探讨老年慢性阻塞性肺疾病和哮喘的临床疗效观察.docVIP

精品论文 参考文献 探讨老年慢性阻塞性肺疾病和哮喘的临床疗效观察 黑龙江省五常市中医医院 150200 摘要：目的：研究并研究老年慢性阻塞性肺疾病和哮喘的临床疗效观察。方法：此次研究的对象是选择2011年1月至2015年1月我院70例慢性梗阻性肺疾病合并哮喘患者。将其临床资料进行回顾性分析，并随机分为两组，分别采用常规治疗和常规治疗基础上联合糖皮质激素治疗，分析比较两种方法的治疗效果及肺部听诊改善状况。结果：通过治疗两组患者病情均得到显著改善，实验组患者治疗后显效率和总有效率均高于对照组，有统计学意义（Plt;0.05）；肺部听诊单纯哮鸣音、肺底部小水泡音及干湿啰音均好于对照组，有统计学差异（Plt;0.05）；治疗后肺部听诊状况均好于治疗前，有统计学差异（Plt;0.05）。结论：常规治疗基础上联合糖皮质激素治疗老年慢性阻塞性肺疾病哮喘，能够显著提高患者身体状况、改善患者肺部功能，临床疗效显著，值得推广。 　　关键词：慢性阻塞性肺疾病；哮喘；老年；临床疗效　　 [Abstract] Objective：To study the clinical curative effect of chronic obstructive pulmonary disease and asthma in elderly patients. Methods：the study selected 70 patients with chronic obstructive pulmonary disease and asthma in our hospital from January 2015 to January 2011. The clinical data were retrospectively analyzed，and were randomly assigned to two groups，respectively，using routine therapy and routine therapy combined with glucocorticoid therapy，to compare the two methods of treatment effect and lung auscultation analysis to improve the situation. Results：by treatment of two groups of patients were improved significantly. After treatment，the patients in the experimental group significantly effective rate and total effective rate were higher than those in the control group，which had statistical significance（P lt; 0.05）；lung auscultation simple wheezing sound，at the bottom of the pulmonary blisters sound and dry and wet rales sound was better than that of the control group，there was statistically significant difference（P lt; 0.05）. After treatment，the condition in the auscultation of the lung were good for the treatment of，a statistically significant difference（P lt; 0.05）. Conclusion：conventional treatment based on the combination of corticosteroids in the treatment of chronic obstructive pulmonary disease in elderly patients with chronic obstructive pulmonary disease，can significantly improve the patients physical condition，improve the patients pulmonary function，clinical curative effect is significant，it is worth promoting. [