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目的:探讨老年慢性肺心病重度加重期患者使用糖皮质激素进行治疗的临床疗效。方法:回顾性分析118例老年慢性肺心病重度急性加重期患者的临床资料,随机将其分为两组,治疗Ⅰ组和治疗Ⅱ组,检测两组患者在治疗前后的呼吸系统症状变化和动脉血气分析。结果:治疗3d后,患者的呼吸系统评分和动脉血气分析均得到明显改善,治疗10d后,Ⅱ组进一步好转,而Ⅰ组和治疗3d时的结果比较无明显差异。结论:通过用糖皮质激素治疗老年慢性肺心病重度加重期病症可取得满意疗效,10d的疗程和3d的相比较,患者肺功能和动脉血气等改善更明显。
Objective: To investigate the clinical effect of glucocorticoid therapy in elderly patients with severe pulmonary heart disease. Methods: A retrospective analysis of 118 elderly patients with chronic severe pulmonary heart disease in patients with acute exacerbation of clinical data were randomly divided into two groups, treatment group Ⅰ and group Ⅱ, the two groups were measured before and after treatment of respiratory symptoms and arteries Blood gas analysis. Results: After 3 days of treatment, the patient’s respiratory system score and arterial blood gas analysis were significantly improved. After 10 days of treatment, the group II further improved, while the results of the group I and the treatment 3d showed no significant difference. CONCLUSIONS: Satisfactory efficacy can be obtained by treating glucocorticoid in patients with severe chronic cor pulmonale. The improvement of pulmonary function and arterial blood gas in patients treated with 10d is more obvious than in 3d.