慢性支气管炎肺气肿患者应用康复护理的效果研究  

Study on the effect of rehabilitation nursing for patients with chronic bronchitis and emphysema

作　　者：张娇红[1] ZHANG Jiao-hong(Respiratory Endoscopy Department,Shenzhen Third People’s Hospital,Shenzhen 518000,China)

机构地区：[1]深圳市第三人民医院呼吸内镜室,518000

出　　处：《中国实用医药》2020年第36期153-155,共3页China Practical Medicine

摘　　要：目的分析慢性支气管炎肺气肿患者应用康复护理的临床效果。方法70例慢性支气管炎肺气肿患者,根据随机数字表法分为对照组和观察组,每组35例。对照组患者给予常规护理,观察组在对照组基础上增加康复护理。比较两组咳嗽改善时间、咳痰改善时间、住院时间、临床疗效及治疗前后肺功能情况。结果观察组咳嗽改善时间(7.45±1.56)d、咳痰改善时间(6.25±1.11)d及住院时间(8.45±2.21)d均短于对照组的(9.67±2.21)、(9.21±2.21)、(12.21±3.21)d,差异有统计学意义(P<0.05)。治疗后,两组用力肺活量(FVC)、第1秒呼气容积(FEV1)及最大呼气流速(PEF)水平均高于治疗前,且观察组FVC(3.82±1.31)L,FEV1(3.24±0.31)L、PEF(5.71±1.15)L/s高于对照组的(2.41±1.61)L、(2.60±0.24)L、(4.51±1.21)L/s,差异有统计学意义(P<0.05)。观察组总有效率94.29%高于对照组的74.29%,差异有统计学意义(P<0.05)。结论康复护理对于慢性支气管炎肺气肿患者的的治疗效果确切,患者肺功能改善明显,值得推广和应用。Objective To analyze the clinical effect of rehabilitation nursing for patients with chronic bronchitis and emphysema. Methods A total of 70 patients with chronic bronchitis and emphysema were divided into control group and observation group according to random numerical table, with 35 cases in each group. The control group received conventional nursing, and the observation group received rehabilitation nursing based on the control group. The cough improvement time, expectoration improvement time, hospitalization time, clinical efficacy and pulmonary function before and after treatment were compared between the two groups. Results The cough improvement time(7.45±1.56) d, expectoration improvement time(6.25±1.11) d and hospitalization time(8.45±2.21) d of the observation group were shorter than(9.67±2.21),(9.21±2.21) and(12.21±3.21) d of the control group, and the difference was statistically significant(P<0.05). After treatment, the forced vital capacity(FVC), forced expiratory volume in the first second(FEV1) and peak expiratory flow(PEF) of the two groups were higher than those before treatment, and FVC(3.82±1.31) L, FEV1(3.24±0.31) L and PEF(5.71±1.15) L/s of the observation group was higher than(2.41±1.61) L,(2.60±0.24) L and(4.51±1.21) L/s of the control group, and the difference was statistically significant(P<0.05). The total effective rate 94.29% of the observation group was higher than 74.29% of the control group, and the difference was statistically significant(P<0.05). Conclusion Rehabilitation nursing has a definite therapeutic effect for patients with chronic bronchitis and emphysema, and the patients’ lung function has improved significantly, which is worthy of promotion and application.

关 键 词：慢性支气管炎 肺气肿 康复护理 效果 

分 类 号：R473.5[医药卫生—护理学]