健脾补肺法联合护理干预对慢性支气管炎的影响
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R248.1

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Effect of Tonifying Lung and Strengthening Spleen Method Combined with Nursing Intervention on Chronic Bronchitis
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    摘要:

    目的:观察护理干预联合健脾补肺法治疗慢性支气管炎的效果。方法:将72 例确诊为慢性支气管炎患者分成对照组与治疗组各36 例。对照组给予头孢地嗪钠、氨溴索、氨茶碱治疗,并给予吸氧等,同时做好相关护理;治疗组于对照组基础上采用健脾补肺法中药汤剂治疗。评价2 组疗效及治疗前后中医证候积分及急性发作次数、肺功能[第1 秒用力呼气量(FEV1)、第1 秒用力呼气量占用力肺活量的比例(FEV1/FVC)],统计2 组安全性。结果:治疗组临床总有效率为94.44%,高于对照组86.11%,差异有统计学意义(P<0.05)。治疗前,2 组咳嗽、咳痰及喘息症状评分比较,差异无统计学意义(P>0.05);2 组治疗后咳嗽、咳痰、喘息症状积分较治疗前下降,治疗组下降更明显(P<0.05)。治疗后2 组发作次数均减少,治疗组治疗后急性发作次数少于对照组(P<0.05)。2 组治疗后FEV1、FEV1/FVC 明显高于治疗前,治疗组升高更显著(P<0.05)。结论:健脾补肺法中药汤剂联合西医、护理干预治疗慢性支气管效果显著,可较好的改善患者临床喘息等症状,提高肺功能,减少急性发作次数,且安全性较高。

    Abstract:

    Abstract: Objective: To observe the effect of nursing intervention combined with tonifying lung and strengthening spleen method for chronic bronchitis. Methods:A total of 72 cases of patients who were diagnosed with chronic bronchitis were divided into the control group and the treatment group,36 cases in each group.The control group was given various treatments such as cefodizime sodium,ambroxol,aminophylline,and oxygen inhalation;relevant nursing measures were performed at the same time.The treatment group was additionally given Chinese herbal decoction with tonifying lung and strengthening spleen method based on the treatment of the control group. The curative effect was evaluated in the two groups.Chinese medicine syndrome scores,frequency of acute seizure, and the lung function [forced expiratory volume in one second(FEV1) and proportion of forced expiratory volume in 1 second to total expiratory volume(FEV1 / FVC)] before and after treatment were evaluated in the two groups.The safety in the two groups was carried out statistical analysis. Results: The total clinical effective rate was 94.44% in the treatment group, higher than that of 86.11% in the control group, the difference being significant(P<0.05). Before treatment, when compared syndrome scores of cough, expectoration, and gasping between the two groups, there was no significance being found in the difference(P>0.05). After treatment, syndrome scores of cough, expectoration, and gasping in the two groups were decreased when compared with those before treatment, and the decrease in the treatment group was more significant(P<0.05). After treatment, frequency of acute seizure in the two groups was decreased,and the frequency in the treatment group was lower than that in the control group(P<0.05). After treatment, FEV1 and FEV1/FVC in the two groups were significantly higher than those before treatment, and the increase in the treatment group was more significant(P<0.05). Conclusion: The therapy of Chinese herbal decoction with tonifying lung and strengthening spleen method combined with western medicine and nursing intervention has significant curative effect in the treatment of chronic bronchitis.It can better improve clinical symptoms like gasping,enhance the lung function,and lower frequency of acute seizure,with higher safety.

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斯烈流,朱泽,田金沙.健脾补肺法联合护理干预对慢性支气管炎的影响[J].新中医,2021,53(11):195-198

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  • 在线发布日期: 2021-06-10
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