沙美特罗替卡松粉吸入剂治疗慢性支气管炎的效果观察.docVIP

沙美特罗替卡松粉吸入剂治疗慢性支气管炎的效果观察 　　[摘要] 目的 评价沙美特罗替卡松粉吸入剂治疗慢性支气管炎的临床效果。 方法 选取2011年3月～2013年7月本院收治的慢性支气管炎患者97例，随机分为两组，其中观察组49例在吸氧、止咳平喘、保持呼吸道通畅、抗感染等常规治疗的基础上加用沙美特罗替卡松粉吸入剂，对照组48例仅采用慢性支气管炎常规治疗，2周后观察并比较两组患者的临床疗效和血气分析结果。 结果 观察组优32例（65.3%），良15例（30.6%），差2例（4.1%），总优良数为47例（95.9%）；对照组优13例（27.1%），良例27（56.3%），差8例（16.7%），总优良数为40例（83.3%），观察组的临床疗效与对照组比较差异有统计学意义（P0.05）；观察组经过治疗PaCO2为（45.3±5.2） mm Hg，PaO2为（88.1±7.5） mm Hg，对照组PaCO2为（55.0±6.7） mm Hg，PaO2为（71.9±6.8） mm Hg，两组患者血气分析结果比较差异有统计学意义（P0.05）。 结论 沙美特罗替卡松粉吸入剂治疗慢性支气管炎的临床效果好，能有效提高患者的血氧饱和度，降低血中二氧化碳含量，值得临床推广。 　　[关键词] 沙美特罗替卡松粉吸入剂；慢性支气管炎；疗效 　　[中图分类号] R562.2[文献标识码] A[文章编号] 1674-4721（2014）06（b）-0058-03 　　 　　Effect observation of salmeterol inchoate and fluticasone propionate powder for inhalation in the treatment of chronic bronchitis 　　ZHANG Xing-min QIAO Xiao-guang 　　General Practice Department,Community Health Service Centre in Kaixuan Street of Jianggan District,Hanzhou City,Hangzhou 310019,China 　　[Abstract] Objective To evaluate the clinical effect of salmeterol inchoate and fluticasone propionate powder for inhalation in the treatment of chronic bronchitis. Methods Ninety-seven patients with chronic bronchitis admitted into our hospital from March 2011 to July 2013 were randomly divided into observation group and control group.In the observation group (n=49),on the basis of conventional therapy including oxygen inhalation,cough and asthma relieving,respiratory tract keeping unobstructed,and anti-inflammation,salmeterol inchoate and fluticasone propionate powder for inhalation was added.In the control group (n=48),only conventional therapy was adopted.After 2-week observation,the clinical effect and outcomes of blood gas analysis were compared in both groups. Results The clinical effect in the observation group evaluated as excellent,good and poor were 32 cases (65.3%),15 cases (30.6%),and 2 cases (4.1%).The number of total excellent and good were 47 cases accounting for 95.9%.In the control group,the number of excellent,good and po