慢性支气管炎急性发作患者采用舒利迭治疗的临床效果评价.docVIP

精品论文 参考文献 慢性支气管炎急性发作患者采用舒利迭治疗的临床效果评价 史雪莲 　　无锡开放大学医务室 邮编241000 　　摘要：目的：探讨慢性支气管炎急性发作患者采用舒利迭治疗的临床效果。方法：收集在我校就诊的70例慢性支气管炎急性发作患者，随机分为两组各35例，对照组患者采取常规治疗，治疗组患者在此基础上加用舒利迭治疗，治疗前后从检查患者血常规、肺部X线片、肝肾功能电解质、心电图以及观察患者的咳嗽、咳痰临床表现等方面比较两组患者的临床疗效及不良反应情况。结果：治疗组患者的总有效率为97.1%,明显优于对照组患者的77.1%，差异具有统计学意义（P＜0.05）。结论：慢性支气管炎急性发作患者采用舒利迭治疗，具有扩张支气管，作用时间长，抗炎作用强，不良反应小等优点，具有显著的治疗效果，值得临床进一步推广。 　　关键词：慢性支气管炎；急性发作；舒利迭；疗效 　　Clinical effect assessment treatment of patients with chronic bronchitis acute use nimesulide overlapping 　　Abstract: objective: to study the patients with chronic bronchitis acute use nimesulide overlapping clinical effect of treatment. Method: collecting 70 cases of our hospital patients with chronic bronchitis acute episodes, randomly divided into two groups, 35 cases in the control group patients to take regular treatment, the treatment group patients on the basis of the treatment with nimesulide again, before and after treatment in patients from routine blood and lung X-ray films, liver and kidney function, electrolyte, electrocardiogram (ecg) and observe the patients cough, sputum clinical performance comparison the clinical curative effect and adverse reaction of two groups of patients. Results: the total effective rate of treatment group patients was 97.1%, significantly better than that of control group 77.1% of the patients, statistically significant difference (P lt; 0.05). Conclusion: patients with chronic bronchitis acute use nimesulide treatment and has dilated bronchi, effect time is long, strong anti-inflammatory effects, less adverse reaction, has significant therapeutic effect, worth clinical further promotion. 　　Key words: chronic bronchitis; Acute; Nimesulide idea; curative effect 　　慢性支气管炎是指气管、支气管、气管黏膜及周围组织的慢性非特异性炎症。患者常表现为反复发作的咳嗽、咳痰或伴有喘息，早期症状轻微，好发作于冬季，春夏好转；病情呈缓慢进行性进展，常并发阻塞性肺气肿，甚至肺动脉高压、肺源性心脏病[1]，严重影响患者的生命质量，临床上主要采用抗炎、化痰等对症治疗慢性支气管炎[2-3]，舒利迭（沙美特罗替卡松粉吸入剂）是一种吸入性制剂，同时具有支气管扩张和糖皮质激素的作用，对治疗慢性支气管炎急性发作具有较好的疗效[4]。本研究选取我校收治的70例慢性支气管炎急性发作患者，随机分为两组分别行常规化痰治疗和加用舒利迭（沙美特罗替卡松粉吸入剂