心理干预联合不同治疗剂量甲泼尼龙治疗支气管哮喘急性重度发作疗效观察

Effect of psychological intervention combined with differenttherapeutic doses of methylprednisolone on acute exacerbation of bronchial asthma

目的讨论心理干预联合不同治疗剂量甲泼尼龙治疗支气管哮喘急性重度发作治疗效果。方法随机选取2015年1月～2016年3月本院收治的支气管哮喘急性重度发作患者74例，平均分成实验组37例和对照组37例，对照组给予静脉推注甲泼尼龙40mg/次，每天2次，给予常规护理；实验组患者给予静脉推注甲泼尼龙80mg/次，在对照组的基础上给予心理干预，比较2组患者的治疗有效率。结果实验组的治疗有效率为94.59%，对照组的治疗有效率为91.89%，2组治疗有效率差异无统计学意义；实验组患者哮喘持续时间和住院时间明显低于对照组，组间差异具有统计学意义（P＜0.05）。结论对于支气管哮喘急性重度发作的患者给予不同治疗剂量甲泼尼龙治疗效果相当，但是在心理干预后患者哮喘持续时间和住院时间明显缩短，临床效果较好，值得推广和应用。

Objective To discuss the treatment of psychological intervention combined with different doses of methylprednisolone in treatingbronchial asthma with acute onset treatment.Methods Randomly selected from January2015to March2016in our hospital with acute onset ofbronchial asthma in74patients,divided into experimental group37cases and control group37cases,control group was given intravenous injectionof methylprednisolone40mg/times,two times a day,given routine nursing;the experimental group patients were treated with intravenous infusionof methylprednisolone80mg every time.Psychological intervention on the basis of the control group,the treatment of the two groups of patientswith effective rate comparison.Results The effective rate of the treatment group was94.59%,the effective rate of treatment group was91.89%,theeffective rate of treatment group is two level,the differences between groups was not statistically significant;the experimental group of patients withasthma duration and hospitalization time was significantly lower than the control group,the differences between groups was statistically significant(P<0.05).Conclusion For patients with acute onset of bronchial asthma treated in different doses of methylprednisolone treatment effect,but theduration of asthma patients after psychological intervention and hospitalization time was shortened,the clinical effect is good,worthy of promotionand application.