首页|中医定向透药联合护理干预对COPD急性加重期患者肺功能和满意度的影响

中医定向透药联合护理干预对COPD急性加重期患者肺功能和满意度的影响

Effect of directional drug penetration treatment of Chinese medicine combined with nursing intervention on lung function and satisfaction of patients with acute exacerbation of COPD

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目的:研究中医定向透药联合护理干预治疗慢性阻塞性肺疾病急性加重期(AECOPD)的临床效果.方法:收集 2021 年 1 月—2022 年 12 月江西省抚州市中医医院AECOPD患者 64 例,按随机数字表法分成两组各 32 例.对照组给予西医常规治疗和护理,干预组在对照组基础上加用中医定向透药疗法联合护理干预,两组均治疗 2 周.比较两组治疗前、治疗 2周后的 1秒用力呼吸容积(FEV1)、FEV1 占预计值(FEV1%)、FEV1 与用力肺活量(FVC)比值(FEV1/FVC)、临床病情控制有效率以及患者满意率.结果:治疗 2 周后,干预组的FEV1 值、FEV1%值、FEV1/FVC值均高于对照组(P＜0.05).干预组的临床病情控制有效率和患者满意率分别为 96.88%(31/32)、96.88%(31/32),高于对照组的 71.88%(23/32)和 75.00%(24/32,P＜0.05).结论:中医定向透药联合护理干预治疗AECOPD效果佳,可有效改善肺功能,提高治疗效果和患者满意度.
Objective:To study the clinical effect of directional drug penetration treatment of Chinese Medicine combined with nursing intervention in the treatment of acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods:Sixty-four AECOPD patients in Fuzhou Hospital of Traditional Chinese Medicine in Jiangxi Province were collected from January 2021 to December 2022,and were divided into two groups with 32 cases each according to the random number table method.The control group was given conventional western medicine treatment and nursing care,and the intervention group was treated with directional drug penetration treatment of Chinese medicine combined with nursing intervention on the basis of the control group for 2 weeks.The 1-second forceful breathing volume(FEV1),FEV1 as a percentage of the expected value(FEV1%),the ratio of FEV1 to forceful lung capacity(FVC)vs FEV1/FVC,the effective rate of clinical control and the rate of satisfaction of the patients in the two groups before the treatment and after the 2-week treatment were compared between two groups.Results:After 2 weeks of treatment,the FEV1 value,FEV1%value,and FEV1/FVC value in the intervention group were higher than those in the control group(P<0.05).The effective rate of clinical condition control and patients'satisfaction rate in the intervention group were 96.88%(31/32)and 96.88%(31/32),respectively,which were higher than those in the control group 71.88%(23/32)and 75.00%(24/32,P<0.05).Conclusion:Directional drug penetration treatment of Chinese medicine combined with nursing intervention is effective in the treatment of AECOPD,which can effectively improve lung function,therapeutic effect and patients'satisfaction.

acute exacerbation of chronic obstructive pulmonary diseasedirectional drug penetration treatment of Chinese medicinenursing interventionlung functioncurative effectsatisfaction

邱兵、黄纡寰

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江西省抚州市中医医院内科,抚州 344000

AECOPD 中医定向透药 护理干预 肺功能 疗效 满意度

抚州市社会发展指导性科技计划

抚科计字[2021]21号-72

2024

上海医药
上海医药行业协会

上海医药

影响因子：0.781
ISSN：1006-1533
年,卷(期)：2024.45(6)
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