连续护理对慢性阻塞性肺疾病病人BODE指数的影响

[目的]探讨连续护理干预对慢性阻塞性肺疾病（COPD）病人多因素分级系统（BODE）指数的影响.[方法]采用便利取样法,将2011 年10 月1 日-2012年10月30日住院的COPD 急性发作期病人100例分为对照组和研究组各50例,对照组给予COPD 常规护理,研究组采取连续护理干预,比较两组病人护理后BODE 指数变化.[结果]干预后两组第1秒用力呼吸容积占预测值百分比（FEV1%）、6 min 步行距离（6MWD）、呼吸困难量表（MMRC）评分、体重指数（BMI）和BODE 指数评分比较差异均有统计学意义（P〈0.05）.研究组BODE 指数总积分均优于对照组,研究组出院前与出院后8 周FEV1%比较差异无统计学意义.[结论]连续护理干预可有效降低COPD 病人BODE指数,提高生活质量.     

连续护理对慢性阻塞性肺疾病病人BODE指数的影响

[目的]探讨连续护理干预对慢性阻塞性肺疾病(COPD)病人多因素分级系统(BODE)指数的影响。[方法]采用便利取样法,将2011年10月1日—2012年10月30日住院的COPD急性发作期病人100例分为对照组和研究组各50例,对照组给予COPD常规护理,研究组采取连续护理干预,比较两组病人护理后BODE指数变化。[结果]干预后两组第1秒用力呼吸容积占预测值百分比(FEV1%)、6 min步行距离(6MWD)、呼吸困难量表(MMRC)评分、体重指数(BMI)和BODE指数评分比较差异均有统计学意义(P0.05)。研究组BODE指数总积分均优于对照组,研究组出院前与出院后8周FEV1%比较差异无统计学意义。[结论]连续护理干预可有效降低COPD病人BODE指数,提高生活质量。     

白痢

<正> 药物及用法:苦楝子150克。米拌炒成炭,研成细粉过筛。日服3次,每次服1.5克。疗效:治疗8例,7例痊愈(无复发),1例好转。病例介绍:候某,女,55岁,1969年10日21日初诊。便下白色粘冻,反复发作近两年半,曾在某卫生院用中草药治疗,未见好转。近来全身浮肿,小腹微痛,大便     

经鼻气管内吸痰法在肺心病急性加重期患者中的应用研究

目的 探讨经鼻气管内吸痰方法在慢性肺心病急性加重期患者中的应用及其吸痰较果.将在我院住院治疗的慢性肺心病急性加重期患者100例随机分为观察组(50例)与对照组(50例)观察组采用经鼻气管内吸痰方法吸痰,对照组采用经鼻腔/口腔直接吸痰法(常规吸痰法)观察两种吸痰方法对24 h吸痰次数和吸痰总量、黏膜损伤的发生及对血氧饱和度和心肌耗氧量的影响.结果 观察组吸痰次数和总量、黏膜损伤的发生及吸痰方法对血氧饱和度和心肌耗氧量的影响与对照组相比均有显著性差异(P<0.05).实验组吸痰后与吸痰前比较HR、SBP和心肌耗氧量显著降低,差异有统计学意义(P<0.05) 吸痰后实验组SpO2高于对照组(P<0.05).结论 气管内吸痰法效果明显优于传统吸痰法.能彻底清除潴留的痰液,改善通气功能,减轻吸痰所致的低氧血症和气道黏膜损伤,降低心肌耗氧量,提高血氧饱和度.

Abstract：

Objective To explore the application and effect of sputum suction by tracheal intubation via nasal approach on patients with acute deteriorating chronic cor-pulmonale.Methods A total of 100 cases of patients with acute deteriorating chronic cor-pulmonale in our hospital were randomly divided into observation group ( 50 cases ) and control group (50 cases ). The observation group was received sputum suction by tracheal intubation via nasal.Control group was sputum drainage via nasal directly.The times and the quantity of sputum drainage in 24 hours and the effect on oxyhemoglobin saturation and myocardial oxygen consumption were observed.Results As compared with control group, there were significant difference in observation group as following :the times and the quantity of sputum drainage in 24 hours,the occurrence of mucosa injury, the effect on oxyhemoglobin saturation and myocardial oxygen consumption. There were statistical differences before and after aspiration of sputum in HR, SBP and myocardial oxygen consumption. Those of observation group were better than those of control group.Conclusions The effect of sputum suction by tracheal intubation via nasal approach was better than that of traditional way of sputum suction. It could clean the sputum retention, improve ventilation function, reduce hypoxemia and mucosa injury caused by suction, reduce myocardial oxygen consumption, improve oxyhemoglobin saturation.