爱喘乐与茶碱、激素对COPD合并肺心病患者血气水平的影响

Effect of the atrorent aerosol to the level of blood gas in COPD patients with cor pulmonale as compared with glucocorticoids and aminophillin

目的 探讨溴化异丙托品 (爱喘乐 )对COPD(慢性阻塞性肺疾病 )合并肺心病患者在呼吸衰竭时的动脉血氧及二氧化碳分压的影响。方法 实验组病人采用爱喘乐治疗 ,对照组采用糖皮质激素及茶碱而其他综合治疗相同 ,并测定血气变化情况。结果 爱喘乐与糖皮质激素加茶碱具有相同疗效 ,但副作用小。结论 爱喘乐可以在COPD合并呼吸衰竭时常规使用 。

Objective To evaluate the effects of the ipratropinum bromide(atrorent) on the PaO 2 and PaCO 2 in COPD patients with cor pulmonale.Methods One group patients were treated with glucocorticoids and aminophillin,another group patients with ipratropinum bromide.All the patients were detected the blood gas in 1,2,6 and 24hs.Results Ipratropinum bromide had the same efficacy and lower side affection compared with glucocorticoids plus aminophillin. Conclusion Atrorent can be used in COPD patients with respiratory failure.