首页|布地奈德与沙丁胺醇联合雾化吸入治疗支气管哮喘伴肺部感染的疗效及安全性分析

布地奈德与沙丁胺醇联合雾化吸入治疗支气管哮喘伴肺部感染的疗效及安全性分析

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目的 探究应用布地奈德与沙丁胺醇联合雾化吸入治疗支气管哮喘伴肺部感染患者的影响.方法 选择济宁市第三人民医院 2022 年 6月—2023 年6 月收治的 100 例支气管哮喘伴肺部感染患者为研究对象,依照随机数字表法将其分为对照组和观察组,各 50 例.对照组采用沙丁胺醇注射液雾化吸入治疗,观察组采用布地奈德与沙丁胺醇联合雾化吸入治疗.两组均持续治疗 7d.对比两组的肺功能、临床疗效、临床症状消失时间、炎症因子及不良反应发生情况.结果 观察组治疗总有效率为 96.00%,高于对照组的 80.00%,差异有统计学意义(P<0.05).观察组呼吸困难、咳嗽、肺部啰音、喘息消失时间均短于对照组,组间差异有统计学意义(P<0.05).治疗后,观察组用力肺活量、第 1 秒用力呼气容积水平均大于对照组,组间差异有统计学意义(P<0.05).治疗后,观察组C反应蛋白、白细胞介素-6、肿瘤坏死因子-α水平均低于对照组,组间差异有统计学意义(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 支气管哮喘伴肺部感染患者应用布地奈德与沙丁胺醇联合雾化吸入治疗能够促进患者的临床症状消失,减轻炎症反应,改善肺功能,且安全性高.
Efficacy and Safety Analysis of Budesonide Combined with Salbutamol Nebulized Inhalation in the Treatment of Bronchial Asthma with Pulmonary Infection
Objective Exploring the effects of budesonide and salbutamol combined with nebulized inhalation in the treatment of patients with bronchial asthma and pulmonary infection.Methods Selecting 100 patients with bronchial asthma and pulmonary infection admitted to the Third People's Hospital of Jining City from June 2022 to June 2023 as the research subjects,according to the random number table method,they were divided into a control group and an observation group,with 50 cases in each group.The control group was treated with nebulized inhalation of salbutamol injection,while the observation group treated with budesonide and salbutamol combined with nebulized inhalation therapy.Two groups were treated continuously for 7 days.Compare the lung function,clinical efficacy,disappearance time of clinical symptoms,inflammatory factors,and adverse reactions between two groups.Results The total effective rate of the observation group was 96.00%,higher than the 80.00%of the control group,the differences was statistically significant(P<0.05).The observation group had shorter disappearance time for dyspnea,cough,lung rales,and wheezing compared to the control group,the differences between groups were statistically significant(P<0.05).After treatment,the observation group had greater levels of forced vital capacity and forced expiratory volume at 1 second compared to the control group,the differences between groups were statistically significant(P<0.05).After treatment,the levels of C-reactive protein,interleukin-6,and tumor necrosis factor-αin the observation group were lower than those in the control group,the differences between groups were statistically significant(P<0.05).Comparison of incidence rates of adverse reactions between two groups,the differences was statistically significant(P<0.05).Conclusion The application of budesonide and salbutamol combined with nebulized inhalation therapy in patients with bronchial asthma and pulmonary infection can promote the disappearance of clinical symptoms,reduce inflammatory reactions,improve lung function,and have high safety.

Bronchial asthmaPulmonary infectionNebulized inhalationBudesonideSalbutamolClinical efficacy

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济宁市第三人民医院(兖州区人民医院)呼吸与危重症医学科,山东济宁 272100

支气管哮喘 肺部感染 雾化吸入 布地奈德 沙丁胺醇 临床疗效

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(9)