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目的探讨173例0+—II期尘肺病呼吸道并发症及合并心脑血管疾病综合康复治疗7～8年,疗期每年3～6个月后的临床疗效。方法参照我国“八五”期间尘肺病治疗综合评价方案从临床症状、X线胸片、肺功能及血生化等进行疗效分析,并对其合并心脑血管疾病综合防治疗效进行客观评价。结果173例尘肺并发症及合并症综合治疗总有效率83.7%(674/773),临床症状有效率87.18%(144/164),X线胸片稳定率93%(161/173),肺功能稳定率91.67%(143/156),心脑血管疾病有效率92%(253/275)。结论超声气溶胶雾化吸入加硝苯地平含化吸氧、静脉输注高氧液体、血液平衡稀释治疗及体外返搏治疗等对改善尘肺呼吸道症状及心脑血管等疾病效果显著(P<0.01)。
Objective To investigate the clinical efficacy of 173 cases of 0 + -II pneumoconiosis complication and comprehensive rehabilitation of cardiovascular and cerebrovascular diseases for 7-8 years and 3-6 months of treatment. Methods According to the comprehensive evaluation program of pneumoconiosis treatment during the “85” period in China, the curative effect was analyzed from clinical symptoms, X-ray, pulmonary function and blood biochemistry. The objective of the comprehensive prevention and treatment of cardiovascular and cerebrovascular diseases was evaluated objectively. Results The total effective rate was 83.7% (674/773) in 173 cases of pneumoconiosis and complications, the effective rate of clinical symptoms was 87.18% (144/164), the stability rate of X-ray was 93% (161/173), the pulmonary function The rate of stability was 91.67% (143/156), and the rate of cardiovascular and cerebrovascular diseases was 92% (253/275). Conclusion Aerosol aerosol inhalation plus nifedipine-containing oxygen inhalation, intravenous infusion of hyper-oxygen liquid, blood-balanced dilution therapy and return cardioplegia in the treatment of airway symptoms and cardiovascular and cerebrovascular diseases improve significantly (P <0.01 ).