摘要
目的分析观察老年慢性阻塞性肺疾病发病原因、临床治疗方法。方法回顾性分析我院2011年3月～2013年4月收治的58例老年慢性阻塞性肺疾病患者临床资料，观察其临床表现及身体状况。结果58例老年慢性阻塞性肺疾病患者，52例患者病情得到有效控制，占89．66％；死亡2例，占3．45％；患者治疗前二氧化碳分压为（53．09±5．30）mmHg，治疗后为（32．04±2．18）mmHg；治疗前氧气分压为（72．77±2．49）mmHg，治疗后为（85．00±2．43）mmHg。治疗前后数据比较，P〈0．01；在治疗过程中出现2例患者气胸，占3．45％；肺部感染2例，占3．45％；心力衰竭1例，占1．72％。所有患者经针对性处理并发症均获得有效控制。结论老年慢性阻塞性肺疾病早期诊疗能起到良好治疗效果，能够有效降低并发症、死亡率。
Objective To analyze and observe the pathogenesis and clinical treatment methods of elderly chronic obstructive pulmonary disease. Methods The clinical data of 58 elderly patients with chronic obstructive pulmonary disease admitted into our hospital from March 2011 to April 2013 were retrospectively analyzed, and the clinical manifestations and physical condition of patients were observed. Results In 58 elderly patients with chronic obstructive pulmonary disease, 52 patients were effectively controlled, and accounted for 89.66%; 2 cases were death, and accounted for 3.45%. The partial pressure of carbon dioxide of patients before the treatment was（53.09 ~ 5.30） mm Hg, while that after the treatment was（32.04 -＋ 2.18）mm Hg,the partial pressure of oxygen of patients before the treatment was（72.77 ~ 2.49）mm Hg, while that after the treatment was（85.00 ~ 2.43）mm Hg,the differences were statistically significant between before and after the treatment（P 〈 0.01）. There were 2 cases（3.45%） with pneumatothorax, 2 cases（3.45%） with pulmonary infection and 1 case（1.72%） with cardiac failure during the therapeutic process. The complications of all patients had gotten effective control after targeted treatment. Conclusion Early diagnosis and treatment of elderly patients with chronic obstructive pulmonary disease can play a good therapeutic effect, and can effectively reduce the complications and mortality.
出处
《中国医药科学》
2013年第20期164-165,共2页
China Medicine And Pharmacy
关键词
老年慢性阻塞性肺疾病
临床疗效
分析
Elderly chronic obstructive pulmonary disease
Clinical efficacy
Analysis
