CAJ | 학술논문

　　目的探讨支气管扩张合并支气管哮喘的诊断、治疗方法及治疗效果。方法选42例支气管扩张合并支气管哮喘患者给予常规止咳、化痰、排痰及抗感染、必要时静脉使用糖皮质激素治疗，同时联合普米克令舒、硫酸特步他林雾化吸入治疗。结果治疗前后症状评分别为12.65分和5.3分，较治疗前明显降低，治疗后FEV 1、FVC、FEV 1/FVC、PEF指标较治疗前均有不同程度提高，治疗后与治疗前比较差异具有显著性，有统计学意义(P<0.05)。结论胸部薄层CT、支气管舒张或激发试验是诊断支气管扩张合并支气管哮喘的有效方法，患者一经确诊，在积极给予对症治疗的基础上结合糖皮质激素和β受体激动剂可迅速缓解症状，取得较好的效果。
　　목적탐토지기관확장합병지기관효천적진단、치료방법급치료효과。방법선42례지기관확장합병지기관효천환자급여상규지해、화담、배담급항감염、필요시정맥사용당피질격소치료，동시연합보미극령서、류산특보타림무화흡입치료。결과치료전후증상평분별위12.65분화5.3분，교치료전명현강저，치료후FEV 1、FVC、FEV 1/FVC、PEF지표교치료전균유불동정도제고，치료후여치료전비교차이구유현저성，유통계학의의(P<0.05)。결론흉부박층CT、지기관서장혹격발시험시진단지기관확장합병지기관효천적유효방법，환자일경학진，재적겁급여대증치료적기출상결합당피질격소화β수체격동제가신속완해증상，취득교호적효과。
Objective To investigate the bronchiectasis with bronchial asthma diagnosis, treatment and the effects of.Methods 42 cases of bronchiectasis with bronchial asthma treated with routine cough, phlegm, phlegm and anti infection, when necessary, use of intravenous corticosteroid therapy, combined with Pulmicort, XTEP terbutaline aerosol inhalation in treatment of sulfuric acid.Results The symptoms before and after treatment score is 12.65 points and 5.3 points, was signiifcantly lower than that before treatment, after treatment, FEV 1, FVC, FEV 1/FVC, PEF index compared with those before treatment are improved to different degrees, before and after the treatment was signiifcant, with statistical signiifcance P<0.05. Conclusion Chest thin-section CT, bronchial dilation or provocation test in diagnosis of bronchiectasis with bronchial asthma patients with effective methods, once diagnosed, actively give symptomatic treatment based on the combination of corticosteroids and β - agonists can quickly relieve symptoms, to obtain good results.