目的 通过回顾性调查分析,了解老年支气管哮喘的临床表现,并提出护理策略.方法 2010年1月-2012年1月,该院门诊的支气管哮喘患者80例,从发病诱因、临床表现、治疗情况及预后等4个方面进行回顾性调查分析.结论 80例老年支气管哮喘的患者中,上呼吸道感染、COPD急性发作是哮喘发作的主要诱因,分别占33.75%和31.25%;临床表现以呼吸困难及咳嗽为主要症状,分别占67.5%和50%;治疗规范组:45例患者,一周内症状完全控制或部分控制40例,占88.89%(40/45).治疗不规范组:35例患者,一周内症状完全控制或部分控制25例,占71.43%(25/35),两组间比较,症状控制差异显著(χ2=12.03,P<0.05).结论老年支气管哮喘患者,症状不典型,规范化治疗和护理是决定预后与转归的主要因素.%Objective To analyze clinical manifestation of bronchial asthma in the elderly patients ,and to draw up nursing interventions of asthma in the elderly. Methods A retrospective observational study was conducted on 80 cases of bronchial asthma in elderly patients of our hospital from Jan 2010 to Jan 2012. The precipitating factors , clinical manifestations, treatments and prognosis were analyzed. Results The precipitating factors resulting in the attack of bronchial asthma were upper respiratory tract infection and acute episode of COPD (33. % and 31. 25% ) ;The dyspnea and cough were the main syndromes (67. 5% and 50% ) ;There was significant difference in the symptomatic relief compared with the norm treatment group and the non norm group . 40 cases of bronchial asthma received the symp -tomatic relief in one week in the norm treatment group (88. 89% ,40/45) ,but only 71. 43% (25/35)patients in the nan-norm treatment group received the symptomatic relief. Conclusion The clinical manifestation of the bronchial asthma was atypical in the elderly pa -tients, normative treatments and nursing were the leading factors concluding the prognosis .
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