老年慢性阻塞性肺疾病100例临床治疗观察与分析  

Observation and analysis of clinical treatment of 100 elderly patients with chronic obstructive pulmonary disease

作　　者：蔡江红[1] Cai Jianghong(The Third Affiliated Hospital of Guizhou Medical University 558000)

机构地区：[1]贵州医科大学第三附属医院,558000

出　　处：《中国社区医师》2016年第21期82-83,共2页Chinese Community Doctors

摘　　要：目的:观察、分析老年慢性阻塞性肺疾病的临床治疗效果。方法:收治老年慢性阻塞性肺疾病患者100例,随机平分为两组。对照组给予抗生素治疗,观察组在此基础上给予综合性治疗,包括雾化及排痰治疗、有效给氧、心理治疗等。观察两组在PaO_2、红细胞比容、PaCO_2、SpO_2上的改善情况及治疗后的效果。结果:对照组的治疗总有效率76.0%,低于观察组的94.0%,差异有统计学意义(P<0.05)。观察组在PaO_2、红细胞比容、PaCO_2、SpO_2上的改善均优于对照组,差异有统计学意义(P<0.05)。结论:对老年慢性阻塞性肺疾病患者采取抗生素综合性治疗可使患者PaO_2、红细胞比容、PaCO_2、SpO_2的变化较治疗前改善明显,提高临床治疗效果。Objective:To observe and analyze the clinical therapeutic effect of elderly patients with chronic obstructive pulmonarydisease.Methods:100 elderly patients with chronic obstructive pulmonary disease were selected.They were randomly divided intothe two groups.The control group was given antibiotic therapy.On this basis,the observation group was given comprehensivetreatment,including atomization and sputum discharge treatment,effective oxygen therapy,psychotherapy and so on.Theimprovement situation of PaO2,hematocrit,PaCO2,SpO2 of the two groups and the therapeutic effect were compared.Results:Thetotal effective rate of the control group was 76% ,which was lower than 94% of the observation group of,and the difference wasstatistically significant(P<0.05).The improvement situation of PaO2,hematocrit,PaCO2,SpO2 of the observation group were betterthan those of the control group, and the difference was statistically significant(P<0.05).Conclusion:For elderly patients withchronic obstructive pulmonary disease who take antibiotics comprehensive treatment can improve the PaO2,hematocrit,PaCO2,SpO2,which changes significantly improved than before treatment,and it can improve the clinical treatment effect.

关 键 词：老年 慢性阻塞性肺疾病 治疗效果 

分 类 号：R563.9[医药卫生—呼吸系统]