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观察了分别应用糖皮质激素(20例)、氨茶碱(20例)和糖皮质激素与小剂量氨茶碱联合(20例)治疗慢性支气管炎急性发作的疗效。结果发现治疗后3d1s用力呼气量(FEV1)改善率及恢复至病前水平的天数在应用激素(分别为12.05%和7.05d)者优于应用氨茶碱(分别为5.80%和11.60d)者,两者比较差异极显著(P均<0.001);应用激素与小剂量氨茶碱联合者治后7dFEV1改善率(19.10%)和恢复至病前水平的天数(6.35d)优于应用激素者,但差异不显著(P分别>0.2和>0.1)。表明激素治疗可以迅速有效地控制慢性支气管炎急性发作,缩短病程,联用小剂量氨茶碱效果尤佳。
The curative effect of treating acute exacerbation of chronic bronchitis by glucocorticoid (20 cases), aminophylline (20 cases) and glucocorticoid combined with low dose aminophylline (20 cases) were observed. The results showed that improvement rate of forced expiratory volume (FEV1) and the number of days before returning to the pre-treatment level after 3d1s treatment were better than those with aminophylline (5.80 % And 11.60d respectively), the differences between the two groups were significant (P <0.001). The improvement rate of FEV1 (19.10%) and the recovery to premorbid level (6.35d) was superior to those who used hormone, but the difference was not significant (P> 0.2 and> 0.1 respectively). Show that hormone therapy can quickly and effectively control the acute exacerbation of chronic bronchitis, shorten the course of the disease, combined with low-dose aminophylline is particularly effective.