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老年支气管哮喘病人慢性持续期控制情况的影响因素分析 预览

Analysis of the influential factors of asthma control during chronic persistent period in elderly patients with bronchial asthma
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摘要 目的:探讨影响老年支气管哮喘病人慢性持续期控制的影响因素。方法:选取2014年10月-2016年12月南京大学医学院附属鼓楼医院门诊收治的老年支气管哮喘病人86例,进行长期随访,采用单因素及多因素分析法探讨与哮喘控制相关的影响因素。结果:77例病人接受药学随访。伴有过敏性鼻炎与哮喘控制存在相关性(P<0.05)。秩和检验分析显示,在62例哮喘好转病人中,吸入剂联合孟鲁司特钠治疗者较单用吸入剂者哮喘控制测试评分的改善更明显。结论:老年支气管哮喘病人如伴有过敏性鼻炎,则哮喘控制的难度增加;除常规使用吸入剂外,还需要联合使用孟鲁司特钠,以提高哮喘的治疗效果。 Objective : To investigate the influential factors of asthma control during chronic persistent period in elderly patients with bronchial asthma.Methods : Totally,86 elderly outpatients with bronchial asthma who sought medical care in the Drum Tower Hospital Affiliated to Medical College of Nanjing University from October 2014 to December 2016 were selected and followed up for a long time.The influential factors of asthma control were analyzed by single-factor and multi-factors analysis.Results : Seventy-seven patients had pharmaceutical follow-ups,and there was correlation between allergic rhinitis and asthma control ( P <0.05).The rank sum test analysis indicated that the improvement of asthma control test scores in those patients with combined treatment of inhalants and montelukast sodium was obviously better than that of the patients with single treatment of inhalants, in the 62 patients with improved asthma.Conclusion :It would be more difficult to control asthma in elderly patients combined with bronchial asthma and allergic rhinitis.Routine inhalants combined with montelukast sodium should be used in the treatment, so as to enhance therapeutic efficiency.
作者 胡巍 杨凡 张桂凡 吴秋惠 HU Wei;YANG Fan;ZHANG Guifan;WU Qiuhui(Department of Pharmacy, Drum Tower Hospital Affiliated to Medical College of Nanjing University, Nanjing 210008,China)
出处 《药学服务与研究》 CAS 2019年第3期233-234,237共3页 Pharmaceutical Care and Research
关键词 支气管哮喘 孟鲁司特钠 慢性持续期 影响因素 老年人 bronchial asthma montelukast sodium chronic persistent period influential factor elderly
作者简介 胡巍(女),主管药师.E-mail:huwei1929@sina.com.
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