慢性阻塞性肺疾病急性加重期48例治疗体会

Chronic Obstructive Pulmonary Disease Exacerbations Period 48 Cases Treatment Experience

目的:总结慢性阻塞性肺疾病(COPD)急性加重期诊治经验。材料与方法:对我院收治的重症COPD急性加重期患者48例,随机分为两组。两组均常规给予吸氧、抗感染、静脉注射氨茶碱及止咳、化痰、支持疗法。治疗组加以博利康尼和异丙托溴铵综合治疗。结果:两组治愈率和总有效率比较差异显著(P<0.01),有统计学意义。结论:博利康尼和异丙托溴铵联合雾化吸入治疗COPD急性加重期患者,疗效显著,可以缩短病程。

Purpose： Summary of chronic obstructive pulmonary disease （COPD） exacerbations period diagnosis and treatment experience. Materials and Methods： In our patients of severe COPD exacerbations period patients 48 cases were randomly divided into two groups. Two groups were given the conventional oxygen, resisting infection, intravenous aminophyl- line and cough, phlegm, support therapy. The treatment group to bricanyl and ipratropium bromide comprehensive treatment. Results： Two groups of cure rate and the total effective rate is significant difference （P 〈 0. 01 ） , there is statistical signifi- cance. Conclusion： Bricanyl and ipratropium bromide joint of atomization inhalation in the treatment of patients with COPD exacerbations period, curative effect is distinct, can shorten the duration of symptoms.