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抗生素联合糖皮质激素治疗老年慢性阻塞性肺气肿患者的临床疗效观察 预览

Observation on the Clinical Curative Effect of Antibiotics Combined with Glucocorticoid in the Treatment of Elderly Patients with Chronic Pbstructive Pulmonary Emphysema
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摘要 目的探讨抗生素联合糖皮质激素治疗老年慢性阻塞性肺气肿患者的临床疗效。方法选取2015年10月至2017年10月我院收治的110例老年慢性阻塞性肺气肿患者,随机分为对照组和观察组,每组55例。对照组实施常规治疗,观察组实施抗生素联合糖皮质激素治疗。对比两组患者的临床治疗效果。结果治疗前,两组患者的PaO2、PaCO2水平比较均无统计学差异(P〉0.05);治疗后,观察组的PaO2水平显著高于对照组,PaCO2水平显著低于对照组(P〈0.05)。观察组的治疗总有效率为92.7%,显著高于对照组的70.9%(P〈0.05)。结论抗生素联合糖皮质激素治疗老年慢性阻塞性肺气肿患者,可显著提高疗效。 Objective To explore the clinical curative effect of antibiotics combined with glucocorticoid in the treatment of elderly patients with chronic obstructive pulmonary emphysema. Methods 110 cases of elderly patients with chronic obstructive pulmonary emphysema admitted to our hospital from October 2015 to October 2017 were selected and randomly divided into observation group and control group, with 55 cases in each group. The control group received conventional treatment, while the observation group was treated with antibiotics combined with glucocorticoid. The clinical treatment effect were compared between the two groups. Results Before treatment, no statistical difference was found in the PaO2 and PaCO2 levels between the two groups(P〈0.05). After treatment, the PaO2 level of the observation group was significantly higher than that of the control group, and the PaCO2 level was significantly lower than that of the control group(all P〈0.05). The treatment total effective rate of the observation group was 92.7%, significantly higher than 70.9% of the control group(P〈0.05). Conclusions Antibiotics combined with glucocorticoid in the treatment of elderly patients with chronic obstructive pulmonary emphysema can significantly improve the curative effect.
作者 刘玉萍 LIU Yuping (Department of Respiratory Medicine, the People's Hospital of Dancheng County, Zhoukou 477150, China)
出处 《临床医学工程》 2018年第7期909-910,共2页 Medicine Healthcare Apparatus
关键词 老年慢性阻塞性肺气肿患者 抗生素 糖皮质激素 临床疗效 Elderly patients with chronic obstructive pulmonary emphysema Antibiotics Glucocorticoid Clinical curative effect
作者简介 刘玉萍(1980-),女,河南周口人,本科学历,主治医师,从事呼吸内科临床工作.
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