中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
26期
185-187
,共3页
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
呼吸操%傢庭氧療%沙美特囉氟替卡鬆%慢性阻塞性肺疾病%肺功能
호흡조%가정양료%사미특라불체잡송%만성조새성폐질병%폐공능
Breathing exercise%Home oxygen therapy%Salmeterol fluticasone%Chronic obstructive pulmonary disease%Pulmonary function
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(P<0.05)。两组治疗后的肺功能相关指标较治疗前均有改善，观察组改善更明显(P<0.05)。观察组急性加重次数>2次发生率低于对照组，差异有统计学意义(P<0.01)。两组急性加重发生频率比较差异无统计学意义(P>0.05)。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。
目的：觀察呼吸操、傢庭氧療聯閤沙美特囉氟替卡鬆榦粉吸入劑治療慢性阻塞性肺疾病(COPD)穩定期患者的效果。方法將符閤標準的128例COPD穩定期患者隨機分為觀察組和對照組，各64例，兩組均給予常規治療，觀察組加用呼吸操鍛煉、傢庭氧療及沙美特囉替卡鬆榦粉劑吸入劑治療，隨訪1年，對比兩組治療前後的肺功能相關指標、臨床療效及急性加重情況等。結果觀察組總有效率為92.19%，顯著高于對照組的76.56%，兩組比較差異有統計學意義(P<0.05)。兩組治療後的肺功能相關指標較治療前均有改善，觀察組改善更明顯(P<0.05)。觀察組急性加重次數>2次髮生率低于對照組，差異有統計學意義(P<0.01)。兩組急性加重髮生頻率比較差異無統計學意義(P>0.05)。結論呼吸操、傢庭氧療聯閤沙美特囉氟替卡鬆榦粉吸入劑治療COPD的效果確切，且能改善COPD患者的肺功能，減少急性加重次數。
목적：관찰호흡조、가정양료연합사미특라불체잡송간분흡입제치료만성조새성폐질병(COPD)은정기환자적효과。방법장부합표준적128례COPD은정기환자수궤분위관찰조화대조조，각64례，량조균급여상규치료，관찰조가용호흡조단련、가정양료급사미특라체잡송간분제흡입제치료，수방1년，대비량조치료전후적폐공능상관지표、림상료효급급성가중정황등。결과관찰조총유효솔위92.19%，현저고우대조조적76.56%，량조비교차이유통계학의의(P<0.05)。량조치료후적폐공능상관지표교치료전균유개선，관찰조개선경명현(P<0.05)。관찰조급성가중차수>2차발생솔저우대조조，차이유통계학의의(P<0.01)。량조급성가중발생빈솔비교차이무통계학의의(P>0.05)。결론호흡조、가정양료연합사미특라불체잡송간분흡입제치료COPD적효과학절，차능개선COPD환자적폐공능，감소급성가중차수。
Objective To observe the clinical efficacy of breathing exercise,home oxygen therapy combined with salme-terol fluticasone dry powder inhaler in the treatment of patients with stable chronic obstructive pulmonary disease (COPD). Methods 128 patients with stable COPD who met the standards were randomly divided into observation group and control group,with 64 patients in each group.Conventional treatment was used in two groups,breathing exercise, home oxygen therapy combined with salmeterol fluticasone dry powder inhaler were used in observation group.After 1-year followed-up,the related index of pulmonary function before and after the treatment,clinical efficacy and acute ex-acerbation situation in two groups was compared respectively. Results Total effective rate of observation group was 92.19%,significantly higher than that of control group (76.56%),with statistical difference between two groups (P<0.05). After the treatment,the related index of pulmonary function in two groups was improved than that before treatment re-spectively,the related index of pulmonary function in observation group was improved obviously than that in control group (P<0.05).The incidence rate of acute exacerbation more than 2 times in observation group was lower than that in control group,with statistical difference (P<0.01).Occurrence frequency of acute exacerbation in two groups was cpm-pared,with no statistical difference(P>0.05). Conclusion Breathing exercise,home oxygen therapy combined with salme-terol fluticasone dry powder inhaler shows accurate efficacy in the treatment of patients with COPD and can improve the patients’pulmonary function and reduce acute exacerbation times.
