老年重症哮喘呼吸内科规范治疗临床观察 李雪平.docVIP

精品论文 参考文献 老年重症哮喘呼吸内科规范治疗临床观察 李雪平 重庆市丰都县高镇医院 重庆 408200 【摘 要】目的：探讨医院呼吸内科对老年重症哮喘患者运用规范疗法治疗的临床价值。方法：将2013年5月至2015年1月到我院治疗的64例老年重症哮喘患者纳入研究，并通过随机对照法均分成两组，对照组32例根据常规呼吸内科标准给予鼻部插管供氧、纠正水电解质失衡和抗感染等处理，观察组32例选择规范治疗方案进行用药，研究两组对象的临床施治结局。结果：①临床疗效：观察组实施治疗后的临床总有效率达93.75%，相比对照组的75.00%明显更高，有统计学意义（P＜0.05）。②临床症状：观察组施治后的咳嗽、喘憋和哮鸣音等诸症消除时间相比对照组明显更短，有统计学意义（P＜0.05）。③血气分析：施治前，两组的各项血气分析指标值基本接近，不具统计学意义（P＞0.05），施治后，两组的各项指标水平均出现程度不等的变化，且观察组各项平均值相比对照组改善更显著，有统计学意义（P＜0.05）。结论：对医院呼吸内科老年重症哮喘患者运用规范疗法治疗，可有效控制患者病情、改善其心肺功能，并促进患者各项生理恢复，值得加强普及。 【关键词】呼吸内科；老年；重症哮喘；规范疗法；临床价值 【中图分类号】R256.12 【文献标识码】B 【文章编号】1764-8999（2015）7-0753-02 【Abstract】Objective: to study the hospital respiratory medicine for the elderly the clinical value of using the standard therapy for severe asthma. Methods: in May 2013 to January 2015 to our hospital treatment of 64 cases of elderly patients with severe asthma in research, and through randomized controlled method are divided into two groups, control group 32 cases according to the conventional respiratory medicine standard gives oxygen to nasal intubation, correct water electrolyte imbalance and anti-infection treatment, observation group of 32 cases of selecting standard treatment for drug use, research object treats the clinical outcome of the two groups. Results: (1) clinical efficacy: observation group after treatment of clinical total effective rate was 93.75%, 75.00%, significantly higher than the control group, with statistical significance (P lt; 0.05). (2) : clinical symptoms: observation group after making the cough, asthma and eliminate the disease suppress and wheezing sound significantly shorter than the time, was statistically significant (P lt; 0.05). (3) blood gas analysis: before making, two groups of basic close to the blood gas analysis index, no statistical significance (P gt; 0.05), and after making, the level of each index of two groups of varying degrees of change, and the observation group improved more significantly than the average, with statistic