我院2种雾化吸入方案在治疗慢性支气管炎急性发作时的护理观察

目的:在治疗慢性支气管炎急性发作时,通过护理观察对2种雾化吸入方案的疗效进行比较,以提供慢性支气管炎急性发作时治疗的最佳方案。方法:选择慢性支气管炎急性发作患者100例,随机分为A、B两组,各组在基础治疗上加氧气雾化吸入,A组药物为地塞米松加糜蛋白酶;B组药物为特布他林。结果:A组有效率68%;B组有效率92%。统计学比较差异有显著性。两组治疗后气急、咳痰费力均有缓解。A组气急、咳痰费力于雾化后7～8小时缓解,B组气急、咳痰费力于雾化后40分钟缓解,两组比较差异有显著性。结论:相比地塞米松和糜蛋白酶的组合,特布他林用于氧气雾化吸入治疗慢性支气管炎急性发作是一种更好的选择。

Objective ：To find the best way of oxygen jet nebulization for patients with a- cute episode chronic bronchitis,writer had a nursing observation with curative effects of two kinds of oxygen jet nebulization. Meth- od：Divide 100 patients with acute episode chronic bronchitis into dexamethasone and chymotrypsin group （ group A ） and terbutal- ine group （ group B ）. Patients in both two groups receive different drugs of oxygen jet nebulization in halationl and basic cure. Re- sult ：There is significant difference on cura- tive effect, 68% patients in group A felt good,92% patients in group B felt good; they in group A felt good after 7 ~ 8 hours from lose heart and hard expectoration, and they in group B felt good after forty minutes. Conclusion：Terbutaline on oxygen jet nebu- lization is a better choice in curing patients with acute episode chronic bronchitis to dex- amethasone and chymotrypsin.