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目的观察治疗老年支气管哮喘过程中应用孟鲁司特加上布地奈德的临床效果。方法选择2010年3月-2012年3月间到我院诊治的84例老年支气管哮喘患者,随机分为对照组和治疗组各42例。对照组采用抗生素、3ml浓度为0.9%的盐水、2mg布地奈德及多索茶碱,治疗方式为雾化吸入,2次/d。治疗组在对照组治疗的基础上每日睡前再口服10mg孟鲁司特,每组都治疗10d。结果针对症状较严重的老年哮喘病患者,采用孟鲁司特联合吸入布地奈德,可使肺功能得到显著改善。和对照组相比,治疗组患者发作次数显著降低,出现胸闷、气短的时间明显缩短。结论老年性支气管炎运用孟鲁司特联合布地奈德治疗的临床效果非常明显,值得临床推广使用。
Objective To observe the clinical effect of montelukast plus budesonide in the treatment of senile bronchial asthma. Methods Eighty-four elderly patients with bronchial asthma who were admitted to our hospital from March 2010 to March 2012 were randomly divided into control group and treatment group, 42 cases each. The control group used antibiotics, 3ml 0.9% saline, budesonide 2mg and doxofylline, inhalation therapy, 2 times / d. On the basis of the treatment of the control group, the treatment group was treated with 10 mg of montelukast daily before going to bed, each treatment for 10 days. Results In elderly patients with severe asthma, montelukast inhalation of budesonide resulted in a significant improvement in lung function. Compared with the control group, patients in the treatment group significantly reduced the number of attacks, chest tightness, shortness of breath shortened significantly. Conclusion Senile bronchitis with montelukast combined with budesonide treatment of clinical effect is very obvious, it is worth promoting the use of the clinic.