目的:探究延续性护理模式对慢阻肺患者戒烟依从性以及肺功能的影响.方法:将近期在我院收治的慢阻肺患者分为两组.对照组患者采用常规护理的方法,观察组患者在对照组的基础上实施延续性护理模式.对比两组患者护理后的戒烟成功率以及肺功能改善情况.结果:观察组患者的戒烟成功率明显高于对照组,两组数据对比具有明显差异(P＜0.05).同时,护理后观察组患者的PEF值以及FEV1值明显优于对照组,两组数据对比具有明显差异(P＜0.05).结论:在慢阻肺患者的护理工作中实施延续性护理模式,能够有效提高患者的戒烟成功率,同时改善患者的肺功能,值得在临床中推广使用.

目的:研究在慢阻肺疾病稳定期患者护理中采用个案护理模式对患者急性加重次数与生命质量的影响.方法:此次研究样本从本院慢性肺疾病稳定期患者中选取100例,研究时间从2018年6月开始,截至2019年5月,将护理方式作为分组依据,实验组患者采用个案护理模式,对照组患者采用常规护理模式,对比两组患者护理结果.结果:两组对比之下实验组患者急性加重率较高,且差异值符合统计学标准(P＜0.05);实验组患者临床总有效率较高,且差异值符合统计学标准(P＜0.05);实验组患者生命质量各项评分较为优异,差异值符合统计学标准(P＜0.05).结论:通过此次研究得知,在慢性肺疾病稳定期患者护理中采用个案护理模式,能明显减少患者急性加重次数,进而改善患者生命质量.

目的 观察慢性阻塞性肺疾病患者应用早期护理预防与护理的效果.方法 选取我院2016年7月~2016年10月收治的慢性阻塞性肺疾病患者90例作为研究对象,将其分为对照组和观察组,各45例,对照组患者进行常规护理,观察组患者进行早期护理预防干预,对两组患者的护理效果进行分析与对比.结果 观察组的平均住院时间、呼吸纠正时间、治疗有效率、护理满意度均优于对照组,差异有统计学意义(P<0.05).结论 对慢性阻塞性肺疾病患者进行早期护理预防,可以降低并发症的发生率,提高护理满意度,提高护理效果.

目的 探讨维生素A(VA)对稳定期慢性阻塞性肺疾病(COPD)患者肺功能及生活质量的影响.方法 纳入100例稳定期COPD患者,随机分为对照组、VA5 000 U及10 000 U治疗组进行干预,治疗组分别予VA5 000 U及10 000 U口服、每日一次、晨起顿服,疗程6个月,分别于治疗前,治疗1月、3月、6月后测定患者血清VA浓度、肺功能[第1 s用力呼气容积占用力肺活量的百分比(FEV1/FVC)及第1 s用力呼气容积占预计值百分比(FEV1％)]、6 min步行距离(6 MWD)及圣乔治呼吸问卷(SGRQ)评分.结果 给予VA补充后患者血清VA水平明显升高.补充VA3月后,2个治疗组患者肺功能(FEV1％和FEV1/FVC)及步行距离较基线时明显增加,SGRQ评分较基线时有所下降(P＜0.05)；2个治疗组比较差异无统计学意义(P＞0.05).治疗6月后,2个治疗组FEV1％、FEV1/FVC及步行距离分别较治疗3月随访时有所增加,10 000 U组增加更显著(P＜0.05).SGRQ评分与疗程3月比较无明显变化,差异无统计学意义(P＞0.05).VA干预组无1例不良反应发生.结论 VA可以改善稳定期COPD患者的肺功能及生活质量,是一种安全、有效、经济的治疗手段.

目的 总结支气管哮喘心理护理的护理经验和效果.方法 对70例支气管哮喘患者的临床护理与观察.结果 在我院医护人员的精心护理下2例患者死亡,其余患者哮喘均得到不同程度的抑制.讨论:心理护理在治疗支气管哮喘过程中的具有重要作用,值得临床广泛推广.

OBJECTIVE: To investigate the effect of vitamin A (VA) on cytokines expression of patients with chronic obstructive pulmonary disease (COPD) in stable stage. METHODS: 84 COPD patients in stable stage were randomly divided into 3 groups: first treatment group (VA 5 000 u), second treatment group (VA 10 000 u) and control group. They were given oral dose of VA for 6 months. Adverse drug reactions were recorded. The serum concentration of VA was determined by HPLC. The levels of IL-8, IL-1β and TNF-α in serum and induced sputum were measured with RIA. RESULTS: The concentration of vitamin A was increased after treatment in time and dose dependent manners in 3 groups, there was statistical significance(P0.05). After 1 month of treatment, cytokines levels had no significant change, there were statistical significance(P0.05). The cytokines levels were lowered after 3 month(P0.05). There was no statistical difference among 3 groups(P0.05). After 6 months, the cytokines levels were significantly decreased in treatment groups, compared with after 3 months, there was statistical significance. The cytokines levels of treatment groups were lower than those of control group (P0.05). Those of second treatment group were lower than those of first treatment group(P0.05). CONCLUSION: VA could down-regulate the levels of IL-8, IL-1β and TNF-α and may restrain systemic inflammatory reaction of COPD patients in stable stage.

目的:了解呼吸功能锻炼指导对慢性阻塞性肺疾病( COPD)患者提高生活质量的影响.方法对2008年7月至12月在我院呼吸科住院后好转出院的1 00例COPD稳定期患者进行定期呼吸功能锻炼指导,观察出院后半年后患者生活质量改善情况包括6min步行试验,圣乔治呼吸问卷得分以及肺功能情况.结果:半年后患者6min步行试验,圣乔治呼吸问卷得分明显提高,肺功能得到改善.结论:呼吸功能锻炼指导能改善COPD患者生活质量,延缓肺功能的下降.

Objective To explore the relationship between the inspiratory capacity(IC) and clinical characters of stable chronic obstructive pulmonary disease(COPD).Methods Between December 2009 and June 2010,84 patients with stable COPD were enrolled.Lung function(FEV1,IC,IC/TLC),6 minute walk-test(6MWT) and St George′s respiratory questionnaire(SGRQ) were examined.The relationship among FEV1,IC,IC/TLC,and the results of 6MWT and SGRQ by Pearson correlation analysis.Results There was no linear correlation between 6MWT and FEV1(r=0.14,P>0.1),and 6MWT and FEV1≥60%(r=0.16,P>0.1).There was positive correlation between 6MWT and IC(r=0.317,P<0.01),and 6MWT and IC/TLC(r=0.274,P<0.01).There was negative correlation between SGRQ and FEV1(r=-0.307,P<0.01);and no linear correlation between SGRQ and IC(r=-0.001,P>0.25),and SGRQ and IC/TLC(r=-0.003,P>0.25).Conclusion In stable COPD patients,IC may be more accurate than FEV1 in refection of exercise tolerance while FEV1 may be more sensitive than IC in evaluation of dyspnea.