冬病夏治联合护理风险管理对老年慢性支气管炎患者肺功能的影响

【摘要】目的:探讨冬病夏治联合护理风险管理在老年慢性支气管炎患者中的临床效果及对肺功能的影响。方法：选择2015年5月-2017年6月自愿到科室接受治疗的老年慢性支气管炎患者94例，随机数字法分为对症支持组（n=47例）和联合治疗组（n=47例）。对症支持组采用常规对症支持治疗，联合治疗组采用冬病夏治联合护理风险管理治疗，采用德国powerCube肺功能仪对2组肺1s用力呼气量（FEV1）、FEV1/FVC、FEV1占预计值百分比（FEV1）水平；采用酶联免疫吸附试验测定2组免疫球蛋白水平，比较2组临床疗效及对肺功能的影响。结果：联合治疗组治疗后喘息、咳痰、咳嗽及症状持续时间，均短于对症支持组（P<0.05）；联合治疗组治疗后急性发作频率，低于对症支持组（P<0.05）；联合治疗组治疗后第一秒末用力呼气容积、用力肺活量及FEV1/FVC水平，高于对照支持组（P<0.05）；联合治疗组治疗后IgA、IgM及IgG，均高于对症支持组（P<0.05）。结论：将冬病夏治联合护理风险管理用于老年慢性支气管炎患者中效果理想，有助于改善患者肺功能，提高免疫功能，值得推广应用。

Influence of winter sickness and summer treatment combined with nursing risk management on pulmonary function of elderly patients with chronic bronchitis

[Abstract] Objective: To explore the clinical effect of winter disease combined with summer treatment and nursing risk management in elderly patients with chronic bronchitis and its influence on lung function. Methods: 94 elderly patients with chronic bronchitis admitted to the Department of -2017 in May 2015 June were randomly divided into the symptomatic support group (n=47 cases) and the combined treatment group (n=47 cases). Symptomatic group with conventional symptomatic treatment, combined treatment group with winter disease combined with nursing risk management treatment, using the German powerCube pulmonary function of 2 groups of pulmonary 1s forced expiratory volume (FEV1), FEV1/FVC, FEV1 percentage of predicted value (FEV1) level; 2 groups of immunoglobulin levels were measured by ELISA the adsorption test, compared 2 groups of clinical curative effect and the effect on lung function. Results: the combination therapy group after treatment of wheezing, cough and expectoration, duration of symptoms, were shorter in the symptomatic group (P<0.05); combined treatment group after treatment of acute symptomatic seizure frequency, below the support group (P<0.05); combined treatment group after treatment, the end of the first second forced expiratory volume, FVC and FEV1/FVC were higher than that of the control support group (P<0.05); combined treatment group after treatment, IgA, IgM and IgG were higher than that of symptomatic group (P<0.05). Conclusion: the combination of winter sickness and summer treatment and nursing risk management is effective for elderly patients with chronic bronchitis. It is helpful to improve the pulmonary function and improve the immune function of patients with chronic bronchitis. It is worth popularizing.