浅谈慢性阻塞性肺病合并支气管扩张的临床护理体会.docVIP

精品论文 参考文献 浅谈慢性阻塞性肺病合并支气管扩张的临床护理体会 陆文玉 　　（辽宁省大连市第五人民医院呼吸内科 116021） 　　【摘要】目的：探讨慢性阻塞性肺病合并支气管扩张的临床护理体会。方法：选取我科收治的慢性阻塞性肺病合并支气管扩张的患者70例进行分析研究，随机将其分为对照组与观察组，对照组患者实施常规护理措施，观察组患者实施综合性的护理措施，比较两组患者的咳痰能力、日常生活能力以及患者满意度。结果：观察组患者实施综合性的护理干预措施后患中的咳痰能力、日常生活能力以及患者满意度均明显优于对照组，经比较具有显著差异（P＜0.05）。结论：对于慢性组阻塞性肺病合并支气管扩张的患者实施有效的护理措施，能够明显的提高临床治疗效果，减少并发症的发生，促进患者排痰能力，保持呼吸道通畅，增加患者舒适度和日常生活能力。 　　【关键词】慢性阻塞性肺病合并支气管扩张 护理干预 排痰能力 　　【中图分类号】R473.5 【文献标识码】A 【文章编号】1672-5085（2014）03-0053-01 　　 　　【Abstract】 Objective: To investigate the clinical nursing care of patients with chronic obstructive pulmonary disease and bronchiectasis, experience. Methods: 70 cases of patients were chosen in our hospital from COPD and bronchiectasis were analyzed, and were randomly divided into control group and observation group, control the implementation of routine nursing group, observe the implementation of comprehensive nursing measures for patients, compared two groups of patients with sputum ability, ability of daily life patient satisfaction. Results: the observation group patients after comprehensive nursing interventions in the sputum ability, ability of daily life and the satisfaction of patients was significantly better than the control group, by comparison with significant difference (P lt; 0.05). Conclusion: for chronic obstructive pulmonary disease and bronchiectasis with effective nursing measures, can significantly improve the clinical treatment effect, reduce complications, promote the patient ability of expectoration, maintain airway, increase patient comfort and the ability of daily life. 　　【Key words】COPD and bronchiectasis sputum ability of nursing intervention 　　慢性阻塞性肺疾病(chronic obstructive pulmonarydiseases，COPD)是伴有气流受一定限特征的疾病，它此疾病可以治疗和预防，一般与肺部对烟雾等有害气体的刺激有密切的观察。而支气管扩张(bronchieetasis)是由于支气管及其周围组织发生慢性炎症而使支气管壁的弹性组织受到破坏，支气管腔发生不可逆的变形和扩张。相关资料证明，COPD的患者在疾病的末期期会合并支气管扩张，而支气管扩张随病情的发展也会导致气道阻塞，气流受限[1]。因此，两者相互合并出现时，患者的疾病已处于中晚期，必须给予有效地临床治疗和护理干预措施。笔者现将浅谈慢性阻塞性肺疾