社区老年支气管哮喘合并有肺部感染的临床治疗方案探析.docVIP

精品论文 参考文献 社区老年支气管哮喘合并有肺部感染的临床治疗方案探析 胡 岗 成都市第五人民医院呼吸内科 [摘要] 目的：探究社区老年支气管哮喘合并有肺部感染的临床治疗方案。方法：选择2010 年12 月～2013 年6 月期间在我院治疗的80 例老年支气管哮喘合 并有肺部感染的患者，以随机双盲的方法分为对照组和观察组，每组40 例患者，两组患者均针对哮喘给予常规呼吸科治疗，观察组于此基础上联合痰热清治疗， 然后分别对两组进行痰培养以及细菌学检查，观察并分析两组的治疗结果以及病菌感染情况。结果：观察组的治愈好转率为92.5%，对照组的治愈好转率为72.5%， 两者间差异有统计学意义（Plt;0.05）。结论：在常规呼吸科治疗的同时给予患者痰热清注射液治疗社区老年支气管哮喘合并有肺部感染的临床效果显著。 [关键词] 社区；老年支气管哮喘；肺部感染；痰热清 The clinical treatment of probe for bronchial asthma associated with pulmonary infection about community elderly [Abstract] Objective: To explore clinical treatment of bronchial asthma associated with pulmonary infection about community elderly. Methods: We chose 80 cases of elderly patients with bronchial asthma associated with pulmonary infection from December 2010 to June 2013 in our hospital, according to double-blind method which was randomly divided into the control group and the observation group, each group had 40 patients , the two groups of patients were given conventional respiratory therapy for asthma, the observation group based on the joint of Tanreqing for this treatment, and to carry out on two groups of sputum culture and bacteriological examination, to observe and analyze of two groups of treatment outcomes as well as bacteria infection. Results: The observation healing rate was 92.5%, the control group of healing rate was 72.5%, the difference was statistically significant (P lt;0.05). Conclusion: In the conventional respiratory therapy while giving the patient Tanreqing for the treatment, which treated community elderly with bronchial asthma associated with pulmonary infection had significant clinical effect. [Keyword] community; elderly bronchial asthma; lung infection; Tanreqing 支气管哮喘(简称哮喘)是一种常反复发作病程迁延的慢性炎症， 患者常有较长期的咳嗽咳痰史，引起气道的不可逆性狭窄，进而导 致患者基础肺功能降低以及伴发性慢性心肺疾病，是严重威胁老年 人健康的主要慢性疾病之一，且易合并肺部感染[1]。合并肺部感染 时，患者咳嗽加重，痰液性状改变，尤其是老年人免疫功能降低， 因各种慢性疾病接受激素治疗的可能性大，常导致误诊，使得治疗 复杂。现将2010 年12 月～2012 年12 月期间在我院应用治疗痰热清 联合常规呼吸科的80 例老年支气管哮喘合并有肺部感染的患