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1、慢性阻塞性肺疾病合并呼吸衰竭临床研究[摘要]目的分析慢性阻塞性肺疾病合并呼吸衰竭在临床上的治疗效果。方法选取我院2010年1月〜2012年12月收治的80例慢性阻塞性肺疾病合并呼吸衰竭患者的临床资料,分为治疗组和对照组,在标准治疗基础上治疗组40例釆用雾化吸入莫西沙星溶液治疗,对照组40例采用雾化吸入沙丁胺醇治疗。结果治疗组患者治疗后的用力肺活(FVC),1s用力呼气量(FEV)和最大呼气流速(PEF)水平均明显高于对照组;治疗组的治疗情况比观察组的治疗情况要显著提高,治疗组的治愈率为32.50%、有效率为50.00%、无效
2、率为17.50%、总有效率为82.50%,对照组的治愈率为27.50%、有效率为42.50%、无效率为30.00%、总有效率为70.00%,治疗组的总有效率明显高于对照组。结论莫西沙星在改善慢性阻塞性肺病合并呼吸衰竭患者病情方面具有显著作用。[关键词]慢性阻塞性肺疾病;呼吸衰竭[中图分类号]R563.9;563.8[文献标识码]B[文章编号]2095-0616(2013)13-177-02Clinicalanalysisonthetreatmentofchronicobstructivepulmonarydiseasecom
3、binedwithrespiratoryfailureJIANGChuanjieDepartmentofInternalMedicine,DaoqingHospitalofTonghuaMiningGroup,Baishan134309,China[Abstract]ObjectiveToanalyzetheclinicaleffectofchronicobstructivepulmonarydiseasewithrespiratoryfailureinclinicaldiagnosisandthetherapeuticef
4、fectanalysis.MethodsTheclinicaldataof80casesofpatientswithchronicobstruetivepulmonarydiseaseandrespiratoryfailureinourhospitalduringtheperiodofJanuary2010toDecember2012wereobjectedandstudied,andtheclinicaldiagnosisandtreatmentwerereviewed.Allpatientsweredividedinto
5、treatmentgroupandcontrolgroup,onthebasisofconventionaltherapy,thetreatmentgroupof40casesweregiveninhalationofmoxifloxacinsolutiontreatment,thecontrolgroupof40patientsweregivensalbutamolatomiza.tioninhalation.ResuItsThepatientsinthetreatmentgroupaftertreatment(FVC),
6、forcedlungbiopsy1sforcedexpiratoryvolume(FEV)andpeakexpiratoryflow(PEF)levelsweresignificantlyhigherthanthoseinthecontrolgroup;treatmentgroupwashigherthanthatoftreatmenttotheobservationgroup,thecurerateintreatmentgroupwas32.50%,efficiencyof50%,noefficiencywas17.50%
7、,thetotaleffectiveratewas82.50%.Inthecontrolgroup,thecureratewas27.50%,effectiveratewas42.50%,noefficiencywas30.00%,thetotaleffectiveratewas70.00%,thetotaleffectiverateintreatmentgroupthaninthecontrolgroupweresignifica.ntlyhigher.ConclusionTimelydiagnosisandtreatme
8、nthasasignificantroleinimprovingtheconditionofpatientswithchronicobstructivepulmonarydiseasewithrespiratoryfailurepatientsandclinicians,shouldcau