首页|盐酸氨溴索在治疗慢性支气管炎急性发作期的效果观察

盐酸氨溴索在治疗慢性支气管炎急性发作期的效果观察

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目的 探讨慢性支气管炎急性发作期患者给予盐酸氨溴索治疗的临床疗效.方法 将本院2015年1月-2016年10月期间收治的102例慢性支气管炎急性发作期患者随机平均分为观察组和对照组各51例,2组患者入组后均给予止咳、平喘、化痰以及控制感染等常规治疗,观察组患者在常规治疗基础上给予静脉滴注盐酸溴安索,2组患者均连续治疗7 d.比较2组患者的临床治疗有效率,血气指标(PaO2、PaCO2)及炎性因子(IL-6、IL-10和TNF-α)的变化,并比较2组患者不良反应发生情况.结果 观察组临床治疗有效率为96.08%,对照组临床治疗有效率为80.39%,组间差异有统计学意义(P<0.05);治疗前2组患者PaO2、PaCO2无显著差异(P>0.05),治疗后观察组患者PaO2、PaCO2均显著优于对照组(P<0.05);治疗前2组患者IL-6、IL-10和TNF-α无显著差异(P>0.05),治疗后观察组患者IL-6、IL-8和TNF-α均显著优于对照组(P<0.05);观察组不良反应发生率为11.76%,对照组不良反应发生率为7.84%,差异无统计学意义(P>0.05).结论 盐酸氨溴索有助于提升慢性支气管炎急性发作期的治疗效果,且对改善患者血气,降低炎性因子具有积极作用,且不增加不良反应发生风险.
Efficacy of ambroxol hydrochloride for acuteexacerbation of chronic bronchitis
Objective To investigate the clinical efficacy of ambroxol hydrochloride for patients with acute exacerbation of chronic bronchitis.Methods During Jan.2015 and Oct.2016,102 patients with acute exacerbation of chronic bronchitis were randomly divided into the observation group and control group,with 51 cases in either group.Both groups were given antitussive,antiasthma,anti-phlegm and antibiotics.Patients in the observation group also received intravenous ambroxol hydrochloride.Both groups were treated for 7 d.The clinical effective rate,changes in blood gas(PaO2,PaCO2)and inflammatory factors(IL-6,IL-10,TNF-α),and adverse events were compared.Results The clinical effective rate of observation and control group was 96.08%and 80.39%,with significant difference(P<0.05).There were no differences in PaO2,PaCO2,IL-6,IL-10,and TNF-α between the two groups before treatment(P>0.05),while these indicators were better in the observation group than in the control group after treatment(P<0.05).The adverse reaction rate was 11.76%in the observation group and 7.84%in the control group,with no statistical significance(P>0.05).Conclusion Ambroxol hydrochloride helps to improve the efficacy in the treatment of acute exacerbation of chronic bronchitis,and has a positive effect on improving blood gas and reducing inflammatory factors,while it does not increase the risk of adverse reactions.

chronic bronchitisacute exacerbationambroxol hydrochlorideblood gasinflammatory factors

张永明

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甘肃省古浪县人民医院,甘肃古浪 733100

慢性支气管炎 急性发作期 盐酸氨溴索 血气 炎性因子

2017

国外医学(医学地理分册)
西安交通大学

国外医学(医学地理分册)

影响因子:0.757
ISSN:1001-8883
年,卷(期):2017.38(1)
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