Objective: to analyze the value and progress of comprehensive treatment for stable patients with chronic obstructive pulmonary disease (COPD). Methods: into our hospital from May 2019 to February 2021, 50 cases, rando...Objective: to analyze the value and progress of comprehensive treatment for stable patients with chronic obstructive pulmonary disease (COPD). Methods: into our hospital from May 2019 to February 2021, 50 cases, random number table is divided into research group, control group, 25 cases, the control group of COPD stable routine treatment, COPD comprehensive treatment, continuous intervention for 12 months, the two groups of patients lung function index, body exercise endurance, disease control effect, peritreatment oxidative stress response index, the level of inflammatory factors, etc. Results: after the treatment group in the first second forced breath, lung capacity is higher than the control group;6min maximum distance is greater than the control group;disease control effect, malondialdehyde, lipid peroxide level is lower;superoxide dismutase level, interleukin-6, C reactive protein level is lower than the control group;the difference is statistically significant (P 0.05). Conclusion: comprehensive treatment of patients with stable chronic obstructive pulmonary disease can effectively improve the disease control effect and promote the improvement of lung function, exercise endurance, oxidative stress response and inflammatory response.展开更多
Objective: to analyze the therapeutic effect of salmeterol fluticasone powder inhalation combined with aminophylline injection on senile bronchial asthma. Methods: 62 elderly patients with bronchial asthma in our hosp...Objective: to analyze the therapeutic effect of salmeterol fluticasone powder inhalation combined with aminophylline injection on senile bronchial asthma. Methods: 62 elderly patients with bronchial asthma in our hospital from March to November, 2021 were randomly and double-blind. The control group (31 cases) was salmeterol fluticasone powder inhalation, and the observation group (31 cases) was salmeterol fluticasone powder inhalation+aminophylline injection, and the effects were compared. Results: the index (pulmonary function, inflammatory factors), the effective rate of treatment, the incidence of adverse reactions, the score of quality of life and the disappearance time of clinical symptoms in the observation group were better than those in the control group (P < 0.05). Conclusion: the use of inhalant (salmeterol fluticasone powder) and injection (aminophylline) in elderly patients with bronchial asthma can improve lung function and inflammatory reaction, without increasing the probability of adverse reactions, and can significantly improve patients' quality of life, which is worth popularizing.展开更多
目的:探讨基于图文沟通宣教模式下的综合护理对肺炎患儿肺功能及治疗依从性的影响。方法:选取2023年7—12月河南省直第三人民医院收治的150例肺炎患儿作为研究对象,根据不同护理措施分为对照组(n=75)和观察组(n=75)。对照组给予常规护理...目的:探讨基于图文沟通宣教模式下的综合护理对肺炎患儿肺功能及治疗依从性的影响。方法:选取2023年7—12月河南省直第三人民医院收治的150例肺炎患儿作为研究对象,根据不同护理措施分为对照组(n=75)和观察组(n=75)。对照组给予常规护理,观察组在常规护理基础上予以基于图文沟通宣教模式下的综合护理;对比两组患儿康复时间、肺功能情况、治疗依从性、医疗恐惧感、生活质量及家属满意度情况。结果:观察组患儿各项康复时间优于对照组,差异均有统计学意义(t=11.577、9.129、5.305、4.941、7.889,P<0.05);出院当天,观察组患儿各项肺功能情况优于对照组,差异均有统计学意义(t=3.674、6.116、4.710、3.531,P<0.05);观察组患儿治疗依从性优于对照组,差异均有统计学意义(χ^(2)=4.127,P<0.05);出院当天,观察组患儿儿童医疗恐惧调查表(CMFS)评分低于对照组,儿童生活质量测定量表(PedsQ L 4.0)评分高于于对照组,差异均有统计学意义(t=5.559、3.109,P<0.05);观察组患儿家属满意度高于对照组,差异均有统计学意义(χ^(2)=6.857,P<0.05)。结论:基于图文沟通宣教模式下的综合护理应用于肺炎患儿,能提高治疗依从性,促进肺功能恢复,缩短康复时间,减轻医疗恐惧感,提高生活质量,提高护理满意度。展开更多
Objective: to apply comprehensive nursing intervention to elderly patients with chronic obstructive pulmonary disease, and study the clinical effect and treatment compliance. Methods: eighty-eight elderly patients wit...Objective: to apply comprehensive nursing intervention to elderly patients with chronic obstructive pulmonary disease, and study the clinical effect and treatment compliance. Methods: eighty-eight elderly patients with COPD were included in the study, from January 2021 to January 2022. The general group (44 cases) received routine nursing. Comprehensive nursing intervention group (44 cases): comprehensive nursing intervention was implemented. Before and after 21 days of nursing, the forced breathing volume (FEV1), FEV1%, FEV1 /FVC ratio (FEV1/FVC), the excellent and good rate of clinical symptoms improvement, nursing satisfaction rate and Frankl score of treatment compliance scale were studied. Results: after 21 days of nursing, FEV1, FEV1% (49.89 ± 7.28)%, FEV1 /FVC (59.33 ± 8.89)% in the comprehensive nursing intervention group, the excellent and good rate of clinical symptoms improvement was 95.45%, and the Frankl scale score was (3.59 ± 8.89). The scores of (1.34 ± 0.28) L, (43.06 ± 5.36)%, (54.44 ± 7.11)%, 77.27% and (2.33 ± 0.14) in the normal group were all higher (P < 0.05). After 21 days of nursing, the nursing satisfaction rate of the comprehensive nursing intervention group was 95.45%, which was higher than that of the general group (79.55%, P < 0.05). Conclusion: in the elderly patients with COPD, after comprehensive nursing intervention, it shows greater nursing value and makes patients more satisfied in improving patients treatment compliance and effectively improving lung function.展开更多
