹[1] 朱小燕[1] 章建兰[1] 

机构地区：[1]杭州师范学院医学院附属余杭医院,浙江杭州311100

出　　处：《护理与康复》2009年第11期906-907,共2页Journal of Nursing and Rehabilitation

摘　　要：目的探讨慢性阻塞性肺疾病急性加重期患者应用雾化吸人治疗的最佳方法。方法将32例慢性阻塞性肺疾病急性加重期患者按随机数字表分为空气压缩雾化吸入组(A组)和氧气雾化吸入组(B组)各16例。两组均予吸氧、抗感染及对症治疗,雾化吸入液用沙丁胺醇和溴化异丙托品。两组在每次吸入前及吸入30 min后作动脉血气分析,吸入治疗3 d测定肺功能。结果B组治疗后用力肺活量、呼气峰流速、第1秒用力呼气容积和血氧饱和度的测定值与A组相比,差异有统计学意义(P<0.05),B组优于A组。结论慢性阻塞肺疾病急性加重期患者雾化吸入宜用氧气雾化吸入。Objective To study the best way of atomization inhalation for patients with chronic obstructive pulmonary disease in acute exacerbation. Method Divide 32 patients with chronic obstructive pulmonary disease in acute exacerbation into air compress inhalation group （group A） and oxygen nebulae inhalation group （group B）. Patients in both two groups receive oxygen inhalation, anti--infection and expectant. Inhalant solution includes salbutamol and ipratropium bromide. Test the arterial blood gas 30min before and after treatment and pulmonary function 3d later. Result There is significant difference on fvc, peak expiratory flow rate, forced expiratory volume in first second and blood oxygen saturation between group A and group B （P〈0.05）. Conclusion Oxygen Atomization Inhalation is a good choice for patients with chronic obstructive pulmonary disease in acute exacerbation.

关 键 词：阻塞性肺疾病 空气压缩雾化吸入 氧气雾化吸入 肺功能 血气分析 

分 类 号：R473.5[医药卫生—护理学]