农村老年人慢阻肺诊治分析.docVIP

农村老年人慢阻肺诊治分析 　　【摘要】 目的 研究农村老年人慢性阻塞性肺疾病（慢阻肺）的临床治疗情况和发展， 选择治疗的合理方法。方法 140例农村老年慢阻肺患者， 按照随机分配的原则分为中药组和和西药组， 每组70例。中药组患者采用千金苇茎汤加减治疗， 西药组患者采用噻托溴铵治疗。比较两组患者的临床疗效和疾病复发率。结果 中药组治疗总有效率为88.6%， 西药组治疗总有效率为92.9%， 两组比较差异无统计学意义（P0.05）；两组患者治疗后复发率均10%， 治疗后患者的肺功能和呼吸状况都得到了明显的改善， 且无任何相关的不良反应。结论 对农村老年慢阻肺患者的诊治， 中药和西药的治疗方法都同样有效， 都可以显著的缓解患者的疾病疼痛， 降低临床表现， 改善患者的生活水平， 使得患者对于治疗的满意度大大提高， 值得在各个乡镇医院得到较大力度的推广和应用。 　　【关键词】 慢性阻塞性肺病；老年；农村；诊治分析 　　DOI：10.14163/j.cnki.11-5547/r.2017.08.061 　　【Abstract】 Objective To research clinical treatment and development for senile chronic obstructive pulmonary disease in countryside， and to select rational measures in treatment. Methods A total of 140 senile chronic obstructive pulmonary disease patients were randomly divided into traditional Chinese medicine group and Western medicine group， with 70 cases in each group. The traditional Chinese medicine group received phragmitis decoction for modified treatment， and the Western medicine group received tiotropium bromide for treatment. Comparison was made on clinical effect and recurrence rate between the two groups. Results The traditional Chinese medicine group had total effective rate in treatment as 88.6%， and the Western medicine group had total effective rate in treatment as 92.9%. Their difference had no statistical significance （P0.05）. Both groups had recurrence rate 10% after treatment， and obvious improvement was shown in pulmonary function and breath condition， without any related adverse reactions. Conclusion In treating senile chronic obstructive pulmonary disease in countryside， traditional Chinese medicine and Western medicine are both effective. They can remarkably relieve pain in patients， lower their clinical manifestation and improve quality of life， along with highly improved satisfaction in treatment. These measures are worth wide promotion and application in township hospital. 　　【Key words】 Chronic obstructive pulmonary disease； Senile； Countryside； Analysis of diagnosis and treatment 　　慢阻