家庭雾化吸入治疗慢性阻塞性肺疾病急性发作的疗效观察

[摘要] Abstract：Objective To explore the therapeutic effect and safety of home atomization inhalation in treatment of acute attack of chronic obstructive pulmonary disease(COPD). Methods Totally ninety-six patients with acute attack of COPD were divided into two group A(n=52)and group B(n=44). In the group A, patients were given home family atomization inhalation in acute attack period of COPD. In the group B, patients were given pharmacotherapy or short-term atomization inhalation in outpatient clinic. The rate of re-hospitalization and using glucocorticoid and antibiotics, medical costs were assessed and compared between two groups. Results 〓Patients of both two groups were followed for one year. The rate of patients receiving treatment at outpatient clinic and re-hospitalization was 67.31% and 19.23% in group A, respectively. The rate of patients receiving treatment at outpatient clinic and re-hospitalization was 77.27% and 31.82% in group A, respectively. The overall length(day)of acute attack of COPD in group A was shorter than that in group B(15.01±4.81 vs. 33.01±11.51, P<0.05). There were 9 patients(17.31%)in group A and 13 patients(29.55%)in group B receiving systemic treatment with glucocorticoid. There were 34 patients(65.38%)in group A and 40 patients(90.91%)in group B receiving antibiotic treatment, with a significant difference(P<0.05). Conclusion 〓The home atomization inhalation is an safe and effective treatment for acute attack of COPD.

[学科分类] 护理学

[关键词] 家庭雾化吸入;慢性阻塞性肺病;急性发作;抗生素