急性加重期老年慢阻肺患者采用噻托溴铵吸入剂治疗对其肺功能的影响

Effects of tiotropium bromide inhalation therapy on pulmonary function in elderly patients withchronic obstructive pulmonary disease during acute exacerbation

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DOI 10.12208/j.imrf.20220008
刊名
International Medical Research Frontier
年,卷(期) 2022, 6(1)
作者
作者单位

衡水市人民医院 河北衡水 ;

摘要
探讨噻托溴铵吸入剂治疗急性加重期老年慢阻肺患者中,对患者肺功能的影响以及疗效。方法 以78例急性加重期老年慢阻肺患者为研究对象,随机分为对照组与观察组,各为39例。实施糖皮质激素治疗为对照组;实施噻托溴铵吸入剂治疗为观察组。结果 对照组与观察组治疗前肺功能、血气指标比较无差异(P>0.05),治疗后两组相比,观察组指标明显高于对照组(P<0.05);观察组PCO2低于对照组(P<0.05),PAO2高于对照组(P<0.05);两组有效率相比,观察组优于对照组(P<0.05)。结论 急性加重期老年慢阻肺患者应用 噻托溴铵吸入剂进行治疗,可有效提高患者生活质量,稳定肺功能以及血气的指标,避免并发症发生,减少患者恐惧心理,提高配合依从性,疗效佳,值得广泛应用。
Abstract
Objective To investigate the effect and curative effect of tiotropium bromide inhalation on the pulmonary function of elderly patients with chronic obstructive pulmonary disease in acute exacerbation. Methods Seventy-eight elderly patients with chronic obstructive pulmonary disease in acute exacerbation were selected and randomly divided into control group and observation group, with 39 cases in each. The control group was treated with glucocorticoid; the observation group was treated with tiotropium bromide inhalation. Results There was no difference in lung function and blood gas indexes between the control group and the observation group before treatment (P>0.05). After treatment, the indexes in the observation group were significantly higher than those in the control group (P<0.05). The PCO2 in the observation group was lower than that in the control group (P < 0.05), PAO2 was higher than that of the control group (P < 0.05); compared with the two groups of effective rates, the observation group was better than the control group (P < 0.05). Conclusion The application of tiotropium bromide inhalation in the treatment of elderly COPD patients with acute exacerbation can effectively improve the quality of life of patients, stabilize the pulmonary function and blood gas indicators, avoid complications, reduce patients fear, improve cooperation compliance, and curative effect. good and worthy of wide application.
关键词
慢阻肺;急性加重期;肺功能;血气;糖皮质激素;噻托溴铵吸入剂;疗效
KeyWord
Chronic obstructive pulmonary disease; Acute exacerbation; Pulmonary function; Blood gas; Glucocorticoid; tiotropium bromide inhalation; Efficacy
基金项目
页码 30-33
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赵红玲*,梁金排,肖翠君. 急性加重期老年慢阻肺患者采用噻托溴铵吸入剂治疗对其肺功能的影响 [J]. 国际医药研究前沿. 2022; 6; (1). 30 - 33.

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