布地奈德联合孟鲁司特钠治疗老年性支气管哮喘的临床效果  

Clinical Effect of Budesonide Combined with Montelukast Sodium in the Treatment of Senile Bronchial Asthma

作　　者：韩殿龙[1] 范晓明 HAN Dianlong;FAN Xiaoming(Dalian Hospital,Affiliated Shengjing Hospital of China Medical University,Dalian 116600,China;Dalian Center Hospital,Dalian 116003,China)

机构地区：[1]中国医科大学附属盛京医院大连医院,辽宁大连116600 [2]大连市中心医院,辽宁大连116003

出　　处：《中国医药指南》2020年第27期82-83,共2页Guide of China Medicine

摘　　要：目的探究分析老年支气管哮喘临床诊疗中不同治疗方案的效果。方法随机选取2016年2月至2018年10月研究时间段内我院检出的老年支气管哮喘患者共114例开展临床对比研究,根据患者及家属治疗方案的选取将其分为对照组与研究组,各组均为57例。所有患者均在常规治疗基础上配合不同用药方案,对照组配合氨茶碱治疗,研究组配合布地奈德雾化吸入及孟鲁司特纳联合治疗。对比两组治疗前后肺通气量、炎性指标数据变化及临床疗效。结果入院时,两组肺通气量、炎性指标数据对比结果无差异性,P>0.05;经治疗后,两组肺通气量、炎性指标数据均出现明显改善,且研究组上述指标改善效果优于对照组(P<0.05);研究组总治疗有效率显著高于对照组(P<0.05)。结论老年支气管哮喘治疗中应用布地奈德雾化吸入及孟鲁司特纳联合治疗方案,可有效改善患者症状,缓解气道炎性反应,促进康复,诊疗效果显著。Objective To explore the effects and effects of different treatment options in the clinical diagnosis and treatment of bronchial asthma in the elderly.Methods A total of 114 elderly patients with bronchial asthma detected in our hospital during the study period from February 2016 to October 2018 were randomly selected for clinical comparison.According to the selection of treatment plans for patients and their families,they were divided into control group and study group,each group was 57 cases.All patients were treated with different medications on the basis of conventional treatment.The control group was treated with aminophylline,and the study group was treated with budesonide nebulized inhalation and montelukast sodium combined treatment.The lung ventilation,inflammatory index data changes and clinical efficacy were compared before and after treatment.Results At the time of admission,there was no difference in the results of lung ventilation and inflammatory index between the two groups(P>0.05).After treatment,the lung ventilation and inflammatory index data of the two groups showed significant improvement,and the improvement effect of the above indicators in the study group was better than that of the control group(P<0.05);the total treatment effective rate in the study group was significantly higher than that in the control group(P<0.05).Conclusion In the treatment of bronchial asthma in the elderly,the combination of budesonide aerosol inhalation and montelukast sodium multi-drug therapy can effectively improve the symptoms of patients,relieve airway inflammation,promote rehabilitation,and significantly improve the diagnosis and treatment.

关 键 词：老年性支气管哮喘 布地奈德 孟鲁司特纳 应用效果 

分 类 号：R562.25[医药卫生—呼吸系统]