CAJ | 학술논문

目的：探讨舒利迭对于改善老年COPD患者肺功能的作用。方法将我院呼吸内科自2013年9月~2014年3月间收治的106例中重度COPD老年患者随机分为观察组及对照组，其中对照组实施常规治疗，如持续吸氧、抗感染、止咳祛痰及解痉平喘等治疗，观察组在对照组治疗的基础上联合舒利迭实施治疗，并在出院后实施随访观察，3个月后分析两组患者的肺功能改善情况及血气分析相关指标。结果治疗前两组患者的FEV1、FVC、FEV1/FVC、FEV1%、PaO2及PaCO2无明显差异，而治疗结束后观察组较对照组明显改善(P<0.05)。结论舒利迭可有效改善COPD患者的肺功能及血气指标，有利于改善患者预后，提高其生活质量。
목적：탐토서리질대우개선노년COPD환자폐공능적작용。방법장아원호흡내과자2013년9월~2014년3월간수치적106례중중도COPD노년환자수궤분위관찰조급대조조，기중대조조실시상규치료，여지속흡양、항감염、지해거담급해경평천등치료，관찰조재대조조치료적기출상연합서리질실시치료，병재출원후실시수방관찰，3개월후분석량조환자적폐공능개선정황급혈기분석상관지표。결과치료전량조환자적FEV1、FVC、FEV1/FVC、FEV1%、PaO2급PaCO2무명현차이，이치료결속후관찰조교대조조명현개선(P<0.05)。결론서리질가유효개선COPD환자적폐공능급혈기지표，유리우개선환자예후，제고기생활질량。
Objective To observe the effects of seretide on pulmonary function of patients with chronic obstructive pul-monary disease (COPD). Methods A total of 106 patients were randomly divided into the observation group and control group who were treated by the respiratory medicine in our hospital from September 2013 to March 2014. The control group was given conventional treatment as continuous oxygen, fight infection, relieving cough and reducing sputum etc. The observation group was given seretide on the basis of the control group. After 3 months, the pulmonary function and blood gas analysis were compared. Results There were no differences of FEV1, FVC, FEV1/FVC, FEV1%, PaO2 and PaCO2 between two groups before treatment, after treatment the indicators of observation group were obviously improved than the control group (P<0.05). Conclusion The seretide can effectively improve the pulmonary function and blood gas index of COPD patients, and it is conducive to improve the prognosis and the quality of life of patients.