The effect of airway suction nursing care for COPD patients with airway mucus hypersecretion

被引：0

作者：

Fu, Ziyue ^{[1
]}

Lin, Yu ^{[2
]}

Liu, Zan ^{[3
]}

Yu, Ying ^{[1
]}

Tang, Qianyun ^{[4
]}

Yang, Zhenzhen ^{[5
]}

Li, Lanying ^{[5
]}

机构：

[1] Hainan Med Univ, Affiliated Hosp 2, Dept Cardiac Surg, Haikou, Hainan, Peoples R China

[2] Hainan Med Univ, Affiliated Hosp 2, Intens Care Unit, Haikou, Hainan, Peoples R China

[3] Hainan Med Univ, Affiliated Hosp 2, Dept Trop Dis, Haikou, Hainan, Peoples R China

[4] Hainan Med Univ, Affiliated Hosp 2, Dept Crit Care Med, Haikou, Hainan, Peoples R China

[5] Hainan Med Univ, Affiliated Hosp 2, Dept Tradit Chinese Med, 48 Baishuitang Rd, Haikou 570100, Hainan, Peoples R China

来源：

INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE | 2020年 / 13卷 / 11期

关键词：

Airway suction; airway suction nursing; COPD; airway mucus hypersecretion; effect of nursing care;

D O I：

暂无

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

Objective: To study the effect of airway suction nursing care for patients with chronic obstructive pulmonary disease (COPD) and airway mucus hypersecretion. Methods: A total of 116 COPD patients with airway mucus hypersecretion were recruited and divided into the control group and the observation group by a random number table method, with 58 cases in each group. The patients in the control group received conventional treatment and nursing care. In addition to the treatment given to the control group, the patients in the observation group were also given special airway suction nursing, which mainly included "wet, patting, drainage, turning". The total effective rates of the airway suction nursing, length of hospital stay, COPD assessment test (CAT) scores, nursing satisfaction scores, arterial blood gas indexes, lung function indexes and serum inflammatory factor levels before and after treatment were compared. Results: Compared to the control group, the observation group had significantly higher total effective treatment rate (98.28% vs 84.48%), arterial blood oxygen partial pressure PO2 and oxygenation index (PaO2/FiO(2)), and significantly lower arterial blood carbon dioxide partial pressure PCO2 (all P<0.05). The lung function indicators in the observation group were significantly higher than that in the control group (all P<0.001). Serum procalcitonin, hypersensitive C-reactive protein, tumor necrosis factor-a levels as well as the hospital stay and CAT score in the observation group were significantly lower than those in the control group (all P<0.001). Conclusion: Special airway suction nursing can significantly improve the quality of sputum discharge in COPD patients with airway mucus hypersecretion, enhance the quality of lung ventilation, improve the arterial blood gas, reduce the body's inflammatory response and accelerate the recovery of patients. Therefore, it is worthwhile to promote the application of airway suction nursing care in clinic.

引用

页码：8627 / 8635

页数：9

共 50 条

[31] United airway: upper and lower respiratory symptoms of COPD patients [J].

Koblizek, Vladimir ;

Novotna, Barbora ;

Zatloukal, Jaromir ;

Volakova, Eva ;

Svoboda, Michal ;

Popelkova, Patrice ;

Plutinsky, Marek ;

Brat, Kristian ;

Musilova, Pavlina ;

Lnenicka, Jaroslav ;

Heribanova, Lucie ;

Liptakova, Zuzana ;

Dvorak, Tomas ;

Voglova, Petra ;

Safranek, Petr ;

Simek, Rostislav ;

Nevoranek, Libor ;

Kopecky, Michal ;

Kocova, Eva ;

Neumannova, Katerina ;

Skrobackova, Marketa .

EUROPEAN RESPIRATORY JOURNAL, 2019, 54

[32] Current methods to diagnose small airway disease in patients with COPD [J].

Leitao Filho, Fernando Sergio ;

Chen, Hao Hang ;

Ngan, David A. ;

Tam, Anthony ;

Kirby, Miranda ;

Sin, Don D. .

EXPERT REVIEW OF RESPIRATORY MEDICINE, 2016, 10 (04) :417-429

[33] Airway resistances deteriorate following spirometry in asthma and COPD patients [J].

Fabbri, Natalia ;

Paredi, Paolo ;

Sally, Meah ;

Martyn, Biddiscombe ;

Usmani, Omar .

EUROPEAN RESPIRATORY JOURNAL, 2016, 48

[34] The role of FeNO in stable COPD patients with eosinophilic airway inflammation [J].

Vincken, Stefanie ;

Sylvia, Verbanck ;

Daniel, Schuermans ;

Thomas, Evenepoel ;

Eef, Vanderhelst .

RESPIRATORY MEDICINE, 2021, 181

[35] Airway and systemic inflammation and decline in lung function in patients with COPD [J].

Donaldson, GC ;

Seemungal, TAR ;

Patel, IS ;

Bhowmik, A ;

Wilkinson, TMA ;

Hurst, JR ;

MacCallum, PK ;

Wedzicha, JA .

CHEST, 2005, 128 (04) :1995-2004

[36] Dynamic hyperinflation contributes to systemic and airway inflammation in patients with COPD [J].

Mariscal Aguilar, Pablo ;

Galera Martinez, Raul ;

Casitas Mateo, Raquel ;

Martinez Ceron, Elisabet ;

Laorden Escudero, Daniel ;

Tenes Mayen, Jose Andres ;

Gonzalez Pozo, Gabriela ;

Garcia Rio, Francisco .

EUROPEAN RESPIRATORY JOURNAL, 2019, 54

[37] Airway eosinophilic inflammation indicates small airway dysfunction (SAD) in patients with mild stable or at risk for COPD - results from CAPTO-COPD [J].

Abdo, M. ;

Pedersen, F. ;

Trinkmann, F. ;

Herth, F. J. ;

Rabe, K. F. ;

Kirsten, A. ;

Watz, H. .

EUROPEAN RESPIRATORY JOURNAL, 2022, 60

[38] Airway remodelling augmented in patients with asthma COPD overlap (ACO) compared to asthma and COPD [J].

Dey, Surajit ;

Lu, Wenying ;

Markos, James ;

Larby, Josie ;

Chia, Collin ;

Haug, Greg ;

Weber, Heinrich C. ;

Brake, Samuel James ;

Myers, Stephen ;

Gaikwad, Archana Vijay ;

Bhattarai, Prem ;

Wark, Peter A. B. ;

Eapen, Mathew Suji ;

Sohal, Sukhwinder Singh .

EUROPEAN RESPIRATORY JOURNAL, 2021, 58

[39] Impact of Airway-Occluding Mucus Plugs on Mortality in Patients with COPD According to Disease Severity: A Subset Analysis of Data From COPDGene [J].

Rogliani, Paola ;

Calzetta, Luigino .

INTERNATIONAL JOURNAL OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE, 2025, 20 :831-840

[40] Mechanism of the Inhibitory Effect of Antiinflammatory Baicalin on Airway Reconstruction in COPD Rats [J].

Qiu, J. ;

Gong, W. ;

Dong, J. .

INDIAN JOURNAL OF PHARMACEUTICAL SCIENCES, 2019, 81 (04) :86-93

← 1 2 3 4 5 →