布地奈德、特布他林及异丙托溴胺三联雾化吸入治疗COPD患者的疗效及护理

Curative effect and nursing of budesonide, terbutaline and isopropyl bromide amine sanlian atomization inhalation in treatment of patients with COPD

目的探讨布地奈德、特布他林及异丙托溴胺三联雾化吸入治疗COPD患者的疗效及护理。方法拟选取100例急性加重期COPD患者为研究对象,根据随机数字表法将患者分为观察组及对照组各50例。观察组给予基础治疗、硫酸特布他林、异丙托溴胺及布地奈德治疗,对照组给予基础治疗、硫酸特布他林治疗,观察组针对雾化吸入治疗采取整体综合护理措施,对照组采取常规护理措施。观察比较两组治疗后的临床疗效及出院时对护理服务质量的满意度。结果治疗后,观察组患者总有效率为92.0%,显著高于对照组的76.0%,差异具有统计学意义(χ~2=6.56,P<0.05)。两组患者的治疗依从性比较,观察组患者清楚病情特点及病情发展、遵医嘱按时服药及掌握雾化治疗技术的例数明显对于对照组(P<0.05)。出院时问卷调查结果发现,观察组患者的满意率明显高于对照组(χ~2=6.82,P<0.05)。结论针对雾化吸入治疗采取整体综合护理干预措施,可提高患者治疗依从性和临床治疗效果,对提高COPD患者的护理服务满意度及改善预后是有效的,具有推广价值。

Objective To study the curative effect and nursing of budesonide, terbutaline and isopropyl bromide amine sanlian atomization inhalation in treatment of patients with COPD. Methods 100 cases of acute aggravating period of COPD patients wree selected as the research object. According to random number table, they were divided into observation group and control group, 50 cases each. Patients in observation group were given basic treatment, terbutaline sulfate, isopropyl bromide amine and budesonide treatment, and patients in control group were given basic treatment, terbutaline sulfate treatment. Overall comprehensive nursing measures were carried for the patients in observation group for atomization inhalation therapy, and conventional nursing measures were carried in control group. The clinical efficacy and the quality of nursing service satisfaction of the two groups after treatment were compared. Results After treatment, the total effective rate of the observation group was 92.0%, which was significantly higher than that of control group with 76.0% （χ^2=6.56, P 〈 0.05）. Compared treatment adherence for patients of the two groups, the characteristics of clear the disease and the development of the disease, following the doctor＇ s advice to take medicine on time and the number of cases of atomization treatment technology in observation group were significantly better than those in control group （P 〈 0.05）. The satisfaction of observation group was obviously higher than that of control group （χ^2=6.82, P 〈 0.05）. Conclusion In view of the overall comprehensive nursing intervention measures, atomization inhalation treatment can improve the patients＇ treatment adherence and clinical therapeutic effect, improve the nursing service satisfaction, and improve the prognosis of patients with COPD. It is effective, and it has promotion value.