摘要
目的探讨大剂量盐酸氨溴索、纤维支气管镜吸痰联合使用对老年重症肺炎的疗效。方法选取2014年11月-2015年12月间我院收治的84例老年重症肺炎患者,随机分为对照组与观察组,各42例。对照组患者应用氨溴索常规剂量+纤维支气管镜吸痰治疗;观察组患者应用大剂量盐酸氨溴索联合纤维支气管镜吸痰治疗。比较两组患者的疗效。结果治疗后观察组患者的C反应蛋白(C reactive protein,CRP)、降钙素原(procalcitonin,PCT)指标改善情况显著优于对照组患者,差异有统计学意义(P<0.05);观察组患者呼吸机使用时间明显短于对照组,差异有统计学意义(P<0.05)。结论大剂量盐酸氨溴索与纤维支气管镜吸痰联合方案是老年重症肺炎治疗的有效方法,临床应用效果显著,值得临床广泛应用与推广。
Objective To explore the effect of large dose ambroxol hydrochloride combined with fiberoptic bronchoscopy in the treatment of severe pneumonia in the elderly. Methods From November 2014 to December 2015, 84 elderly patients with severe pneumonia were selected as the research object. They were randomly divided into the control group and the observation group, with 42 cases in each group. The patients in the control group were treated with conventional dose ambroxol hydrochloride combined with fiberoptic bronchoscopy, while those in the observation group was treated with large dose ambroxol hydrochloride com- bined with fiberoptic bronchoscopy. The efficacy of the two groups was compared. Results After treatment, the improvement of C reactive protein (CRP) and procalcitonin (PCT) in the observation group was significantly better than that in the control group, with statistical difference (P〈0.05). The observation group was significantly shorter than the control group in the use of respirator time, with statistical difference (P〈0.05). Conclusion High dose of ambroxol hydrochloride combined with fiberoptic bronchoscopy is an effective method for the treatment of severe pneumonia in the elderly, which is worthy of clinical application.
出处
《临床检验杂志(电子版)》
2016年第2期84-86,共3页
Clinical Laboratory Journal(Electronic Edition)
关键词
大剂量
盐酸氨溴索
纤维支气管镜吸痰
老年重症肺炎
Large dose
Ambroxol hydrochloride
Fiberoptic bronchoscopy
Elderly severe pneumonia