首页|二羟丙茶碱联合布地奈德对AECOPD合并呼吸衰竭患者肺功能及血气分析的影响

二羟丙茶碱联合布地奈德对AECOPD合并呼吸衰竭患者肺功能及血气分析的影响

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目的 探讨二羟丙茶碱联合布地奈德对慢性阻塞性肺疾病急性加重期(AECOPD)合并呼吸衰竭患者肺功能及血气分析的影响.方法 选择 2021 年 5 月—2023 年 5 月峄城区人民医院收治的86 例AECOPD合并呼吸衰竭患者为研究对象,按随机数字表法将其分为对照组与观察组,各 43 例.对照组采用二羟丙茶碱治疗,观察组在对照组基础上联合布地奈德治疗.两组均持续治疗 1 周.比较两组临床疗效、肺功能指标、血气分析指标及不良反应发生情况.结果 治疗后,观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05).观察组用力肺活量(FVC)、第 1 秒用力呼气容积(FEV1)、FEV1/FVC水平均大于对照组,动脉血氧分压水平高于对照组,组间差异有统计学意义(P<0.05).观察组动脉血二氧化碳分压为(36.92±5.34)mmHg,低于对照组的(42.41±4.28)mmHg,差异有统计学意义(P<0.05).两组不良反应发生率比较,差异无统计学意义(P>0.05).结论 二羟丙茶碱联合布地奈德治疗AECOPD合并呼吸衰竭患者,可恢复患者肺功能,调节血气分析指标,且安全性良好,疗效较佳.
Effects of Dihydroxyproprofylline Combined with Budesonide on Lung Function and Blood Gas Analysis in Patients with AECOPD Complicated with Respiratory Failure
Objective To investigate the effects of dihydroxyproprofylline combined with budesonide on lung function and blood gas analysis in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD)complicated with respiratory failure.Methods Eighty-six patients with AECOPD complicated with respiratory failure admitted to Yicheng District People's Hospital from May 2021 to May 2023 were selected as the study object,and were divided into a control group and an observation group according to random number table,with 43 patients in each group.The control group was treated with dihydroxyproprofylline,and the observation group was treated with budesonide on the basis of control group.Both groups were treated for 1 week.The clinical efficacy,lung function index,blood gas analysis index and the occurrence of adverse reactions were compared between the two groups.Results After treatment,the total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The levels of forced vital capacity(FVC),forced expiratory volume at the first second(FEV1)and FEV1/FVC in the observation group were greater than those in the control group,and the level of arterial blood oxygen partial pressure was higher than that in the control group,and the differences between groups were statistically significant(P<0.05).The partial blood pressure of carbon dioxide in the observation group was(36.92±5.34)mmHg,lower than(42.41±4.28)mmHg in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Dihydroxyproprofylline combined with budesonide in the treatment of AECOPD patients with respiratory failure can restore lung function,adjust blood gas analysis indexes,and have good safety and efficacy.

Acute exacerbation of chronic obstructive pulmonary diseaseRespiratory failureDihydroxyproprofyllineBudesonideLung functionBlood gas analysis

邢剑、孙中芹、邢路路

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峄城区人民医院重症医学二科,山东枣庄 277000

枣庄市妇幼保健院内科,山东枣庄 277000

慢性阻塞性肺疾病急性加重期 呼吸衰竭 二羟丙茶碱 布地奈德 肺功能 血气分析

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(7)