Background Now lung volume reduction surgery （LVRS） has become one of the most effective methods for the management of some cases of severe chronic obstructive pulmonary disease （COPD）. We evaluated the mid-term e...Background Now lung volume reduction surgery （LVRS） has become one of the most effective methods for the management of some cases of severe chronic obstructive pulmonary disease （COPD）. We evaluated the mid-term effects of LVRS on pulmonary function in patients with severe COPD. Methods Ten male patients with severe COPD aged 38-70 years underwent LVRS and their pulmonary function was assessed before, 3 months and 3 years after surgery. The spirometric and gas exchange parameters included residual volume, total lung capacity, inspiratory capacity, forced vital capacity, forced expiratory volume in one second, diffusion capacity for CO, and arterial blood gas. A 6-minute walk distance （6MWD） test was performed.Results As to preoperative assessment, most spirometric parameters and 6MWD were significantly improved after 3 months and slightly 3 years after LVRS. Gas exchange parameters were significantly improved 3 months after surgery, but returned to the preoperative levels after 3 years. Conclusions LVRS may significantly improve pulmonary function in patients with severe COPD indicating for LVRS. Mid-term pulmonary function 3 years after surgery can be decreased to the level at 3 months after surgery. Three years after LVRS, lung volume and pulmonary ventilation function can be significantly improved, but the improvement in gas exchange function was not significant.展开更多
文摘Objective: to analyze the value and progress of comprehensive treatment for stable patients with chronic obstructive pulmonary disease (COPD). Methods: into our hospital from May 2019 to February 2021, 50 cases, random number table is divided into research group, control group, 25 cases, the control group of COPD stable routine treatment, COPD comprehensive treatment, continuous intervention for 12 months, the two groups of patients lung function index, body exercise endurance, disease control effect, peritreatment oxidative stress response index, the level of inflammatory factors, etc. Results: after the treatment group in the first second forced breath, lung capacity is higher than the control group;6min maximum distance is greater than the control group;disease control effect, malondialdehyde, lipid peroxide level is lower;superoxide dismutase level, interleukin-6, C reactive protein level is lower than the control group;the difference is statistically significant (P 0.05). Conclusion: comprehensive treatment of patients with stable chronic obstructive pulmonary disease can effectively improve the disease control effect and promote the improvement of lung function, exercise endurance, oxidative stress response and inflammatory response.
文摘Objective: to analyze the therapeutic effect of salmeterol fluticasone powder inhalation combined with aminophylline injection on senile bronchial asthma. Methods: 62 elderly patients with bronchial asthma in our hospital from March to November, 2021 were randomly and double-blind. The control group (31 cases) was salmeterol fluticasone powder inhalation, and the observation group (31 cases) was salmeterol fluticasone powder inhalation+aminophylline injection, and the effects were compared. Results: the index (pulmonary function, inflammatory factors), the effective rate of treatment, the incidence of adverse reactions, the score of quality of life and the disappearance time of clinical symptoms in the observation group were better than those in the control group (P < 0.05). Conclusion: the use of inhalant (salmeterol fluticasone powder) and injection (aminophylline) in elderly patients with bronchial asthma can improve lung function and inflammatory reaction, without increasing the probability of adverse reactions, and can significantly improve patients' quality of life, which is worth popularizing.
