ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2026-03-023 心脑血管疾病与治疗 2026, 2(03): 89-92

老年慢阻肺及肺心病合并冠心病的诊断与治疗

湖北省孝感市孝南区杨店中心卫生院(湖北省孝感市孝南区第二人民医院)

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摘要

目的 本研究针对老年慢阻肺(COPD)及肺心病合并冠心病(CHD)的诊断与治疗进行探究和分析。方法 选取本院2020年2月至2023年2月期间确诊并且收治的100例老年慢阻肺及肺心病合并冠心病患者,使用随机数字表法,将研究对象分为观察组和对照组两组,每组50例患者。对照组患者对其应用和实施常规诊断和治疗,观察组患者则在对照组常规治疗基础之上实施针对性诊断和治疗。阶段性治疗后,针对观察组和对照组患者的临床治疗有效率、患者的并发症和患者治疗满意度进行观察、比较和记录。结果 观察组组内患者的治疗总有效率显著高于对照组,并发症发生率显著低于对照组,治疗满意度显著高于对照组,组间差异比较相对显著,具备统计学意义(P<0.05)。结论 研究发现,针对老年慢阻肺及肺心病合并冠心病患者的临床诊断和治疗中,针对性诊断及治疗的整体效果明显更好,值得在临床中进行推广和应用。

Abstract

Objective This study investigates the diagnosis and treatment of elderly patients with chronic obstructive pulmonary disease(COPD) and cor pulmonale complicated by coronary heart disease(CHD). Methods A total of 100 confirmed cases admitted to our hospital between February 2020 and February 2023 were enrolled in this study. Patients were categorized into an observation group and a control group by random number table method. Each group included 50 elderly patients with COPD and cor pulmonale complicated by coronary heart disease. The control group received standard diagnostic and therapeutic protocols, while the observation group received targeted interventions in addition to conventional treatments. Post-treatment, clinical efficacy rates, complication incidence, and treatment satisfaction were systematically observed, compared, and recorded. Results The observation group demonstrated significantly higher overall treatment efficacy, lower complication rates, and greater treatment satisfaction compared to the control group. The intergroup differences were statistically significant(P<0.05). Conclusion The study demonstrates that targeted diagnostic and therapeutic approaches yield markedly better clinical outcomes for elderly patients with COPD and cor pulmonale complicated by coronary heart disease, making them worthy of clinical promotion and application.

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[1]徐涛,邹颖,张卉.老年慢阻肺及肺心病合并冠心病的诊断与治疗[J].疾病预防与控制,2026,2(03):89-92.