老年性支气管哮喘的临床分析  

Clinical analysis of senile bronchial asthma

作　　者：张晓洁[1] 

机构地区：[1]内蒙古赤峰学院附属医院呼吸内科,内蒙古赤峰024005

出　　处：《中国现代医生》2015年第31期23-25,29,共4页China Modern Doctor

摘　　要：目的探讨老年性支气管哮喘的临床特点与治疗结果。方法选取2012年1月-2014年12月于我院呼吸内科住院治疗的81例急性发作期支气管哮喘患者为研究对象，根据年龄分为老年组和成年组，进行回顾性分析。结果老年组哮喘患者中有家族史者少（29．3％），有吸烟史者多（75．6％），诱因以呼吸道感染为常见（78．0％），临床表现多为咳嗽、喘息、脓痰，且基础病、并发症多，疾病严重程度分级以中、重度为主，临床治疗难度大，预后不良，与成年组相比，差异具有统计学意义（P〈0．05）。结论老年人哮喘发病常不典型，有其独特的临床表现；重视哮喘教育与管理，可提高老年性支气管哮喘的防治水平，改善老年患者生存质量。Objective To investigate the clinical characteristics and treatment results of senile bronchial asthma. Methods Eighty-one patients with acute exacerbation of bronchial asthma were retrospectively analyzed from January 2012 to December 2014. According to the age, the patients were divided into elderly group and the adult group. Resuits The older group of patients had less family history of asthma （29.3%）, and had more history of smoking （75.6%）. It was a common cause of respiratory tract infections（accounting for 78.0%）. Clinical manifestations were cough, wheezing, purulent sputum, and underlying disease, complications, severity of disease classification with moderate to severe based, clinical treatment was difficult, prognosis was poor. Compared with the adult group, the difference was statisti- cally significant （P〈0.05）. Conclusion Senile asthma has its unique clinical manifestations, often not typical; Emphasis on asthma education and management can improve the prevention and treatment of older with bronchial asthma, improve the quality of elderly patients.

关 键 词：支气管哮喘 老年人 临床分析 哮喘教育 哮喘管理 

分 类 号：R562.25[医药卫生—呼吸系统]