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布地奈德福莫特罗、布地格福吸入气雾剂治疗中重度COPD的疗效及对肺功能的影响

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目的 研究布地奈德福莫特罗、布地格福吸入气雾剂在重度慢性阻塞性肺疾病(COPD)治疗应用中的疗效及对肺功能的影响.方法 选取120例中重度COPD患者作为研究对象.以随机分组法将 120例患者均分为对照组和观察组,各 60例.其中观察组的治疗方式为布地格福吸入气雾剂治疗,对照组的治疗方式为布地奈德福莫特罗吸入气雾剂治疗.比较治疗前、治疗后 1个月两组患者肺功能常规指标、血气分析、疗效、不良反应、生活质量.结果 ①治疗1 个月后,观察组患者FVC、FEV1、FEV1%均高于对照组(P<0.05);②治疗 1 个月后,观察组患者PaO2、SaO2、pH高于对照组,PaCO2 低于对照组(P<0.05);③治疗1个月后,观察组患者临床疗效优于对照组(P<0.05);不良反应比较差异无统计学意义(P>0.05);④两组患者生活质量得分均有降低(P<0.05),且观察组分数优于对照组(P<0.05).结论 布地格福吸入气雾剂治疗相比于布地奈德福莫特罗吸入气雾剂治疗对于中重度COPD患者而言更能有利于促进其肺功能的恢复、改善其血气情况、疗效明显、安全性高、有助于患者生活质量改善,值得推广.
The Efficacy of Budesonide Formoterol and Breztri Aerosphere in the Treatment of Moderate to Severe COPD and Their Impact on Lung Function
Objective To explore the efficacy of budesonide formoterol and Breztri Aerosphere in the treatment of mod-erate to severe COPD and their impact on lung function.Methods A total of 120 patients with moderate and severe COPD were selected as the study objects.The 120 patients were randomly divided into control group and observation group,with 60 cases in each group.The treatment method of observation group was Breztri Aerosphere,and the treatment method of control group was budesonide formoterol inhalation aerosol.Conventional lung function indexes,blood gas analysis,efficacy,adverse re-actions and quality of life were compared between the two groups before intervention and one month after intervention.Re-sults(1)After one month of intervention,the FVC,FEV1,and FEV1%of patients in the observation group were higher than those in the control group(P<0.05);(2)After one month of intervention,the PaO2,SaO2,and pH values of patients in the ob-servation group were higher than those in the control group,while PaCO2 was lower than that in the control group(P<0.05);(3)After one month of intervention,the clinical efficacy of the observation group was better than that of the control group(P<0.05).There was no significant difference in adverse reactions(P>0.05);(4)The quality-of-life scores of both groups of pa-tients decreased(P<0.05),and the observation group scored better than the control group(P<0.05).Conclusion Compared with budesonide formoterol inhalation aerosol,Breztri Aerosphere is more conducive to promoting the recovery of lung function and improving the blood gas condition in patients with moderate and severe COPD,with more obvious curative effect,high safety,and contributing to the improvement of patients'quality of life,so it is worth promoting.

budesonide formoterolBreztri Aerospheremoderate to severeCOPDefficacypulmonary function

杨金玲、郭现玲

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开封市中心医院呼吸与危重症医学科,河南 开封 475000

布地奈德福莫特罗 布地格福 中重度 慢性阻塞性肺疾病 疗效 肺功能

2024

哈尔滨医药
哈尔滨市医学会

哈尔滨医药

影响因子:0.697
ISSN:1001-8131
年,卷(期):2024.44(2)
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