孟鲁司特治疗咳嗽变异性哮喘的临床疗效评价.docVIP

精品论文 参考文献 孟鲁司特治疗咳嗽变异性哮喘的临床疗效评价 张永明 张荣华（通讯作者） 　　（甘肃省古浪县人民医院 甘肃 武威 733100） 　　【摘要】 目的：观察孟鲁司特治疗咳嗽变异性哮喘(CVA)的临床效果。方法：采用随机盲选法选择古浪县人民医院呼吸科门诊CVA患者90例，随机分为观察组与对照组各45例，对照组给予盐酸班布特罗（立可菲）、茶碱缓释片；观察组在对照组治疗方法的基础上给予孟鲁司特口服，治疗4周后比较两组临床效果。结果：观察组总有效率88.89％，对照组总有效率71.11％，疗效差异显著，有统计学意义（P﹤0.05）,且观察组肺功能恢复时间，症状缓解时间均显著低于对照组水平。结论：孟鲁司特治疗CVA的临床疗效显著，使用方便、安全、经济。 　　【关键词】 孟鲁司特；变异性哮喘；临床效果 　　【中图分类号】R56 【文献标识码】A 【文章编号】2095-1752（2016）10-0154-02 　　Evaluation of the clinical efficacy of the treatment of cough variant asthma with cough variant asthma Zhang Ronghua Zhang Yongming (correspondence author)Gulang County Peoples Hospital of Gansu province 733100,China 　　【Abstract】 To observe the clinical effect of the treatment of cough variant asthma (CVA) with the treatment of cough variant asthma (). Methods Using blind random selection method to select 90 cases of Gulang County Peoples hospital respiratory outpatient CVA patients, were randomly divided into observation group and control group of 45 cases, bambuterol hydrochloride Li Kefei, theophylline sustained-release tablets was given to the patients in the control group; in the observation group were given Meng montelukast oral group therapy based on the control, after 4 weeks of treatment were compared between the two groups clinical effect. Results The total effective rate of the observation group was 88.89%, the total effective rate was 71.11%, the difference was statistically significant (P lt; 0.05), and the recovery time of pulmonary function was significantly lower than that in the control group. Conclusion The clinical efficacy of in the treatment of CVA is significant, which is convenient, safe and economical. 　　【Key words】The clinical effect of the patients with asthma 　　CVA是一种特殊类型的哮喘，咳嗽是其惟一或主要临床表现，无明显喘息、气促等症状或体征，但有气道高反应性。很多人都是由于咳嗽持续发生或者反复发作，导致咳嗽迁延不愈，最终引发咳嗽变异性哮喘。所以说变异性哮喘严重影响着患者的身心健康、生活质量。随着人类生活环境的不断恶化，本病发病率逐年有上升趋势。为此，我们采用了孟鲁司特治疗咳嗽变异性哮喘，且取得了显著的临床效果。现报道如下。 　　1.资料与方法 　　1.1 临床资料 　　随机盲选古浪县人民医院呼吸科门诊214年5月