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目的:分析及探讨慢性阻塞性肺病与合并支气管哮喘者的临床特征。方法:随机选取2012年1月至20l3年1月我院呼吸内科科单纯支气管哮喘.单纯COPD和哮喘合并COPD的患者300例。分为单纯哮喘组、慢性阻塞性肺病组、慢性阻塞性肺病合并支气管哮喘组,从而探讨慢性阻塞性疾病与合并支气管哮喘患者的临床特征。结果:单纯支气管哮喘组和单纯COPD组的无啰音、单纯哮鸣音。单纯湿性啰音、干啰音比较中,具有统计学意义。结论:单纯支气管哮喘患者肺部多以典型呼气性哮鸣音为主,呼气音延长;慢性阻塞性肺病部分患者可闻及湿性或干性啰音,哮鸣音较为少见;哮喘合并COPD患者肺部有哆音疾病复杂,哮鸣音、干性和湿性啰音均存在。
Objective: To analyze and explore the clinical characteristics of patients with chronic obstructive pulmonary disease and bronchial asthma. Methods: A total of 300 patients with simple COPD and asthma complicated with COPD were selected randomly from January 2012 to January 2013 in our hospital. Divided into simple asthma group, chronic obstructive pulmonary disease group, chronic obstructive pulmonary disease with bronchial asthma group, so as to explore the clinical features of patients with chronic obstructive disease and bronchial asthma. Results: There was no rales and wheeze in simple bronchial asthma group and simple COPD group. Simple wet rales, dry rales in comparison, with statistical significance. Conclusions: The lungs of patients with bronchial asthma mostly have typical expiratory wheeze and prolonged exhaled breath. Some patients with chronic obstructive pulmonary disease may have wet or dry rales and wheeze is rare, asthma with COPD The patient has a dull lung disease complex, wheezing, dry and wet rales are present.