循证护理加中药雾化吸入治疗肺源性心脏病急性加重期的临床研究

Cli nical Observation of Evidence Based Nursing and TCM Inhalation on Acute Exacerbation of Pulmonary Heart Disease

目的观察循证护理加中药雾化吸入治疗肺源性心脏病急性加重期的临床效果。方法将105例肺源性心脏病急性加重期患者随机分为3组,对照组仅常规西医护理与治疗;循证护理组在对照组基础上给予循证护理干预;中药雾化组在循证护理组基础上给予中药超声雾化吸入,疗程均12 d。结果中药雾化组总有效率均优于对照组、循证护理组(P<0.05)。循证护理组与对照组治疗后二氧化碳分压(Pa CO2)比较差异有统计学意义(P<0.05)。中药雾化组治疗后动脉血氧饱和度(Sa O2)、Pa CO2及氧分压(Pa O2)均优于循证护理组、对照组(P<0.05)。中药雾化组与循证护理组、对照组治疗后全血黏度高切、D-二聚体、FIB差异均有统计学意义(P<0.05)。结论循证护理加中药雾化吸入治疗肺源性心脏病急性加重期疗效显著。

Ohjective： To observe the clinical effect of Evidence based nursing and TCM Inhalation on acute exacerbation of Pulmonary heart disease. Methods： 105 patients with cute exacerbation of Pulmonary heart dis- ease were divided into 3 groups stochastically. The control group were given common medication. Patients in evi- dence based nursing group,on the basis of the treatment of the control group,received evidence based nursir~, Apart from the treatment above,patients in the TCM Inhalation group received evidence based nursing a,~d TCM Inhalation, The course of treatment lasted for 12 days. Results： The total effective rate in TCM Inhalation group was higher than that of the evidence based nursing group and the control group respectively （p〈 0.05）. The level of PaC02 significantly decreased in evidence based nursing group after treatment,compared with the control group （P〈0.05）. The TCM Inhalation group had more significant differences than the control gro, and the evidence based nursing group in SaO2, PaCO2, PaO2 （P〈 0.05）;The level of the D-dimer,blood viscosity,fibrinogen in the TCM Inhalation group significantly decreased, compared with the group after treatment D-dimer, blood viscosi- ty,fibrinogen of the three groups after treatment sigtaificantly decreased than before （P〈 0.05）. Conclusion： Evi- dence based nursing and TCM Inhalation on the treatment of aeute exacerbation of Pulmonary heart disease is ob- servably effective.