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有报道慢性阻塞性肺疾病(COPD)病人在吸入抗胆碱能和/或β-肾上腺素能药物后肺功能有明显改善。本文比较了 COPD 患者稳定期和急性加重期对吸入异丙阿托品和间羟异丙肾上腺素的支气管扩张效果。病人和方法 30例 COPD(慢支或肺气肿)急性加重期入肺科急诊室的病人进行了双盲交叉研究。入选标准 FEV_1少于预计值60%,能进行用力呼出动作。参考原始记录处于急性加重期病人进行试验1,试验时不使用氨茶碱、皮质类固醇。继续原始记录病人处于稳定期时进行试验2,试验前6小时禁止吸入皮质类固醇。随
It has been reported that patients with chronic obstructive pulmonary disease (COPD) have significantly improved pulmonary function after inhaled anticholinergic and / or β-adrenergic medications. This article compares the bronchodilatory effects of inhaled isopropylado and meta-isoproterenol in patients with COPD in stable and acute exacerbations. PATIENTS AND METHODS Thirty patients with acute exacerbations of COPD (chronic bronchitis or emphysema) were enrolled in a double-blind crossover study of patients admitted to the pulmonary emergency department. The selected standard FEV_1 less than 60% of the expected value, can carry out forced exhaling action. Reference to the original record in patients with acute exacerbation of the test 1, the test does not use aminophylline, corticosteroids. Continuation of Original Record Patient is in Trial 2 in stable phase. Corticosteroids are not to be inhaled 6 hours prior to the test. With