摘要
目的探讨老年慢性阻塞性肺疾病(COPD)患者急性发作期雾化吸入的方式,并提出护理措施。方法将115例老年COPD急性发作期患者随机分为超声雾化组(A组)、氧气驱动雾化组(B组)、喷射雾化组(C组)3组,观察3组患者雾化吸入不良反应的发生率及血氧饱和度、脉搏、呼吸的变化。结果A组患者憋气、紫绀、心慌、胸闷、喘息加重等不良反应的发生率最高(P<0·01);血氧饱和度A组最低,B组最高(P<0·01)。结论老年COPD急性发作期患者在进行雾化吸入治疗时,选择氧气驱动雾化吸入或喷射雾化吸入,可以减少不良反应的发生率,提高舒适度。
Objective To study the adverse effects of nebulization treatments and its strategy in elderly patients with chronic obstructive pulmonary disease （COPD） at acute attack. Methods Totally 115 patients with COPD were divided into 3 groups randomly including ultrasonic aerosol inhalation group （A group） ; Oxygen derived inhalation group （B group） and jetting aerosol inhalation group （ C group）. The adverse effects of aerosol inhalation, oxygen saturation, pulse, respiratory change were observed. Results More adverse effects, such as breathlessness, cyanosis, palpitation and gasp were observed in A group than those in the other two groups （ P 〈0. 01 ）. There were highest oxygen saturation in B group （ P 〈0. 01 ） and lowest oxygen saturation in A group （ P 〈 0.01 ）, Conclusion Compared with ultrasonic aerosol inhalation, oxygen derived and jetting aerosol inhalation could reduce side effects, raise the comfortable grade and ensure a effective treatment for elderly patients with COPD at acute attack.
出处
《中国全科医学》
CAS
CSCD
2006年第23期1944-1946,共3页
Chinese General Practice
关键词
肺疾病
慢性阻塞性
老年人
雾化吸入
护理
Pulmonary disease, chronic obstructive
Aged
Aerosol inhalation
Nursing care
