糖皮质激素联合特布他林在急性加重期慢阻肺中的疗效分析

Analysis of the Therapeutic Effect of Glucocorticoid Combined with Terbutaline in Acute Exacerbation of Chronic Obstructive Pulmonary Disease

目的研究糖皮质激素联合特布他林治疗急性加重期慢性阻塞性肺疾病(慢阻肺)的临床效果。方法选取2017年3月至2019年4月广东省信宜市人民医院治疗的64例急性加重期慢阻肺患者作为研究对象,随机数字表法分为观察组和对照组,每组32例。对照组采取特布他林治疗,观察组采用糖皮质激素联合特布他林治疗。比较两组患者治疗有效率,相关血气指标、肺功能指标。结果观察组治疗有效率为96.88%,高于对照组的78.13%;且观察组血气指标和肺功能指标均优于对照组(P<0.05)。结论在对急性加重期慢阻肺患者的治疗中,采用糖皮质激素联合特布他林治疗,可有效改善患者的肺部功能和促进血气恢复,疗效显著。

Objective To study the clinical effect of glucocorticoid combined with terbutaline in the treatment of acute exacerbated chronic obstructive pulmonary disease.Methods A total of 64 patients with acute exacerbated COPD treated in Xinyi people's hospital from March 2017 to April 2019 were randomLy divided intothe observation and the control groups,32 cases in each group.The control group was treated with terbutaline,while the observation group was treated with glucocorticoid combined with terbutaline.Relevant blood gas index,lung function index and treatment efficiency were compared between the two groups.Results The effective rate of treatment in the observation group was 96.88% higher than 78.13% in the control group,and the blood gas index and lung function index in the observation group were better than those in the control group(P<0.05).Conclusion Glucocorticoid combined with terbutaline can effectively improve pulmonary function and promote blood gas recovery in patients with acute exacerbation of COPD.