中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
30期
56-57
,共2页
抗生素%糖皮质激素%慢性阻塞性肺气肿
抗生素%糖皮質激素%慢性阻塞性肺氣腫
항생소%당피질격소%만성조새성폐기종
Antibiotic%Glucocorticoid%Chronic obstructive emphysema
目的：探讨抗生素联合糖皮质激素治疗老年慢性阻塞性肺气肿的疗效。方法：2010年1月-2014年1月收治老年慢性阻塞性肺气肿患者62例，随机分为两组，每组31例，两组患者均进行常规对症治疗，对照组采用常规治疗+抗生素治疗，观察组在对照组的基础上+糖皮质激素治疗。对两组患者疗效进行比较。结果：观察组总有效率达到90.32%，对照组总有效率64.52%。观察组疗效明显优于对照组，差异具有统计学意义(P＜0.05)。对照组不良反应发生率9.68%，观察组不良反应发生率6.45%。结论：采用抗生素联合糖皮质激素治疗老年慢性阻塞性肺气肿，能有效改善患者临床症状，减轻患者痛苦，提高临床治疗效果，且安全、有效，值得临床推广应用。
目的：探討抗生素聯閤糖皮質激素治療老年慢性阻塞性肺氣腫的療效。方法：2010年1月-2014年1月收治老年慢性阻塞性肺氣腫患者62例，隨機分為兩組，每組31例，兩組患者均進行常規對癥治療，對照組採用常規治療+抗生素治療，觀察組在對照組的基礎上+糖皮質激素治療。對兩組患者療效進行比較。結果：觀察組總有效率達到90.32%，對照組總有效率64.52%。觀察組療效明顯優于對照組，差異具有統計學意義(P＜0.05)。對照組不良反應髮生率9.68%，觀察組不良反應髮生率6.45%。結論：採用抗生素聯閤糖皮質激素治療老年慢性阻塞性肺氣腫，能有效改善患者臨床癥狀，減輕患者痛苦，提高臨床治療效果，且安全、有效，值得臨床推廣應用。
목적：탐토항생소연합당피질격소치료노년만성조새성폐기종적료효。방법：2010년1월-2014년1월수치노년만성조새성폐기종환자62례，수궤분위량조，매조31례，량조환자균진행상규대증치료，대조조채용상규치료+항생소치료，관찰조재대조조적기출상+당피질격소치료。대량조환자료효진행비교。결과：관찰조총유효솔체도90.32%，대조조총유효솔64.52%。관찰조료효명현우우대조조，차이구유통계학의의(P＜0.05)。대조조불량반응발생솔9.68%，관찰조불량반응발생솔6.45%。결론：채용항생소연합당피질격소치료노년만성조새성폐기종，능유효개선환자림상증상，감경환자통고，제고림상치료효과，차안전、유효，치득림상추엄응용。
Objective:To explore the curative effect of antibiotic combined with glucocorticoid in the treatment of elderly chronic obstructive emphysema.Methods:62 patients with elderly chronic obstructive emphysema were selected from January 2010 to January 2014.They were randomly divided into two groups with 31 cases in each.The patients of two groups were given conventional symptomatic treatment.The control group were given conventional treatment+antibiotic treatment.On the basis of the control group,the observation group were given glucocorticoid treatment.The curative effects of patients in two groups were compared.Results:The total effective rate of the observation group was 90.32%,and that of the control group was 64.52%.The curative effect of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).The adverse reaction incidence rate of the control group was 9.68%,and that of the observation group was 6.45%.Conclusion:Antibiotic combined with glucocorticoid in the treatment of elderly chronic obstructive emphysema can improve the clinical symptoms of patients,reduce the suffering of patients,improve the clinical treatment effect.It is safe and effective.It is worthy of clinical application.
