呼吸操、家庭氧疗联合沙美特罗氟替卡松干粉吸入剂治疗COPD稳定期患者的效果观察-论文.pdf

《呼吸操、家庭氧疗联合沙美特罗氟替卡松干粉吸入剂治疗COPD稳定期患者的效果观察-论文.pdf》由会员上传分享，免费在线阅读，更多相关内容在应用文档-天天文库。

1、中国当代医药2014年9月第21卷第26期·医护论坛·呼吸操、家庭氧疗联合沙美特罗氟替卡松干粉吸入剂治疗COPD稳定期患者的效果观察余艳珍董必文“姜小妹1．南昌市第三医院呼吸内科；南昌330009；2．南昌市第三医院神经内科，南昌330009[摘要】目的观察呼吸操、家庭氧疗联合沙美特罗氟替卡松干粉吸入剂治疗慢性阻塞性肺疾病(COPD)稳定期患者的效果。方法将符合标准的128例COPD稳定期患者随机分为观察组和对照组，各64例，两组均给予常规治疗，观察组加用呼吸操锻炼、家庭氧疗及沙美特罗替卡松干粉剂吸入剂治疗，随访1年，对比两组治疗前后的肺功能相关指标、临床疗效及急性

2、加重情况等。结果观察组总有效率为92．19％，显著高于对照组的76．56％，两组比较差异有统计学意义(P2次发生率低于对照组，差异有统计学意义(PO．05)。结论呼吸操、家庭氧疗联合沙美特罗氟替卡松干粉吸入剂治疗COPD的效果确切，且能改善COPD患者的肺功能，减少急性加重次数。【关键词】呼吸操；家庭氧疗；沙美特罗氟替卡松；慢性阻塞性肺疾病；肺功能【中图分类号】R563【文献标识码】B【文章编号】

3、1674—4721(2014)09(b)一0185-03Effectobservationofbreathingexercise,homeoxygentherapycombinedwithsalmeterolfluticasonedrypowderinhalerinthetreatmentofpa-tientswithstableC0PDYUYan-zheniDONGBi—wenJIANGXiao-meiz1．DepartmentofRespiratoryMedicine，theThirdHospitalofNanchangCity，Nanchang330009，C

4、hina；2．DepartmentofNeurology，theThirdHospitalofNanchangCity，Nanchang330009，China【Abstract】0bjectiveToobservetheclinicalefficacyofbreathingexercise，homeoxygentherapycombinedwithsalme—terolfluticasonedrypowderinhalerinthetreatmentofpatientswithstablechronicobstructivepulmonarydisease(coP

5、o)．Methods128patientswithstableCOPDwhometthestandardswererandomlydividedintoobservationgroupandcontrolgroup，with64patientsineachgroup．Conventionaltreatmentwasusedintwogroups，breathingexercise，homeoxygentherapycombinedwithsalmeterolfluticasonedrypowderinhalerwereusedinobservationgroup．A

6、fter1一yearfollowed—up，therelatedindexofpulmonaryfunctionbeforeandafterthetreatment，clinicalefficacyandacuteex—acerbationsituationintwogroupswascomparedrespectively．ResultsTotaleffectiverateofobservationgroupWaS92．19％，significantlyhigherthanthatofcontrolgroup(76．56％)，withstatisticaldiff

7、erencebetweentwogroupsP<0．05)．Afterthetreatment，therelatedindexofpulmonaryfunctionintwogroupswasimprovedthanthatbeforetreatmentre-spectively．therelatedindexofpulmonaryfunctioninobservationgroupwasimprovedobviouslythanthatincontrolgroupfP