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目的分析慢性阻塞性肺疾病合并支气管扩张的临床诊治效果。方法 60例慢性阻塞性肺疾病合并支气管扩张患者,随机分为对照组和观察组,各30例。对照组给予常规治疗,观察组在常规治疗的基础上加用噻托溴铵药剂治疗。对比两组诊治效果。结果观察组患者咯血3例(10.00%),吸烟12例(40.00%),肺部湿啰音出现5例(16.67%);对照组患者咯血16例(53.33%),吸烟19例(63.33%),肺部湿啰音出现11例(36.67%)。观察组临床特征状况优于对照组(P<0.05)。观察组患者在血氧饱和度和FEV1比较中优于对照组(P<0.05)。结论慢性阻塞性肺疾病合并支气管扩张病情较为复杂,在临床治疗中,根据患者的临床症状,并配合CT确诊及药物治疗,可有效的提高疾病的诊断率及治愈率,在临床应用中值得推广。
Objective To analyze the clinical diagnosis and treatment of chronic obstructive pulmonary disease complicated with bronchiectasis. Methods Sixty patients with chronic obstructive pulmonary disease complicated with bronchiectasis were randomly divided into control group and observation group, with 30 cases in each group. The control group was given routine treatment. The observation group was treated with tiotropium on the basis of routine treatment. Compare two groups of diagnosis and treatment effect. Results In the observation group, hemoptysis was observed in 3 cases (10.00%), smoking in 12 cases (40.00%) and lung wet rales in 5 cases (16.67%). Control group patients had hemoptysis in 16 cases (53.33% ), Lung wet rales in 11 cases (36.67%). The observation group had better clinical features than the control group (P <0.05). The observation group was better than the control group in the oxygen saturation and FEV1 comparison (P <0.05). Conclusions Chronic obstructive pulmonary disease complicated with bronchiectasis is complicated. In clinical treatment, according to the clinical symptoms, combined with CT diagnosis and drug treatment, the diagnosis and cure rate of the disease can be effectively improved, which is worthy of promotion in clinical application .