分析慢性阻塞性肺疾病合并睡眠呼吸暂停综合征患者的一体化睡眠护理的效果

To Analyze the Effect of Integrated Sleep Nursing for Patients with COPD Combined with Sleep Apnea Syndrome

目的:分析慢性阻塞性肺疾病(COPD)合并睡眠呼吸暂停综合征(SAS)患者的一体化睡眠护理的效果。方法:选取2022年1月至2022年12月厦门大学附属第一医院呼吸内科收治的COPD合并SAS患者180例作为研究对象,按照随机数字表法分为对照组和观察组,每组90例,对照组给予常规护理干预,观察组在对照组的基础上给予一体化睡眠护理干预。比较2组患者喘息缓解时间、咳嗽咳痰消失时间、哮鸣音消失时间及住院时间等临床指标的变化,比较2组患者干预前后肺功能指标及炎症介质水平,并采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的变化。结果:干预后,观察组患者治疗后喘息缓解时间、咳嗽咳痰消失时间、哮鸣音消失时间及住院时间均显著短于对照组,观察组患者干预后FEV_(1)、FVC、FEV_(1)/FVC指标均高于对照组,观察组患者干预后IL-8、CRP、PCT均低于对照组,观察组患者干预7 d后、1个月后PSQI评分均低于对照组,差异均有统计学意义(均P<0.05)。结论:一体化睡眠护理对COPD并SAS患者具有显著的临床效果,能够缓解呼吸症状,改善肺功能,调节炎症反应,改善睡眠质量。

Objective:To analyze the effect of integrated sleep nursing for chronic obstructive pulmonary disease(COPD)patients with sleep apnea syndrome(SAS).Methods:A total of 180 cases of COPD complicated with SAS admitted to the Respiratory Department of the First Affiliated Hospital of Xiamen University from January 2022 to December 2022 were selected as the study objects,and were divided into observation group(n=90)and control group(n=90)according to random number table method.The control group was given routine nursing intervention.Observation group was given integrated sleep nursing intervention on the basis of control group.The changes of wheezing remission time,cough and phlegm disappearance time,wheezing noise disappearance time and the length of hospital stay were compared between the two groups.The levels of pulmonary function indexes and inflammatory mediators before and after intervention were compared between the two groups.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes of sleep quality before and after the intervention.Results:After intervention,the remission time of wheezing,the disappearance time of cough and sputum,the disappearance time of wheezing and the length of hospital stay in the observation group were significantly shorter than those in the control group.The indexes of FEV_(1),FVC and FEV_(1)/FVC in the observation group after intervention were higher than those in the control group.IL-8,CRP and PCT in the observation group were lower than those in the control group after intervention.PSQI scores in the observation group were lower than those in the control group 7 days after intervention and 1 month after intervention,and the differences between the two groups were statistically significant(P s<0.05).Conclusion:Integrated sleep nursing has significant clinical effects on patients with COPD and SAS,which can alleviate respiratory symptoms,improve lung function,regulate inflammatory response and improve sleep quality.