首页|孟鲁司特钠联合酮替芬对咳嗽变异性哮喘患儿咳嗽症状及肺功能的影响

孟鲁司特钠联合酮替芬对咳嗽变异性哮喘患儿咳嗽症状及肺功能的影响

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目的 探究孟鲁司特钠联合酮替芬对咳嗽变异性哮喘患儿咳嗽症状及肺功能的影响.方法 选择 2021 年4月—2023 年3 月我院收治的 80 例变异性哮喘患儿为研究对象,按随机数字表法将其分为对照组和观察组,各 40例.对照组患者采用酮替芬治疗,观察组在对照组治疗的基础上采用孟鲁司特钠治疗,治疗持续 10 周.比较两组咳嗽症状、肺功能及不良反应.结果 治疗前,两组患儿的咳嗽症状积分比较,差异无统计学意义(P﹥0.05).治疗后,观察组患儿白天及夜晚咳嗽症状积分分别为(1.32±0.32)分、(1.27±0.41)分,均低于对照组的(1.98±0.58)分、(1.86±0.45)分,组间差异有统计学意义(P﹤0.05).治疗前,两组患儿的肺功能相关指标比较,组间差异无统计学意义(P﹥0.05).治疗后,观察组患儿的第 1 秒用力呼气容积大于对照组,呼气峰值流速值、一秒率均高于对照组,组间差异有统计学意义(P﹤0.05).治疗后,两组患儿的不良反应发生率比较,差异无统计学意义(P﹥0.05).结论 孟鲁司特钠联用酮替芬治疗咳嗽变异性哮喘患儿疗效十分显著,患儿的咳嗽症状以及肺功能指标得到明显改善且安全性较高.
Effects of Montelukast Sodium Combined with Ketotifen on Cough Symptoms and Lung Function in Children with Cough Variant Asthma
Objective To investigate the effect of montelukast sodium combined with ketotifen on cough symptoms and lung function in children with cough variant asthma.Methods 80 children with variant asthma admitted to our hospital from April 2021 to March 2023 were selected as the research objects.According to the random number table method,they were divided into a control group and an observation group,with 40 cases in each group.The control group was treated with ketotifen,and the observation group was treated with montelukast sodium on the basis of the treatment of the control group,and the treatment lasted for 10 weeks.The cough symptoms,lung function and adverse reactions were compared between the two groups.Results Before treatment,there was no statistically significant difference in cough symptom score between the two groups(P﹥0.05).After treatment,the cough symptom scores during the day and night in the observation group were(1.32±0.32)points and(1.27±0.41)points,respectively,which were lower than(1.98±0.58)points and(1.86±0.45)points in the control group,the differences between the two groups were statistically significant(P﹤0.05).Before treatment,there was no significant difference in pulmonary function related indicators between the two groups(P﹥0.05).After treatment,the forced expiratory volume in the first second of the observation group was higher than that of the control group,and the peak expiratory flow rate and ratio in one second were higher than those of the control group,and the differences between the two groups were statistically significant(P﹤0.05).After treatment,there was no significant difference in the total incidence of adverse reactions between the two groups(P﹥0.05).Conclusion Montelukast sodium combined with ketotifen is effective in the treatment of children with cough variant asthma,and the cough symptoms and lung function indexes of children are significantly improved with high safety.

Cough variant asthmaMontelukast sodiumPulmonary functionKetotifenSymptoms of cough

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日照市东港区妇幼保健院全科,山东日照 276800

日照市东港区妇幼保健院妇产科,山东日照 276800

咳嗽变异性哮喘 孟鲁司特钠 肺功能 酮替芬 咳嗽症状

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(1)
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