摘要
目的 分析老年慢阻肺患者稳定期治疗中的问题,探讨规范化治疗和管理对策.方法 调查57例老年慢阻肺稳定期患者临床资料、日常生活活动能力,并观察患者近2周治疗情况.设正常对照组.结果 慢阻肺组16%并发肺心病,40%有合并症,低白蛋白血症及日常生活活动能力受限例数较对照组多(P<0.01),68%服用抗生素,5%吸入支气管扩张剂.结论 老年慢阻肺患者生活质量下降,稳定期治疗不规范,建议加强对患者教育、随访、管理.
Objective To analyse the problems in the treatment with stable chronic obstructive pulmonary disease (COPD) in the elderly patients, to explore standard treatment and management. Methods Fifty - seven elderly patients with stable COPD were studied for their clinical data, activity daily living and the treatment received in recent two weeks. Normal elderly people were chosen randamly as control group. Results In patients with COPD complicated with chronic cor pulmonale accounted for 16% , other complications for 40% . Cases with limited activity of daily living and hypoalbuminemia were more than the controls ( P < 0.01) . Cases taken antibiotic ac-counted for 68 % , inhaled brochodilators for 5 % . Conclusions The quality of life in the elderly patients with COPD declines, the treatment for stable stage is not standard. It is suggested that education, follow - up, and man-agement of patients should be strengthened.
出处
《老年医学与保健》
CAS
1999年第2期83-84,89,共3页
Geriatrics & Health Care
