老年支气管哮喘慢性持续期治疗分析.docVIP

老年支气管哮喘慢性持续期治疗分析 　　[摘　要]　目的：探讨并分析西药及中西医结合对老年哮喘慢性持续期的治疗效果。方法：将65例患者分成对照组和结合组，对照组32例，采用西药治疗；结合组33例，在与对照组相同的西药治疗基础上辅以中药治疗。5天后观察两组患者哮喘症状减轻情况与肺功能PEF、FEV1.0改善情况。结果：结合组的肺功能改善情况优于对照组，表现在治疗3天和5天时改善的数值较为明显，FEV1.0和PEF的增加值都大于对照组，两组比较出现显著差异（P＜0.05），且平均住院天数，结合组小于对照组，也出现了显著差异（P＜0.05），均符合统计学意义。结论：老年支气管哮喘患者一般病程较长，采用中西药结合进行治疗，控制病情的效果较好。 　　[关键词]　老年支气管哮喘；慢性持续期；中西医结合 　　[Abstract] Objective:to study and analysis the western medicine and combine traditional Chinese and western medicine in older asthma chronic duration of treatment effect.Methods:65 patients were divided into control group and the union groups:the control group 32 patients,the western medicine therapy;Combined with group of 33 cases，and the control group in the same treatment on the basis of traditional Chinese medicine with western medicine treatment.5 d days after two groups of patients,observe asthma symptoms and reduce the lung function PEF,FEV1.0 improved.Results:with the group of lung function better than those in the control group,the performance in the treatment of 3 d and 5 d improve numerical are relatively obvious,the added value FEV1.0 and PEF are greater than the control group,the two groups of comparisons significant difference(P＜0.05),and the average days in hospital,combined with smaller than the control group,also appeared significant difference(P＜0.05),which conform to the statistical significance.Conclusion:the bronchus asthma patients generally had a long,combined with the traditional treatment,control the condition of the effect is good. 　　[Key Words] Older asthma chronic duration;Chinese and western medicine 　　临床治疗老年支气管哮喘发作时常采用西药方案进行治疗，但由于老年患者的病程一般较长，治疗的效果不是十分理想［1］。本文探讨结合中药治疗该疾病慢性持续期的疗效，报告如下。 　　1　资料与方法 　　本组患者65例，符合支气管哮喘???诊断及分期标准［2］。结合组33例，男18例，女15例，年龄62～81岁，平均63.12±2.54岁。对照组32例，男15例，女17例，年龄60～79岁，平均64.48±1.19岁。两组老年患者在性别、年龄、治疗前症状，肺部功能等相比，无显著差异（P＞0.05），无统计学意义，具有可比性。两组均采用的西医治疗方案如下：①常规检测：检测心电图，X线胸片，呼吸频率和血氧饱和情况；②给予吸氧1.5～2L/分流速，95%氧气；③平喘止咳，开放静脉通道输注氨茶碱，Ics+LABA吸入；④根据患者不同情况，酌情加用抗生素；⑤祛痰：氨溴索静滴；⑥根据患者情况补充水电解质，