慢性阻塞性肺疾病合并支气管扩张的临床研究  

Clinical Study of Chronic Obstructive Pulmonary Disease with Bronchiectasis

作　　者：侯守强[1] 

机构地区：[1]江苏省洪泽县人民医院呼吸科,江苏洪泽223100

出　　处：《中国医药指南》2014年第32期30-31,共2页Guide of China Medicine

摘　　要：目的探讨研究慢性阻塞性肺疾病合并支气管扩张的临床特点、诊治措施及其效果。方法选取我院收治的50例慢性阻塞性肺疾病合并支气管扩张患者为研究对象,以首先表现为支气管扩张者为A组,以首先表现为慢性阻塞性肺疾病者为B组,对比分析患者的临床表现、肺功能特点以及影像学特点;将所有患者按照随机数字表法分为观察组(在常规药物治疗基础上配合噻托溴铵药物治疗)和对照组(仅采用常规药物治疗),对比观察两组患者的临床疗效。结果 A组与B组患者的临床表现均存在一定差异;经治疗后,两组患者的病情均得到好转,但观察组患者呼吸室中空气下动脉血氧饱和度、峰值时呼气流速、最大通气量等情况较对照组改善程度更为显著(P<0.05)。结论慢性阻塞性肺疾病合并支气管扩张的病情较为复杂,利用CT检查以及肺功能检查有利于提高临床诊断正确率,为临床治疗提供重要参考依据。噻托溴铵药物治疗慢性阻塞性肺疾病合并支气管扩张的临床疗效显著,可有效改善患者病情,值得在临床上进一步推广。Objective To explore the clinical characteristics of copd combined with expansion, make a diagnosis and give treatment measures and their effects. Methods Our hospital of 50 cases of patients with copd combined with expansion as the research object, with performance for bronchiectasis, first of all, for group A,for the first performance for copd is for group B, comparison and analysis of clinical manifestation, pulmonary function in patients with features and imaging characteristics; all patients according to random number table method can be divided into observation group（based on the conventional drug treatment with thiamethoxam bromide drug treatment）and control group（only the conventional drug treatment）,compared to observe the clinical efficacy of two groups of patients. Results The patients of group A and group B there exist certain differences; after treatment, two groups of patient＇s condition is improving, but the observation group of patients breathing room air arterial blood oxygen saturation, and peak expiratory flow, maximum volume diameter, and so on and so forth is obvious improved than the control group（P〈0.05）. Conclusion Copd combined with expansion condition is relatively complex,using CT examination and lung function to improve clinical diagnosis accuracy, provide the important reference basis for clinical treatment. Thiamethoxam Joe bromide of drugs in the treatment of copd combined with expansion curative effect significantly, can effectively improve the patient condition, worthy of further promotion in clinic.

关 键 词：慢性阻塞性肺疾病 支气管扩张 临床特点 临床疗效 

分 类 号：R563.8[医药卫生—呼吸系统]