资源描述:
《临床药师参与aecopd雾化吸入干预临床效果观察》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、临床药师参与AECOPD雾化吸入干预临床效果观(南充市中心医院/川北医学院附属第二临床医学院四川南充637000)【摘要】目的:探讨雾化吸入干预措施在COPD急性加重期的临床效果,为临床药师参与临床护理模式提供参考。方法:将120例确诊为COPD急性加重期的患者随机分为干预组和对照组,每组各60例,对照组采用常规雾化吸入,干预组在常规雾化基础上增加干预措施,比较两组患者雾化吸入前后的呼吸、心率、血氧饱和度、疗效及不良反应。结果:干预组患者雾化吸入后呼吸、心率平稳,血氧饱和度升高;而对照组呼吸、心率加快、血氧饱和度相对降低
2、,干预组有效率明显高于对照组;不良反应少于对照组。结论:雾化吸入干预可显著提高COPD急性加重期患者雾化吸入的依从性、耐受性,是有效缓解症状的治疗措施。临床药师参与临床护理更能有效融入临床治疗团队,贴近临床。【关键词】COPD;急性加重期;雾化吸入;干预【中图分类号】R563.9【文献标识码】B【文章编号】1004-6194(2015)02-0369-02OBSERVATIONOFTHECLINICALPHARMACISTSINTERVENTIONTHEEFFECTSOFINHALATIONONACUTEEXACERBA
3、TIONOFCHRONICOBSTRUCTIVEPULMONARYDISEASESUQiang,ZHULi-sha,丫ANGSi-yun,LILin,PANZhao-ping(NanchongCentralHospital,TheSecondAffiliatedHospitalofNorthSichuanMedicalCollege,Nanchong637000,SichuanChina)【Abstract】Objective:Toinvestigatetheeffectsofinhalationintervention
4、onacuteexacerbationofchronicobstructivepulmonarydisease.Methods:80patientsdiagnosedwithacuteexacerbationofCOPDwererandomlydividedintotheinterventiongroupof60patientsandthecontrolgroupof60patients.Thecontrolgroupwastakenwithconventionalinhalationmethod.Theinterven
5、tiongroupwastakenwithinterventionsbasedonthecontrolgroup,thetwogroupspatientsbeforeandafteratomizationinhalationofbreathing,heartrate,bloodoxygensaturation,curativeeffectandadversereaction.WereCompared.Results:Theinterventiongrouppatientsafteratomizationinhalatio
6、nsmoothbreathing,heartrate,bloodoxygensaturationwererising;Whereasthecontrolgroupbreath,fastheartrate,bloodoxygensaturationrelativelywerelower,effectiveinterventiongroupwashigherthanthatofcontrolgroup;Adversereactionlessthancontrolgroup.Conclusion:Theintervention
7、oftheinhalationforacuteexacerbationofCOPDsignificantlyimprovepatients’compliance,tolerability,assoonaspossibletorelievesymptoms.ClinicalpharmacistscareMoreeffectivelyintoclinicaltreatmentteam.【Keywords】AECOPD;Inhalation;Intervention慢性阻塞性肺疾病急性加重期(AECOPD)是指在疾
8、病过程中,患者短期咳嗽、咳痰、气短和(或)喘息加重,痰量增多,可伴发热等炎症明显加重的表现[1],是导致患者肺病功能急剧恶化、增加住院及死亡率的重要原因。0前AECOPD的药物治疗方案药物治疗主要包括抗生素、糖皮质激素及支气管扩张剂等。氧驱雾化吸入作为•一种辅助治疗手段,在AECOPD患者中广泛应用。该治疗是应用高速