中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
23期
57-59
,共3页
胸腔积液%肺炎%治疗效果%探究
胸腔積液%肺炎%治療效果%探究
흉강적액%폐염%치료효과%탐구
Pleural effusion%Pneumonia%Treatment effect%Exploration
目的：探究抗炎和强心利尿对老年肺炎以及肺癌伴胸腔积液患者的疗效。方法选取该院2010年2月—2012年2月收治的88例胸腔积液患者为研究对象，观察组均为老年肺炎合并胸腔积液患者，对照组均为肺癌胸腔积液患者，比较研究老年肺炎合并胸腔积液患者和老年肺癌胸腔积液患者BNP（B型钠尿肽）浓度指标。治疗后观察并探究疗效。结果经治疗，观察组无效患者为5例（11.36%），对照组无效患者为23例（52.27%），观察组充血性心力衰竭（CHF）发生率86.36%，对照组为25.00%，组间相比差异有统计学意义（P<0.05）。接受治疗前，观察组BNP较对照组高，治疗后该项目数据有显著下降，对照组变化不明显，两组对比差异有统计学意义（P<0.05），且观察组治疗胸腔积液的效果优于对照组（P<0.05）。结论强心利尿能够有效治疗老年肺炎胸腔积液，更有利于临床治疗和疗效评价，患者BNP（B型钠尿肽）浓度指标可辅助了解患者情况，应给予推广。
目的：探究抗炎和彊心利尿對老年肺炎以及肺癌伴胸腔積液患者的療效。方法選取該院2010年2月—2012年2月收治的88例胸腔積液患者為研究對象，觀察組均為老年肺炎閤併胸腔積液患者，對照組均為肺癌胸腔積液患者，比較研究老年肺炎閤併胸腔積液患者和老年肺癌胸腔積液患者BNP（B型鈉尿肽）濃度指標。治療後觀察併探究療效。結果經治療，觀察組無效患者為5例（11.36%），對照組無效患者為23例（52.27%），觀察組充血性心力衰竭（CHF）髮生率86.36%，對照組為25.00%，組間相比差異有統計學意義（P<0.05）。接受治療前，觀察組BNP較對照組高，治療後該項目數據有顯著下降，對照組變化不明顯，兩組對比差異有統計學意義（P<0.05），且觀察組治療胸腔積液的效果優于對照組（P<0.05）。結論彊心利尿能夠有效治療老年肺炎胸腔積液，更有利于臨床治療和療效評價，患者BNP（B型鈉尿肽）濃度指標可輔助瞭解患者情況，應給予推廣。
목적：탐구항염화강심이뇨대노년폐염이급폐암반흉강적액환자적료효。방법선취해원2010년2월—2012년2월수치적88례흉강적액환자위연구대상，관찰조균위노년폐염합병흉강적액환자，대조조균위폐암흉강적액환자，비교연구노년폐염합병흉강적액환자화노년폐암흉강적액환자BNP（B형납뇨태）농도지표。치료후관찰병탐구료효。결과경치료，관찰조무효환자위5례（11.36%），대조조무효환자위23례（52.27%），관찰조충혈성심력쇠갈（CHF）발생솔86.36%，대조조위25.00%，조간상비차이유통계학의의（P<0.05）。접수치료전，관찰조BNP교대조조고，치료후해항목수거유현저하강，대조조변화불명현，량조대비차이유통계학의의（P<0.05），차관찰조치료흉강적액적효과우우대조조（P<0.05）。결론강심이뇨능구유효치료노년폐염흉강적액，경유리우림상치료화료효평개，환자BNP（B형납뇨태）농도지표가보조료해환자정황，응급여추엄。
Objective To explore the curative effect of anti-inflammation and strong heart diuresis on pneumonia or lung cancer with pleural effusion in elderly patients. Methods 88 cases with pleural effusion admitted in Guangdong Zhongshan Sanxiang Hos-pital from February 2010 to February 2012 were selected as the subjects. Patients in the observation group were elderly patients with pneumonia and pleural effusion, and patients in the control group were elderly patients with lung cancer and pleural effusion. The concentration index of BNP (B-type natriuretic peptide) of the two groups was compared and studied. And after treatment, the efficacy was observed and investigated. Results After treatment, in the observation group, 5 cases (11.36%) failed to get the cura-tive effect, in the control group, 23 cases (52.27%) failed to get the curative effect, the incidence of congestive heart failure (CHF) of the observation group was 86.36%, and that of the control group was 25.00%, the differences between the two groups were sta-tistically significant (P<0.05). Before treatment, the concentration of BNP of the observation group was higher than that of the con-trol group, after treatment, the concentration of BNP of the observation group decreased significantly, while that of the control group had no obvious change, the difference between the two groups was statistically significant (P<0.05), and the effect of treating pleural effusion of the observation group was better than that of the control group(P<0.05). Conclusion Strong heart diuresis can ef-fectively treat elderly patients with pneumonia and pleural effusion, which is more conducive to the clinical treatment and curative effect evaluation; the concentration of BNP (B-type natriuretic peptide) index can help to understand the status of the patients, which should be promoted.
