支气管扩张合并哮喘36例临床治疗分析

Clinical treatment analysis on 36 patients with bronchiectasis complicated with asthma

目的：观察我院收治的36例支气管扩张合并哮喘患者的临床治疗效果，并分析其治疗方案。方法选取我院2010年3月～2013年2月收治的支气管扩张并哮喘患者36例，对其使用抗菌、化痰等药物进行常规治疗，同时使用糖皮质激素静脉注射与雾化吸入联合应用，辅助以无创正压通气及纤维支气管镜下吸痰等物理治疗，观察其临床治疗效果。结果所有入组患者在治疗后临床症状及体征均有明显的缓解，痰涂片实验室检查及肺功能检测各项指标水平均有明显改善，差异有统计学意义（P＜0.05）。结论支气管扩张合并哮喘患者临床治疗难度较高，我院通过对其进行多途径、多机制联合用药治疗并辅以物理治疗，能够有效的缓解其临床症状，改善患者肺功能情况与病情，具有理想的临床应用效果与价值。

Objective To observe the clinical therapeutic effect of 36 patients with bronchiectasis complicated with asthma in our hospital, and analyze its treatment plan. Methods Thirty-six patients with bronchiectasis complicated with asthma admitted into our hospital from March 2010 to February 2013 were selected. All patients were treated with antimicrobial and reducing phlegm drugs routine treatment, as well as glucocorticoid intravenous injection combined with aerosol inhalation therapy, and aided by noninvasive positive pressure ventilation and bronchoscopic suctioning phlegm physical therapy. The clinical therapeutic effect of patients was observed. Results The clinical symptoms and signs of all patients relieved obviously after the treatment, and the sputum smear laboratory examination and level of pulmonary function testing indexes improved obviously, the differences had statistical significance between before and after the treatment（P〈0.05）. Conclusion The clinical treatment of bronchiectasis complicated with asthma is difficult, which treated by multi ways, multi mechanism combination therapy and physical adjunctive therapy in our hospital can effectively alleviate the clinical symptoms, improve the pulmonary function and disease of patients and has ideal clinical application effect and value.