摘要
目的：探讨呼吸功能锻炼结合辨证论治中药治疗COPD的疗效及护理。方法将80例COPD患者按奇偶数字法随机分为对照组与观察组，各40例。对照组行常规雾化治疗，观察组将呼吸功能锻炼结合辨证论治中药治疗。比较两组临床疗效、治疗前后血气指标、肺功能变化情况及患者的生命质量。结果①对照组临床治疗总有效率为67.50％，显著低于观察组（87.50％），两组疗效差异具有统计学意义（P＜0.05）；②治疗前后两组血气指标（包括PaO2与PaCO2）及肺功能指标（FEV1与FEV1/FVC）相比，差异均具有统计学意义（P＜0.05），且观察组治疗后血气指标与肺功能优于对照组；③根据SF-36量表评分标准，对照组治疗前后SF-36评分差异无统计学意义（ P＞0.05），而观察组治疗前后SF-36评分差异均具有统计学意义（ P＜0.05），且观察组治疗后SF-36评分均大于对照组（ P＜0.05）。结论呼吸功能锻炼结合辨证论治中药治疗COPD的临床疗效显著，配以适当的护理干预，可有效提高患者生命质量，值得在临床上进一步推广。
Objective To investigate the clinical efficacy of respiratory function exercise plus traditional Chinese medicine treat -ment of COPD and experiences of nursing .Methods A total of 80 patients with COPD were randomly divided into the control group and the observation group , and each group was 40 cases.The control group underwent conventional nebulizer treatment , and the observation group underwent plus exercise group underwent respiratory syndrome differentiation of traditional Chinese medicine treatment .The clinical efficacy , bllod gas changes , and changes of the lung function , quality of life before and after treatment were compared between two groups .Results （1） The totally effective rate was 67.50%of the control group, which was significantly lower than that of the observation group （87.50%）, and there were statistical differences between the two groups （ P〈0.05 ） .（ 2 ） There were statistical differences of the blood gas indexes （ including PaO2 and PaCO2） and lung function （FEV1 and FEV1/FVC） before and after treatment of the two groups （P〈0.05）, and the observation group after treatment blood gas analysis and pulmonary function were significantly better than those of the control group （ P〈0.05 ） .（3） According to the standard of SF -36, there were no statistical differences of the SF -36 scores in the control group before and after treatment （ P〉0.05 ） , but there were statistical differences in the observation group （ P〈0.05 ） , and the observation group SF -36 scores were significantly higher than those of the control group （ P〈0.05 ） .Conclusions Clinical efficacy of respiratory function exercise plus traditional Chinese medicine treatment of COPD can be improved significantly , and it can effectively improve the life quality of patients and it is worthy of clinical application .
出处
《国际护理学杂志》
2014年第9期2300-2303,共4页
international journal of nursing
关键词
呼吸功能锻炼
中药辨证论治
COPD
护理
Respiratory function exercise
Chinese medicine diagnosis and treatment
Chronic obstructive pulmonary disease（COPD）
Nursing
