人工气腹治疗慢性阻塞性肺疾病的护理干预

Using artificial pneumoperitoneum in chronic obstructive pulmonary disease and nursing interventions

目的探讨人工气腹治疗慢性阻塞性肺疾病(COPD)的临床效果及护理干预方法。方法对50例COPD患者于人工气腹治疗前实施心理干预、戒烟指导、呼吸功能锻炼,治疗中嘱患者勿咳嗽等,治疗后妥善包扎腹部,加强饮食护理和耐寒锻炼等。结果人工气腹治疗6～24个月,COPD患者肺功能指标(FVC、MVV、FEV1%)、6分钟行走距离、呼吸困难分级及健康状况均显著改善,年COPD急性发作次数显著降低(均P<0.05),戒烟率为64.29%。结论COPD患者经人工气腹治疗,配合系统的护理,可有效改善患者心肺功能和生活质量。

Objective To quantify the efficacy of artificial pneumoperitoneum on chronic obstructive pulmonary disease （COPD） and to explore its nursing interventions. Methods Fifty COPD patients underwent artificial pneumoperitoneum therapy. And such nur- sing interventions as psychological care, health education on smoking cessation, exercises for promotion of pulmonary function were conducted before treatment; during treatment, patients were asked not to cough; and after treatment, patients＇ abdomen were dressed, dietary care and cold-resistant training were strengthened. Results The parameters of pulmonary function （FVC, MMC, FEV1G）, 6 minute walk distance, the grade of dyspnea and health condition were significantly improved after 6 to 24 months treatment, the times of acute attack significantly decreased （P〈0. 05 for all）, and the rate of smoking cessation was 64.29%. Conclusion Combination of artificial pneumoperitoneum and nursing interventions could improve COPD patients＇ pulmonary function and their quality of life.