解毒化痰汤超声雾化吸入治疗原发性肺癌咳嗽疗效分析及护理体会

Curative Effect Observation and Nursing Experience of Ultrasonic Atomizing Inhalation of Jiedu Huatan Tang for Cough due to Primary Lung Cancer

目的:观察解毒化痰汤超声雾化吸入治疗原发性肺癌咳嗽的疗效,分析护理要点。方法:将116例原发性肺癌咳嗽患者按随机数字表法分为对照组和观察组各58例。对照组给予磷酸可待因片口服,观察组在对照组基础上给予解毒化痰汤超声雾化吸入治疗,2组均给予相应护理措施干预,连续治疗10天。治疗前后对比2组咳嗽症状评分、视觉模拟评分法(VAS)咳嗽评分和咳嗽专用生活质量问卷(CQLQ)评分,记录止咳起效时间、咳嗽缓解和咳嗽消失时间,评价护理满意度。结果:与治疗前比较,2组治疗后日间、夜间咳嗽评分和总分均下降(P <0.01),治疗后观察组日间、夜间咳嗽评分和总分均低于对照组(P <0.01)。与治疗前比较,2组治疗后VAS咳嗽评分及CQLQ评分均下降(P <0.01),治疗后观察组VAS咳嗽评分及CQLQ评分均低于对照组(P <0.01)。观察组止咳起效时间、咳嗽缓解时间及咳嗽消失时间均短于对照组(P <0.01)。观察组护理满意度优于对照组,差异有统计学意义(P <0.05)。结论:解毒化痰汤超声雾化吸入可减轻原发性肺癌患者的咳嗽症状,缩短病程,改善生活质量,提升护理满意度。

Objective:To observe the curative effect of ultrasonic atomizing inhalation of Jiedu Huatan tang for cough due to primary lung cancer,and to analyze the nursing points.Methods:A total of 116 cases of patients with cough due to primary lung cancer were divided into the control group and the observation group according to the random number table method,58 cases in each group.The control group was given oral administration of codeine phosphate tablets,and the observation group was additionally treated with ultrasonic atomizing inhalation of Jiedu Huatan tang based on the treatment of the control group.Both groups were given corresponding nursing interventions for ten days continuously.The scores of cough,cough in Visual Analogue Scale(VAS)and Cough Quality-of-Life Questionnaire(CQLQ)before and after treatment in the two groups were compared;the onset time of relieving cough,the remission time and disappearance time of cough were recorded;the nursing satisfaction was evaluated.Results:After treatment,the scores of cough during daytime and at night and the total scores in the two groups were decreased when compared with those before treatment(P<0.01),and the above scores in the observation group were lower than those in the control group(P<0.01).After treatment,the scores of cough in VAS and CQLQ in the two groups were decreased when compared with those before treatment(P<0.01),and the above scores in the observation group were lower than those in the control group(P<0.01).The onset time of relieving cough,the remission time and disappearance time of cough in the observation group were shorter than those in the control group(P<0.01).The nursing satisfaction in the observation group was better than that in the control group,the difference being significant(P<0.05).Conclusion:The ultrasonic atomizing inhalation of Jiedu Huatan tang can alleviate the cough symptoms of patients with primary lung cancer,shorten the course of disease,and improve their quality of life as well as nursing satisfaction.