老年支气管哮喘患者吸入皮质激素的疗效及对血压、血糖的影响

The therapeutic efficacu and side effects of inhaling cortical hormone on blood pressure and serum glucose level of the elderly bronchial asthma patient

目的探讨皮质激素吸入对老年支气管哮喘的疗效及副作用。方法对３２例老年支气管哮喘患者在吸入皮质激素前和吸入后的每个月末，进行症状记分，测峰流速（ＰＥＦ）、ＰＥＦ变异率、血压及血糖。结果吸入后患者的症状明显缓解，ＰＥＦ占个人预计值的百分比增加，ＰＥＦ变异率下降，且血糖不增高，大多数患者的血压也无改变，１例患者的血压升高，但无统计学意义。结论吸入皮质激素对老年支气管哮喘的疗效可靠，对血糖无影响，对绝大多数患者的血压也无影响，但极个别患者可能引起血压升高。

To disuss the curative effects and side effects of inhaling cortical hormone for the aged bronchial asthma patients. Methods\ We selected 32 old patients with bronchial asthma.Before they inhaled the cortical hormone,we recorded the symptoms and measured PEF、PEF variation rate,blood pressure and the concertration of blood sugar(glucose) respectively,and then to measure these values repeatedly by the end of every month after the inhale of the cortical hormone. Results\ The symptoms were obviously relieved after inhaling cortical hormone,the percertages of PEF values increased,the PEF variation rates decreased and the concertration of blood sugar didn't increase.for most of the patients,the blood pressures changed lightly. Conclusion\ It is very effective for the aged bronchial asthma patients after inhaing the cortical hormone with no effect on blood sugar and for most of the patients,the blood pressure could be kept steadily\;