文摘目的:探讨基于图文沟通宣教模式下的综合护理对肺炎患儿肺功能及治疗依从性的影响。方法:选取2023年7—12月河南省直第三人民医院收治的150例肺炎患儿作为研究对象,根据不同护理措施分为对照组(n=75)和观察组(n=75)。对照组给予常规护理,观察组在常规护理基础上予以基于图文沟通宣教模式下的综合护理;对比两组患儿康复时间、肺功能情况、治疗依从性、医疗恐惧感、生活质量及家属满意度情况。结果:观察组患儿各项康复时间优于对照组,差异均有统计学意义(t=11.577、9.129、5.305、4.941、7.889,P<0.05);出院当天,观察组患儿各项肺功能情况优于对照组,差异均有统计学意义(t=3.674、6.116、4.710、3.531,P<0.05);观察组患儿治疗依从性优于对照组,差异均有统计学意义(χ^(2)=4.127,P<0.05);出院当天,观察组患儿儿童医疗恐惧调查表(CMFS)评分低于对照组,儿童生活质量测定量表(PedsQ L 4.0)评分高于于对照组,差异均有统计学意义(t=5.559、3.109,P<0.05);观察组患儿家属满意度高于对照组,差异均有统计学意义(χ^(2)=6.857,P<0.05)。结论:基于图文沟通宣教模式下的综合护理应用于肺炎患儿,能提高治疗依从性,促进肺功能恢复,缩短康复时间,减轻医疗恐惧感,提高生活质量,提高护理满意度。
文摘Objective: to apply comprehensive nursing intervention to elderly patients with chronic obstructive pulmonary disease, and study the clinical effect and treatment compliance. Methods: eighty-eight elderly patients with COPD were included in the study, from January 2021 to January 2022. The general group (44 cases) received routine nursing. Comprehensive nursing intervention group (44 cases): comprehensive nursing intervention was implemented. Before and after 21 days of nursing, the forced breathing volume (FEV1), FEV1%, FEV1 /FVC ratio (FEV1/FVC), the excellent and good rate of clinical symptoms improvement, nursing satisfaction rate and Frankl score of treatment compliance scale were studied. Results: after 21 days of nursing, FEV1, FEV1% (49.89 ± 7.28)%, FEV1 /FVC (59.33 ± 8.89)% in the comprehensive nursing intervention group, the excellent and good rate of clinical symptoms improvement was 95.45%, and the Frankl scale score was (3.59 ± 8.89). The scores of (1.34 ± 0.28) L, (43.06 ± 5.36)%, (54.44 ± 7.11)%, 77.27% and (2.33 ± 0.14) in the normal group were all higher (P < 0.05). After 21 days of nursing, the nursing satisfaction rate of the comprehensive nursing intervention group was 95.45%, which was higher than that of the general group (79.55%, P < 0.05). Conclusion: in the elderly patients with COPD, after comprehensive nursing intervention, it shows greater nursing value and makes patients more satisfied in improving patients treatment compliance and effectively improving lung function.
文摘Background Now lung volume reduction surgery （LVRS） has become one of the most effective methods for the management of some cases of severe chronic obstructive pulmonary disease （COPD）. We evaluated the mid-term effects of LVRS on pulmonary function in patients with severe COPD. Methods Ten male patients with severe COPD aged 38-70 years underwent LVRS and their pulmonary function was assessed before, 3 months and 3 years after surgery. The spirometric and gas exchange parameters included residual volume, total lung capacity, inspiratory capacity, forced vital capacity, forced expiratory volume in one second, diffusion capacity for CO, and arterial blood gas. A 6-minute walk distance （6MWD） test was performed.Results As to preoperative assessment, most spirometric parameters and 6MWD were significantly improved after 3 months and slightly 3 years after LVRS. Gas exchange parameters were significantly improved 3 months after surgery, but returned to the preoperative levels after 3 years. Conclusions LVRS may significantly improve pulmonary function in patients with severe COPD indicating for LVRS. Mid-term pulmonary function 3 years after surgery can be decreased to the level at 3 months after surgery. Three years after LVRS, lung volume and pulmonary ventilation function can be significantly improved, but the improvement in gas exchange function was not significant.
