CAJ | 학술논문

目的探讨老年哮喘的临床特点及诊治方法.方法2009年2月-2011年12月接诊的老年性(年龄大于60岁)哮喘患者80例为试验组;同时选取年龄小于60岁的住院哮喘患者80例,作为对照组,回顾性分析两组患者的临床资料,对比分析两组的临床特点及治疗效果.结果试验组患者病程(16±5.9)年、吸烟史43例、呼吸道感染33例、常年反复发作43、重症病症41例分别与对照组比较,差异显著均具有统计学意义(P<0.05),试验组患者的肺功能及治疗有效率(86.2%)明显低于对照组患者的肺功能及治疗有效率(98.8%),差异显著具有统计学意义(P<0.05).结论老年哮喘的主要临床特点为病程较长,吸烟史长、肺功能差、大多有上呼吸道感染、常年反复发作及重症或者合并慢性阻塞性肺病等.预后差,要早诊断、早治疗.
목적탐토노년효천적림상특점급진치방법.방법2009년2월-2011년12월접진적노년성(년령대우60세)효천환자80례위시험조;동시선취년령소우60세적주원효천환자80례,작위대조조,회고성분석량조환자적림상자료,대비분석량조적림상특점급치료효과.결과시험조환자병정(16±5.9)년、흡연사43례、호흡도감염33례、상년반복발작43、중증병증41례분별여대조조비교,차이현저균구유통계학의의(P<0.05),시험조환자적폐공능급치료유효솔(86.2%)명현저우대조조환자적폐공능급치료유효솔(98.8%),차이현저구유통계학의의(P<0.05).결론노년효천적주요림상특점위병정교장,흡연사장、폐공능차、대다유상호흡도감염、상년반복발작급중증혹자합병만성조새성폐병등.예후차,요조진단、조치료.
Objective To analyze clinical characteristics, diagnosis and treatment of senile asthma. Methods 80 cases of senile asthma (more than 60 years old) during February 2009 to December 2011 in our hospital were as the experimental group, 80 cases of asthma in the same period who was less than sixty years old were as the control group. The clinical data of two groups was analyzed, and the clinical characteristics and treatment effect were compared. Results The course of disease(16±5.9)years, patients with a history of smoking(43 cases), respiratory infections(33 cases), perennial repeated attacks(43 cases), severe disease in patients(41 cases) in experimental group is greater than the control group, with significant difference (P<0.05), the patients of pulmonary function and treatment effect (86.2%) was significantly lower than the control group (98.8%) with significant difference (P<0.05). Conclution The main clinical characteristics of senile asthma are long course of disease, long smoking history, low lung function, upper respiratory tract infection, perennial repeated attacks and severe disease or merger of chronic obstructive pulmonary disease, etc. Prognosis is poor. Early diagnosis and timely treatment are needed.