摘要
目的分析老年性支气管哮喘的诊断与治疗方式。方法选择近两年在该院接受治疗的100例老年性支气管哮喘患者视为调查对象,以随机分组的方式纳入研究组与常规组。为所有患者临床诊断,结合患者症状实施止咳、平喘及抗感染等常规治疗,研究组在此基础上应用特布他林雾化液雾化吸入治疗,比较两组患者的临床治疗有效率、患者的哮鸣音、肺部湿啰音、咳喘症状消失时间。结果心电图下观察发现心肌缺血12例,肺型P波17例。胸部X线下显示肺气肿征18例,双肺纹理粗乱38例,斑点状阴影16例,小片状或者广泛浸润影14例,肺动脉干扩张≥15 mm为17例。98例患者支气管舒张试验为阳性。97例患者在常规与痰涂片检查中,能够观察到嗜酸性粒细胞增加,白细胞总数增加。研究组患者的整体治疗有效率为98%,常规组患者的整体治疗有效率为82%,差异有统计学意义(χ~2=7.63,P<0.05)。与常规组患者相比,研究组患者的哮鸣音恢复时间为(3.24±0.32)d,肺部湿啰音恢复时间为(3.93±0.19)d,咳喘症状消失时间为(3.89±0.21)d,数据均相对较低,组间数值比较差异有统计学意义(t=10.55,7.78,9.71,P<0.05)。结论老年支气管哮喘患者在心电图、胸部X线检查及实验室检查中,均能够观察到显著的症状变化现象。在早期诊断的方式下,将常规治疗与特布他林雾化液雾化吸入治疗方式相互融合,有助于提升老年性支气管哮喘患者的临床治疗有效率,快速改善患者的生存质量。
Objective To analyze the diagnosis and treatment of senile bronchial asthma. Methods 100 patients with senile bronchial asthma who were treated in our hospital in the past two years were selected as subjects and included in the study group and the routine group by randomization. For the clinical diagnosis of all patients, combined with the patient’s symptoms to carry out routine treatment such as cough, asthma and anti-infection, the research group applied the terbutaline atomized liquid atomized inhalation treatment on this basis, comparing the clinical treatment efficiency of the two groups of patients, as well as the patient’s wheezing sound, lung wet voice, and the time of cough symptoms disappeared. Results 12 cases of myocardial ischemia and 17 cases of pulmonary P wave were observed under electrocardiogram. There were 18 cases of emphysema under the chest X-ray, 38 cases of rough lung texture, 16 cases of spotted shadow, 14 cases of small piece or extensive infiltration, and 17 cases of pulmonary artery dilatation ≥15 mm.98 patients were positive for bronchodilation. In 97 patients, an increase in eosinophils and an increase in the total number of white blood cells were observed in routine and sputum smears. The overall treatment effective rate was 98%in the study group and 82% in the conventional group. The difference was statistically significant(χ^2=7.63, P<0.05).Compared with the conventional group, the recovery time of the wheezing sound of the study group was(3.24 ±0.32)d,the recovery time of the wetness of the lungs was(3.93±0.19)d, and the disappearance time of the cough symptoms was(3.89±0.21)d, the data were relatively low, and there was a statistical difference between the groups(t =10.55, 7.78,9.71, P<0.05). Conclusion Significant symptom changes can be observed in elderly patients with bronchial asthma in electrocardiogram, chest X-ray and laboratory examination. In the early diagnosis mode, the combination of conventional treatment and terbutaline atomized liquid inhalation therapy
作者
刘学军
LIU Xue-jun(Department of Geriatrics, Zhongjiang County People's Hospital, Zhongjiang, Sichuan Province, 618100 China)
出处
《系统医学》
2019年第3期48-50,共3页
Systems Medicine
关键词
老年性支气管哮喘
临床诊治
特布他林雾化液
Senile bronchial asthma
Clinical diagnosis and treatment
Terbutaline atomization solution
