首页|特布他林联合布地奈德雾化吸入治疗老年慢性支气管炎的疗效探讨

特布他林联合布地奈德雾化吸入治疗老年慢性支气管炎的疗效探讨

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目的 分析慢性支气管炎老年患者采用药物特布他林、布地奈德雾化吸入联合治疗的效果.方法 方便选取2020年1月—2022年12月如皋市第三人民医院呼吸科诊治的86例慢性支气管炎老年患者为研究对象,用随机抽签法分为对照组和观察组,对照组(43例)以常规方案治疗;观察组(43例)在对照组治疗基础上联用特布他林、布地奈德雾化吸入治疗.记录两组患者典型症状好转所用时间情况,检测两组患者治疗前后肺功能指标及白细胞计数指标,同时比较两组患者治疗效果及用药后出现的不良反应总发生率.结果 观察组治疗后典型症状好转所用时间短于对照组,差异有统计学意义(P<0.05).同时观察组肺功能指标检测结果均高于对照组,白细胞计数低于对照组,差异有统计学意义(P均<0.05).观察组患者临床治疗总有效率为97.67%,高于对照组,不良反应总发生率为4.65%,低于对照组,差异有统计学意义(χ2=7.242、4.074,P均<0.05).结论 临床治疗慢性支气管炎老年患者可以常规治疗为基础,联用特布他林、布地奈德雾化吸入,效果更确切,有效促进患者症状好转,改善肺功能,减少不良反应.
Therapeutic Effect of Terbutaline Combined with Budesonide Atomized In-halation in the Treatment of Senile Chronic Bronchitis
Objective To analyze the effect of terbutaline and budesonide atomized inhalation in elderly patients with chronic bronchitis.Methods 86 elderly patients with chronic bronchitis treated in the respiratory department of the Rugao Third People's Hospital from January 2020 to December 2022 were conveniently selected as the study subjects.They were randomly divided into control group and observation group using a random drawing method,while the con-trol group(43 cases)received conventional treatment,the observation group(43 cases)was treated with atomized inha-lation of terbutaline and budesonide in combination with the control group.Recorded the time taken for the improve-ment of typical symptoms in two groups of patients,detected pulmonary function indexes and white blood cell count in-dicators before and after treatment,and compared the treatment effect and total incidence of adverse reactions after medication between the two groups of patients.Results The improvement time of typical symptoms to improve in the observation group after treatment was shorter than that in the control group,and the difference was statistically signifi-cant(P<0.05).At the same time,the pulmonary function indicators of the observation group were higher than those of the control group,and the white blood cell count was lower than that of the control group,the differences were statisti-cally significant(both P<0.05).The total effective rate of clinical treatment in the observation group was 97.67%higher than that in the control group,and the total incidence of adverse reactions was 4.65%lower than that in the control group,the differences were statistically significant(χ2=7.242,4.074,both P<0.05).Conclusion Clinical treat-ment of elderly patients with chronic bronchitis can be based on conventional treatment,combined with terbutaline and budesonide atomized inhalation,the effect is more accurate,effectively promote the improvement of patients'symptoms,improve lung function,reduce adverse reactions.

TerbutalineBudesonideAtomized inhalationSenile chronic bronchitis

贲跃宏、宗兴乐、龚利群、蔡振华

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如皋市第三人民医院呼吸科,江苏如皋 226531

特布他林 布地奈德 雾化吸入 老年慢性支气管炎

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(2)
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