112例老年哮喘病发病诱因与并发症临床治疗分析.docVIP

112例老年哮喘病发病诱因与并发症临床治疗分析 　　【摘要】 目的 分析老年哮喘病的发病诱因和并发症。方法 对285例哮喘病患者进行分类，其中老年哮喘病组112例，非老年哮喘病组173例，分别对两组的发病诱因和并发症进行比较分析。随机将112例老年哮喘病患者分为3组，其中A组38例，B组38例，C组36例，A组交替使用β2受体激动剂、糖皮质激素和抗胆碱药物等三种药物，B组选用其中两种药物，也交替用药，C组只用其中一种药物。各组均进行雾化吸入治疗，3次/d，每次治疗20 min，7 d为1个疗程，交替用药各组每次只使用其中一种药物。结果 老年组有家族史者8例(7.14%)，非老年组20例(11.56%)，P0.05。老年组有过敏性鼻炎史者13例(11.61%)，非老年组28例(16.18%)，P0.05；老年组重度哮喘65例(58.03%)。中度46例(41.07%)；非老年组重度68例(39.31%)，中度105例(60.69%)，P2(88.56±5.38)mm Hg，PACO2(34.55±6.15)mm Hg，非老年组PaO2（86.75±6.23）mm Hg，PaCO2(39.24±6.98)mm Hg，P均0.05。结论 哮喘病是一种对公众健康有巨大威胁的复杂疾病。对老年哮喘病患者应给予高度重视，有效的做好老年哮喘病的临床治疗，以提高老年人身体健康。? 　　【关键词】老年；哮喘病；诱因；并发症 　　 　　112 cases of old age incentive onset of asthma complications and clinical treatment analysis 　　LIN Jian-yong，SU Guo-sheng，HUANG Zhao-guo，et al.Department of Respiratory Medicine Guangxi Youjiang National Medical College Hospital,Guangxi 533000,China 　　 　　【Abstract】 Objective Analysis of old age incentive onset of asthma and complications.Methods Classify 285 cases of asthma patient，112 groups of old asthma among them，173 groups of non-old asthma，carry on comparative analysis to two groups of morbidity inducements and complication.112 cases of old age will be randomized patients with asthma were divided into 3 groups，A group of 38 cases，B 38，C Group of 36 cases，A group of alternating the use of β2 agonist，glucocorticoid and anticholinergic drugs，such as the three drugs，Group B choose which of the two drugs，but also the turn of drugs，C group with only one of the drug.Each group were treated for inhalation three times a day，20 minutes each treatment，7 days a course of treatment，he turn of the drug group to use only one drug.Results Old age group who have a family history of 8 patients(7.14 percent)，non-elderly group of 20 patients(11.56%)，P0.05.Old age group has the history of allergic rhinitis were 13 cases(11.61 percent)，non-elderly group of 28 patients(16.18%)，P0.05；elderly group of 65 patients with severe asthma(58.03%)，46 cases of moderate(41.07%)；non