简介:摘要目的探讨彝族慢性阻塞性肺疾病急性加重期(AECOPD)患者雾化吸入治疗的最佳方案.方法将60例彝族AECOPD患者随机分为实验组和对照组,实验组使用普米克令舒2mg、对照组使用普米克令舒2mg加注射用水2ml稀释后雾化吸入治疗.对两组患者在雾化吸入过程中不良反应与气促症状改善例数,雾化吸入前后30分钟内患者心率、呼吸、血氧饱和度等指标进行观察比较.结果实验组不良反应发生率明显低于对照组,气促症状改善率明显高于对照组,差异有统计学意义(P<0.05);雾化吸入前30分钟患者心率、呼吸、血氧饱和度比较,差异无统计学意义(P>0.05);;雾化吸入后30分钟患者心率、呼吸、血氧饱和度比较,差异有统计学意义(P<0.05).结论使用未经注射用水稀释的普米克令舒雾化吸入治疗、配合彝汉双语健康教育,明显改善彝族AECOPD患者症状,不良反应小,患者治疗依从性高,值得借鉴推广.关键词彝族;慢性阻塞性肺疾病;急性加重;雾化吸入;护理.StudyonAtomizedInhalationonAcuteExacerbationofChronicObstructivePulmonaryDiseaseinLiangshanYiAutonomousRegionJiangYi-guo(DepartGmentofRespiratoryDisease,LiangshanFirstPeople??sHospital,Sichuan615000)AbstractObjectiveTofindoutabetteratomizedinhalationtherapyonYinationalitypatientswithacuteexacerbationofchronicobstructivepulmonarydisGease(AECOPD).Methods60YinationalitypatientswithAECOPDwereequallydividedintotwogroupsatrandom,theexperimentalgroupandthecontrolgroup.TheexperimentgroupwastreatedwithPulmicort(2mg)only,whilethecontrolgroupwithPulmicort(2mg),dilutedwithinjection(2ml).BothgroupswereobGservedthesideeffectsandthebreathingconditionsbymonitoringthepatients??HR,RR,andSpO230minutesbeforeandafterthetreatment.ResultsThesideeffectsandtheshortnessofbreathoftheexperimentgroupwerelessseverethanthatofthecontrolgroup(P<0.05)withtheHR,RR,andSpO2ofpatients??30minutesbeforethetreatment(P>0.05)andafterthetreatment(P<0.05).ConclusionAtomizedinhalationwithPulmicortwithoutinjectionisaneffectivetherapyinrelieKveiyngwtohredssymptomsonAECOPDofYinationalitypatients.Yinationality;COPD;AcuteExacerbation;Atomizedinhalation;nursing中图分类号R473文献标识码B文章编号1008-6315(2015)12-0622-01