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
2026-04-019 临床药物与手术治疗 2026, 2(04): 73-76

盐酸氨溴索联合氨茶碱治疗老年慢阻肺合并肺部感染的临床效果研究

紫云县猴场镇卫生院

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摘要

目的 观察在老年慢阻肺合并肺部感染治疗中采取盐酸氨溴索联合氨茶碱方案的价值。方法 研究对象为老年慢阻肺合并肺部感染病人46例,纳入时间2024年1月至2025年11月,采用双盲法将23例纳入研究组,采取盐酸氨溴索联合氨茶碱治疗,其余23例纳入比较组,采取氨茶碱治疗。对比两组患者临床效果、恢复情况、症状积分、炎性因子和不良反应。结果 研究组临床总有效率高于比较组(P<0.05);两组患者恢复情况对比,研究组较为良好(P<0.05);研究组、比较组治疗后症状积分对比,前者较优(P<0.05);治疗后,研究组炎性因子水平相比于比较组较低(P<0.05);两组患者不良反应发生率差异无统计学意义(P>0.05)。结论 在老年慢阻肺合并肺部感染治疗中采取盐酸氨溴索联合氨茶碱,可以提高临床效果和恢复效率,减轻不适症状,缓解炎症反应,并且不会增加不良反应,值得应用以及推广。

Abstract

Objective To evaluate the efficacy of ambroxol hydrochloride combined with aminophylline in the treatment of elderly patients with chronic obstructive pulmonary disease(COPD) complicated by pulmonary infection.Methods A total of 46 elderly patients with COPD complicated by pulmonary infection were enrolled from January 2024 to November 2025.A double-blind method was adopted,with 23 patients assigned to the research group receiving ambroxol hydrochloride combined with aminophylline,and the remaining 23 patients assigned to the comparison group receiving aminophylline alone.The clinical efficacy,recovery status,symptom scores,inflammatory markers,and adverse reactions were compared between the two groups.Results The research group demonstrated a higher overall clinical efficacy rate than the comparison group(P<0.05).In terms of recovery,the research group showed better outcomes(P<0.05).Comparison of symptom scores between the research group and the comparison group after treatment showed superiority in the former(P<0.05).Following treatment,the research group exhibited lower levels of inflammatory factors compared to the comparison group(P<0.05).The difference in adverse reaction incidence between the two patient groups was not statistically significant(P>0.05).Conclusion The combination of ambroxol hydrochloride and aminophylline in the treatment of elderly patients with COPD complicated by pulmonary infection can improve clinical outcomes and recovery efficiency,alleviate discomfort symptoms,reduce inflammatory responses,and does not increase adverse reactions.This approach is worthy of application and promotion.

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[1]金祖洪.盐酸氨溴索联合氨茶碱治疗老年慢阻肺合并肺部感染的临床效果研究[J].疾病预防与控制,2026,2(04):73-76.