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慢性支气管炎是指气管、支气管黏膜及其周围组织的慢性非特异性炎性反应[1],是老年人常见的肺部疾病,易迁延不愈。多由于气候变化(春、冬季节)或上呼吸道感染时,引起急性发作和病情加重,导致慢性阻塞性肺疾病、肺动脉高压甚至肺源性心脏病等并发症,严重影响患者的生活质量。目的 :探究慢支急性加重期的临床治疗及疗效。方法对我院收入的60例慢支急性加重期患者进行治疗,记录并做回顾性分析。结果经过积极治疗,60例患者中效果显著42例,效果明显14例,无效4例,治疗中无严重并发症及不良反应发生。结论慢支急性加重期选用针对性强的抗生素控制感染,必要时联合用药,同时给予止咳祛痰、平喘的药物,可以取得满意的效果。
Chronic bronchitis is the chronic non-specific inflammatory reaction of the trachea, bronchial mucosa and surrounding tissues [1], is a common lung disease in the elderly, easy to delay unhealed. More due to climate change (spring, winter) or upper respiratory tract infection, causing acute attacks and exacerbations, leading to chronic obstructive pulmonary disease, pulmonary hypertension and even pulmonary heart disease and other complications, seriously affecting the quality of life of patients. Objective: To investigate the clinical treatment and curative effect of chronic exacerbation in acute exacerbation of chronic bronchitis. Methods A total of 60 patients with chronic bronchitis and acute exacerbation of our hospital were treated, recorded and analyzed retrospectively. Results After active treatment, there were 42 cases in 60 cases, 14 cases were markedly effective and 4 cases were ineffective. No serious complications and adverse reactions occurred in the treatment. Conclusions In the acute exacerbation of chronic bronchitis, targeted antibiotics are used to control the infection. If necessary, combination therapy is given. At the same time, cough-expectorant and asthma-relieving drugs are given, which can achieve satisfactory results.