固本宁肺方对接受吸入激素治疗的慢阻肺患者呼吸道感染的影响

发布时间：2018-06-21 14:41

  本文选题：固本宁肺方 + 慢阻肺　； 参考：《中华医院感染学杂志》2017年06期

【摘要】：目的探讨固本宁肺方对接受吸入激素治疗的慢阻肺患者呼吸道感染的影响,对临床治疗慢阻肺患者的效率进行分析,为临床治疗提供可靠的依据。方法选择2013年6月-2016年6月于医院接诊的慢阻肺患者160例,将其分为两组,对照组采用常规治疗,常规治疗加用固本宁肺治疗的为观察组,每组各有80例患者,通过对两组患者治疗后的临床疗效、呼吸道感染发生率和治疗前后的免疫功能情况进行对比。结果两组治疗后的CD_3、CD_4水平均有上升,观察组上升的幅度明显大于对照组,差异均有统计学意义(P0.05),两组CD_8水平有所下降,观察组下降的幅度大于对照组,差异有统计学意义(P0.05);观察组发生上呼吸道感染1例,咽部真菌感染1例,发生率为2.5%,对照组发生上呼吸道感染4例,下呼吸道感染3例,咽部真菌感染2例,发生率为11.25%,观察组的呼吸道感染发生率明显低于对照组,差异有统计学意义(P0.05);观察组总有效率为92.5%,对照组总有效率为71.25%,观察组明显高于对照组,差异有统计学意义(P0.05)。结论采用固本宁肺方对接受吸入激素治疗的慢阻肺患者进行治疗,能够提高治疗的疗效,降低呼吸道感染的发生率,提高患者的免疫功能,效果显著,值得推广应用。
[Abstract]:Objective to investigate the effect of Gubenning Feifang on respiratory tract infection in patients with COPD treated with inhaled hormone, and to analyze the efficiency of clinical treatment of COPD, and to provide a reliable basis for clinical treatment. Methods from June 2013 to June 2016, 160 patients with COPD were selected and divided into two groups. The control group was treated with routine therapy and the control group was treated with Gubenning lung therapy. There were 80 patients in each group. The clinical efficacy, incidence of respiratory tract infection and immune function before and after treatment were compared between the two groups. Results after treatment, the levels of CD3, CD4 and CD8 in the observation group were significantly higher than those in the control group, and the difference was statistically significant (P 0.05). The level of CD8 in the two groups was decreased, and that in the observation group was higher than that in the control group. The difference was statistically significant (P 0.05), there were 1 case of upper respiratory tract infection and 1 case of pharyngeal fungal infection in the observation group, and the incidence was 2.5. In the control group, there were 4 cases of upper respiratory tract infection, 3 cases of lower respiratory tract infection and 2 cases of pharyngeal fungal infection. The incidence of respiratory tract infection in the observation group was significantly lower than that in the control group (P 0.05), the total effective rate in the observation group was 92.5, and the total effective rate in the control group was 71.25, which was significantly higher in the observation group than in the control group (P 0.05). Conclusion the treatment of chronic obstructive lung patients treated with inhaled hormone can improve the curative effect, reduce the incidence of respiratory tract infection, improve the immune function of the patients, and it is worth popularizing.
【作者单位】： 浙江省杭州市第三人民医院呼吸内科;
【基金】：浙江省医学会临床科研基金资助项目(2011ZYC-A02)
【分类号】：R563.9
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本文编号：2049081