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目的探讨单纯性支气管扩张合并支气管哮喘患者的临床特点和治疗方案。方法选择2008年9月~2013年9月在本院呼吸内科住院的支气管扩张(支扩)患者75例,其中男性43例,女性32例,年龄为30~76岁之间,根据支气管舒张试验把患者分为两组,支扩合并哮喘组30例,单纯支扩组45例,支扩合并哮喘组在抗感染治疗的基础上给予支气管扩张剂和吸入表面激素治疗,分析两组患者的临床疗效。结果支扩合并哮喘组和单纯支扩组在临床上呼吸道过敏性哮喘特点上差异具有统计学意义(P<0.05)。支气管扩张合并哮喘发病的临床特点常有上呼吸道过敏性哮喘症状;痰液多为粘液脓性;除固定部位湿性啰音外,全部病例都有散在性或弥漫性哮鸣音。结论考虑支气管扩张合并哮喘的可能性,应尽快进行肺功能检查确诊是否支扩合并哮喘,并且及时治疗哮喘。
Objective To investigate the clinical features and treatment of patients with simple bronchiectasis and bronchial asthma. Methods From September 2008 to September 2013, 75 patients with bronchiectasis (bronchiectasis) hospitalized in our department of respiratory medicine were enrolled. Among them, there were 43 males and 32 females, ranging in age from 30 to 76 years. According to the bronchodilator test Patients were divided into two groups, bronchiectasis and bronchial asthma group 30 cases, simple branch expansion group 45 cases, bronchiectasis and asthma group on the basis of anti-infective therapy based on bronchodilators and inhalation of the surface hormone therapy, analysis of two groups of patients Efficacy. Results The results showed that there were significant differences in clinical characteristics of respiratory allergic asthma between bronchiectasis and simple bronchiolitis group (P <0.05). The clinical features of bronchiectasis with asthma often have upper respiratory allergic asthma symptoms; sputum mostly mucopurulent; except for the wet rales of the fixed site, all cases have scattered or diffuse wheezing. Conclusions To consider the possibility of bronchiectasis with asthma, lung function tests should be performed to determine if bronchiectasis and asthma are exacerbated and asthma treated promptly.