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1、有颜色的为修改部分支气管哮喘高龄患者雾化吸入沙丁胺醇的临床效果分析【摘要】目的探讨高龄支气管哮喘患者雾化吸入沙丁胺醇的临床效果。方法随机将我院收治的88例老年支气管哮喘患者分成治疗组(44例)和对照组(44例)。对照组采用常规的解痉、平喘、镇静、吸氧等治疗措施,治疗组在对照组的基础上加用沙丁胺醇雾化吸入。比较两组患者治疗前和治疗10d后的动脉血氧分压(PaO2)、二氧化碳分压(PaCO2)、血样饱和度(SaO2)、每份呼吸次数(RR)、心率(HR)、一秒用力呼吸容积(FEV1)、一秒用力呼吸容积(FEV1)/用力肺活量(FVC)、各种临床症状及疗效差异
2、。结果对两组患者治疗前后的PaO2、PaCO2、SaO2、RR、HR、FEV1、FEV1/FVC指标进行比较,治疗组和对照组治疗后均显著优于治疗前且差异均具有统计学意义(p<0.05);治疗后两组比较,治疗组各指标好转均显著优于对照组(p<0.05);治疗组的喘息、哮鸣音、咳嗽、胸闷气促缓解时间显著短于对照组且差异具有显著的统计学意义(p<0.05);治疗组的临床控制率为40.91%,总有效率为97.73%均显著的高于对照组的25%和84.09%,差异均具有显著的统计学意义(p<0.05)。结论高龄支气管哮喘患者雾化吸入沙丁胺醇具有显著的临床效果,值得
3、临床应用。【关键词】支气管哮喘;沙丁胺醇;雾化吸入Analysisoftheclinicaleffectofbronchialasthmainelderlypatientswithinhalationofsalbutamol【Abstract】ObjectiveToinvestigatetheclinicaleffectofatomizinginhalationofsalbutamolintheelderlypatientswithbronchialasthma.MethodsMethods88casesofelderlypatientswithbro
4、nchialasthmainourhospitalweredividedintotreatmentgroup(44cases)andcontrolgroup(44cases).Thecontrolgroupusedconventionalantispasmodic,antiasthmatic,sedation,suchasoxygeninhalationtherapy,thetreatmentgroupinthecontrolgroupbasedontheuseofsalbutamolaerosolinhalation.Comparisonoftwog
5、roupsofpatientsbeforetreatmentandaftertreatmentof10dofarterialoxygenpartialpressure(PaO2),partialpressureofcarbondioxide(PaCO2),oxygensaturation(SaO2),eachrespiratoryrate(RR),heartrate(HR),asecondforcedexpiratoryvolume(FEV1),asecondforcedexpiratoryvolume(FEV1)/FVC(FVC),thediffer
6、enceofclinicalsymptomsandtheefficacyofvarious.ResultsTocomparethetwogroupsbeforeandaftertreatmentPaO2,PaCO2,SaO2,RR,HR,FEV1,FEV1/FVCindex,thetreatmentgroupandthecontrolgroupaftertreatmentweresignificantlybetterthanbeforetreatmentandthedifferenceswerestatisticallysignificant(p<0.
7、05);thetwogroupsaftertreatmentwerecompared,eachindeximprovedtreatmentaresignificantlybetterthanthecontrolgroup(p<0.05);treatmentgroupofwheezing,wheezing,coughing,chesttightnessshortnessofbreathrelieftimewassignificantlyshorterthanthatinthecontrolgroupandthedifferencewasstatistic
8、allysignificant(p<0.05);clinicalcontrolrateoftr