探讨氨茶碱用于治疗阻塞性肺气肿的治疗价值徐国红.docxVIP

探讨氨茶碱用于治疗阻塞性肺气肿的治疗价值徐国红 双鸭山煤炭总医院157000 摘要：目的：探讨并分析氨茶碱用于治疗阻塞性肺气肿的治疗的临床效果。 方法:此次研究的对象是选取2013年3月至2014年9月期间入住我院接受治疗 的98例慢性阻塞性肺气肿患者。将其临床资料进行回顾性分析，入院时将患者 随机分配到对照组和实验组，每组49例患者，对照组采用应用支气管扩张，抗 感染等常规的治疗方法，而实验组在常规基础上根据病人的实际情况应用适量的 氨茶碱治疗，分析比较两组患者的治疗效果。结果：实验组患者的治愈率高达 93.9%高于对照组77.6%,差异有统计学意义(Plt;0.05)；实验组患者的血气分 析结果与对照组的差异都有统计学意义(Plt;0.05)；其中实验组PH值和PaO2 值显著高于对照组(Plt;0.05),而实验组患者的PaCO2显箸低于对照组 (Pt;0.05)；两组患者治疗前后肺功能检查结果显示，实验组患者的肺功能优 于对照组，差异有统计学意义(Pt;0.05)o结论：氨茶碱在临床上应用于治疗 慢性阻塞性肺气肿有显著性效果，能有效的改善患者的呼吸，提高患者的PaO2, 降低PaCO2,临床上应推广使用。 关键词：氨茶碱；肺气肿；血气分析；肺功能 Abstract： Objective： To investigate and analyze the clinical effect of aminophylli ne for treati ng obstructive pulm on ary emphysema .Methods： the study selected 98 patients with chronic obstructive pulmonary emphysema who were admitted to our hospital from September 2014 to March 2O13.The retrospective analysis of the clinical data of hospitalized patients were randomly assigned to control group and experimental group, 49 patients in each group, the control group used bronchodilator treatment, conventional anti infection, while the experimental group on a regular basis according to the actual condition of patients should be appropriate with aminophylline treatment, treatment effect analysis comparison of two groups of patients.Results： the experimental group cure rate as high as 93.9% higher than 77.6% in the control group, the difference was statistically significant (Plt;0.05)； there was statistically significant difference on the results of blood gas analysis of patients in the experimental group and the control group (Plt;0.05)； the experimental group of pH value and PaO2 value was significantly higher than the control group (Plt;O.O5), while the patients in the experimental group PaCO2 was significantly lower than the control group (Plt;0.05)； the two groups before and after treatme nt in patie nts with pulm on ary functio n test results showed that the pulm on ary function of patie nts in the experime ntal group tha n the con trol