支气管哮喘高龄患者雾化吸入沙丁胺醇临床效果分析.docVIP

有颜色的为修改部分 支气管哮喘高龄患者雾化吸入沙丁胺醇的临床效果分析 【摘要】 目的 探讨高龄支气管哮喘患者雾化吸入沙丁胺醇的临床效果。方法 随机将我院收治的88例老年支气管哮喘患者分成治疗组（44例）和对照组（44例）。对照组采用常规的解痉、平喘、镇静、吸氧等治疗措施，治疗组在对照组的基础上加用沙丁胺醇雾化吸入。比较两组患者治疗前和治疗10d后的动脉血氧分压（PaO2）、二氧化碳分压（PaCO2）、血样饱和度（SaO2）、每份呼吸次数（RR）、心率（HR）、一秒用力呼吸容积（FEV1）、一秒用力呼吸容积(FEV1)/用力肺活量（FVC）、各种临床症状及疗效差异。结果 对两组患者治疗前后的PaO2、PaCO2、SaO2、RR、HR、FEV1、FEV1/FVC指标进行比较，治疗组和对照组治疗后均显著优于治疗前且差异均具有统计学意义（p0.05）；治疗后两组比较，治疗组各指标好转均显著优于对照组（p0.05）；治疗组的喘息、哮鸣音、咳嗽、胸闷气促缓解时间显著短于对照组且差异具有显著的统计学意义（p0.05）；治疗组的临床控制率为40.91%，总有效率为97.73%均显著的高于对照组的25%和84.09%，差异均具有显著的统计学意义（p0.05）。结论 高龄支气管哮喘患者雾化吸入沙丁胺醇具有显著的临床效果，值得临床应用。 【关键词】支气管哮喘；沙丁胺醇；雾化吸入 Analysis of the clinical effect of bronchial asthma in elderly patients with inhalation of salbutamol 【Abstract】Objective To investigate the clinical effect of atomizing inhalation of salbutamol in the elderly patients with bronchial asthma.Methods Methods 88 cases of elderly patients with bronchial asthma in our hospital were divided into treatment group (44 cases) and control group(44 cases). The control group used conventional antispasmodic,antiasthmatic, sedation, such as oxygen inhalation therapy, the treatment group in the control group based on the use of salbutamol aerosol inhalation. Comparison of two groups of patients before treatment andafter treatment of 10d of arterial oxygen partial pressure (PaO2), partial pressure of carbon dioxide (PaCO2), oxygen saturation (SaO2), eachrespiratory rate (RR), heart rate (HR), a second forced expiratory volume(FEV1), a second forced expiratory volume (FEV1) / FVC (FVC), the difference of clinical symptoms and the efficacy of various.Results To compare the two groups before and after treatment PaO2, PaCO2,SaO2, RR, HR, FEV1, FEV1/FVC index, the treatment group and thecontrol group after treatment were significantly better than before treatment and the differences were statistically significant (p0.05); the two groups after treatment were compared, each index improved treatment are significantly better than the control group (p0.05);treatment