寒喘祖帕颗粒联合中医护理措施干预支气管哮喘发作期临床研究
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R562.2+5;R248

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Clinical Study on Hanchuan Zupa Granules Combined with Chinese Medicine Nursing Measures Intervening Bronchial Asthma in Acute Exacerbation
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    摘要:

    目的:观察在常规医护措施基础上加用中医护理措施及口服寒喘祖帕颗粒干预支气管哮喘发作期的临床疗效。方法:将100 例符合要求的外寒内饮型支气管哮喘发作期患者随机分为观察组和对照组各50 例。2 组均予沙丁胺醇气雾剂吸入治疗,并给予认知教育、心理护理、饮食护理等护理措施。观察组加予服用寒喘祖帕颗粒,并给予中医护理措施。2 组疗程均为1 周。治疗前、治疗1 周后评价喘息、咳嗽、咯痰、胸膈满闷和喉中哮鸣声等症状评分;测量第1 秒用力呼气容积(FEV1)、最大呼气流量(PEF),并计算FEV1 占预计值的百分比(FEV1%)、PEF 占预计值的百分比(PEF%) 和PEF 昼夜波动率。治疗1 周后评价护理满意度。结果:治疗后,观察组临床疗效优于对照组(P<0.05)。2 组临床症状积分与PEF%值均较治疗前下降,FEV1%值均较治疗前升高,差异均有统计学意义(P<0.01);观察组临床症状积分与PEF%值均低于对照组,FEV1%值高于对照组,差异均有统计学意义(P<0.01)。观察组护理满意度高于对照组(P<0.05)。结论:在现代医学常规医护措施基础上给予中医护理措施和寒喘祖帕颗粒内服治疗外寒内饮型支气管哮喘发作期可更好地控制哮喘发作症状,改善肺功能,提高临床疗效和患者对护理工作的满意度。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Chinese medicine nursing measures and oral administration of Hanchuan Zupa granules based on routine medical measures intervening bronchial asthma in acute exacerbation. Methods:A total of 100 cases of patients with bronchinal asthma in acute exacerbation of external cold and phlegm- fluid retention syndrome who meet the requirements were randomly divided into the observation group and the control group,50 cases in each group. The two groups were given inhalation treatment with salbutamol aerosol, and nursing measures including cognitive education,psychological nursing and dietary nursing. The observation group was additionally treated with Hanchuan Zupa granules combined with Chinese medicine nursing measures. Both groups were treated for one week. Before treatment and after one- week treatment, the symptom scores of wheezing, cough, expectoration, thoracic diaphragm distension and discomfort and wheezing sound in the throat were evaluated; forced expiratory volume in one second(FEV1) and peak expiratory flow(PEF) were measured;the percentage of predicted value of FEV1(FEV1%),the percentage of predicted value of PEF% (PEF% ) and day- night volatility of PEF were calculated. After treatment for one week, nursing satisfaction was evaluated. Results:After treatment,the clinical effect in the observation group was better than that in the control group(P< 0.05). The clinical symptom scores and PEF% values in the two groups were decreased when compared with those before treatment,and FEV1% values were increased when compared with those before treatment,differences being significant(P< 0.01); the clinical symptom score and PEF% value in the observation group were lower than those in the control group, FEV1% value was higher, the difference being significant(P<0.01). The nursing satisfaction in the observation group was higher than that in the control group(P<0.05). Conclusion: Based on routine medical measures in modern medicine, the additional therapy of Chinese medicine nursing measures and oral administration of Hanchuan Zupa granules for bronchial asthma of external cold and phlegm- fluid retention syndrome in acute exacerbation can better control symptoms of asthma attack,improve the lung function,clinical effect and nursing satisfaction.

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江静,郑瑞兵,朱璋.寒喘祖帕颗粒联合中医护理措施干预支气管哮喘发作期临床研究[J].新中医,2021,53(10):154-157

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  • 在线发布日期: 2021-05-24
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