邓志芳

[摘要]目的 探讨布地奈德联合硫酸特布他林雾化吸入治疗老年慢性阻塞性肺氣肿护理效果。方法 选取2017年7～12月我院收治的老年慢性阻塞性肺气肿患者50例，根据治疗方法将其分为对照组、观察组，每组25 例。所有患者给予布地奈德联合硫酸特布他林雾化吸入治疗，对照组给予普通护理，观察组则给予全面化护理。比较两组老年慢性阻塞性肺气肿临床疗效；平均住院时间、慢性阻塞性肺气肿病因知晓度、用药知识知晓度、遵医行为评分；治疗前后患者肺功能指标（FEV1、FVC以及FEV1/FVC）；药物不良反应率。结果 观察组患者的临床疗效高于对照组，差异有统计学意义（P<0.05）。治疗前，两组患者肺功能指标（FEV1、FVC以及FEV1/FVC）的比较，差异无统计学意义（P>0.05）；两组治疗后的肺功能指标（FEV1、FVC以及FEV1/FVC）均显著优于治疗前，差异有统计学意义（P<0.05）。治疗后观察组肺功能指标（FEV1、FVC以及FEV1/FVC）优于对照组，差异有统计学意义（P<0.05）。观察组患者的平均住院时间短于对照组，慢性阻塞性肺气肿病因知晓度、用药知识知晓度、遵医行为评分高于对照组，差异有统计学意义（P<0.05）。观察组患者的不良反应发生率低于对照组，差异有统计学意义（P<0.05）。结论 布地奈德联合硫酸特布他林雾化吸入治疗老年慢性阻塞性肺气肿效果确切，辅以全面护理，可提高患者疾病、用药认知和遵医行为，有效控制病情，缓解不良情绪，改善肺功能和生活质量，减少用药不良事件，值得推广应用。

[关键词]布地奈德；硫酸特布他林；雾化吸入；老年慢性阻塞性肺气肿；护理效果

[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721（2018）5（b）-0195-03

Application of comprehensive nursing in the elderly aerosolized Budesonide combined with Terbutaline Sulfate Aerosol inhalation therapy

DENG Zhi-fang

The Second Department of Internal Medicine，People′s Hospital of Zhangshu City，Jiangxi Province，Zhangshu 331200，China

[Abstract]Objective To investigate the effect of Budesonide combined with Terbutaline Sulfate inhalation therapy for elderly patients with chronic obstructive pulmonary disease.Methods Fifty elderly patients with chronic obstructive pulmonary disease were selected from July to December 2017.According to the treatment methods，they were divided into control group and observation group，25 cases in each group.All patients were given Budesonide combined with Terbutaline Sulfate Aerosol inhalation therapy，the control group was given ordinary care，the observation group was given comprehensive care.The clinical efficacy of COPD in two groups was compared. Average hospital stay，awareness of COPD etiology，knowledge of medication，compliance behavior score were compared.The pulmonary function indexes FEV1，FVC and FEV1/FVC of patients before and after treatment were compared.Adverse drug reaction rate was also compared.Results The clinical efficacy of the observation group was higher than that of the control group，the difference was statistically significant （P<0.05）.Before treatment，there was no significant difference in pulmonary function between the two groups（P>0.05）.The pulmonary function indexes of FEV1，FVC and FEV1/FVC of the two groups after treatment were significantly better than those before treatment （P<0.05）.After treatment，the pulmonary function indexes of FEV1，FVC and FEV1/FVC in the observation group were better than those in the control group，the differences were statistically significant（P<0.05）.The average length of hospital stay in the observation group was shorter than that in the control group，the awareness of COPD etiology，knowledge of medication and compliance behavior were higher in the observation group than in the control group （P<0.05）.The incidence of adverse reactions in the observation group was lower than those in the control group，the difference was statistically significant （P<0.05）.Conclusion The inhalation of Budesonide and Terbutaline Sulfate for the treatment of COPD in the elderly is effective.Supplemented by comprehensive care，it can improve the patient′s disease，medication awareness and compliance behavior，effectively control the condition，relieve bad mood and improve lung Functional and quality of life，reducing adverse drug events，it is worth promoting.

[Key words]Budesonide；Terbutaline Sulfate；Inhalation；Elderly COPD；Nursing effect

老年慢性阻塞性肺气肿患者近年来越来越多，病情危重，需及时给予有效治疗。布地奈德联合硫酸特布他林雾化吸入治疗老年慢性阻塞性肺气肿效果确切，但容易出现不良反应，需给予有效护理[1]。传统常规护理在护理上根据标准模式进行，多为被动遵医嘱护理，有一定的滞后性和被动性，无法有效满足患者需求，而全面护理可为患者提供整体化、系统性的护理方案，有助于加速患者康复，其是一种新型的护理方案，用于临床护理可更好提高患者满意度和配合度。本研究选择2017年7月～2017年12月老年慢性阻塞性肺气肿患者50例根据治疗方法分组，比较不同护理方法（常规护理方法和全面护理方法）在布地奈德联合硫酸特布他林雾化吸入治疗老年慢性阻塞性肺气肿中的应用和获得的护理效果，现报道如下。……