甲泼尼龙不同剂量对支气哮喘急性重度发作的疗效分析
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  • 英文篇名:Therapeutic effect of different doses of Methylprednisolone on acute severe attacks of bronchial asthma
  • 作者:黄雄
  • 英文作者:Huang Xiong;The Physical and Mental Hospital of Nanchong City (The Sixth People's Hospital of Nanchong City);
  • 关键词:支气管哮喘 ; 急性重度发作 ; 甲泼尼龙 ; 不同剂量 ; 效果
  • 英文关键词:Bronchial asthma;;Acute severe attack;;Methylprednisolone;;Different dose;;Effect
  • 中文刊名:YXLT
  • 英文刊名:The Medical Forum
  • 机构:南充市身心医院,南充市第六人民医院;
  • 出版日期:2019-05-13
  • 出版单位:基层医学论坛
  • 年:2019
  • 期:v.23;No.568
  • 语种:中文;
  • 页:YXLT201916009
  • 页数:3
  • CN:16
  • ISSN:14-1314/R
  • 分类号:24-26
摘要
目的研究分析支气管哮喘急性重度发作患者施予甲泼尼龙不同剂量治疗的效果。方法回顾性分析我院2015年9月—2018年10月收治的98例支气管哮喘急性重度发作患者的临床资料,将其中接受小剂量甲泼尼龙(40 mg/次、2次/d)治疗的49例作为A组,将接受大剂量甲泼尼龙(80 mg/次、2次/d)治疗的49例作为B组,比较2组治疗效果。结果 B组患者的住院时间、总有效率、哮喘持续时间、血气分析指标均优于A组(P<0.05)。结论与小剂量(40 mg)的甲泼尼龙治疗方案相比,对急性发作期的重症支气管哮喘患者施予大剂量(80 mg)甲泼尼龙的疗效更为显著,值得推广。
        Objective To study and analyze the effect ofdifferent doses ofmethylprednisolone on patients with acute and severe bronchial asthma.Methods data of 98 patients with acute and severe bronchial asthma admitted to our hospital from September 2015 to October 2018 were retrospectively analyzed. Among them,49 patients who received small doses of methylprednisolone(40 mg/time,2 times/d)for treatment were included in group A.Forty-nine patients who received high-dose methylprednisolone(80 mg/time,2 times/d) for treatment were treated as group B,and the results were observed and compared.Results The length of hospital stay,therapeutic effect,duration of asthma and blood gas analysis indexes of patients in group B were better than those in group A,P<0.05.Conclusion Compared with the treatment regimen of low dose(40 mg) methylprednisolone,the treatment regimen of high dose(80 mg)methylprednisolone for severe bronchial asthma patients in the acute stage has more significant effect,shorter hospitalization time and higher value.
引文
[1]杨能学.在氨茶碱和氨溴特罗基础上联用甲泼尼龙和特布他林对支气管哮喘患者的治疗作用[J].中国药房,2018,29(15):2119-2121.
    [2]张胜睿.甲泼尼龙琥珀酸钠与硫酸镁持续静脉泵注治疗重症支气管哮喘患者的临床效果[J].医疗装备,2018,31(18):95-96.

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