首页|慢性阻塞性肺疾病急性加重期患者采用布地奈德混悬液联合复方异丙托溴铵雾化吸入治疗的效果探究

慢性阻塞性肺疾病急性加重期患者采用布地奈德混悬液联合复方异丙托溴铵雾化吸入治疗的效果探究

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目的 探究布地奈德混悬液联合复方异丙托溴铵雾化吸入治疗慢性阻塞性肺疾病(简称慢阻肺)急性加重期患者的应用效果.方法 方便选择宜兴市官林医院于2020年1月—2023年12月收治的107例慢阻肺急性加重期患者作为研究对象,以奇偶数法分为研究组(n=54)与对照组(n=53).对照组使用雾化吸入布地奈德混悬液治疗,研究组使用雾化吸入布地奈德混悬液与复方异丙托溴铵雾化吸入联合治疗方案.对比两组的疗效、不良反应、肺功能指标、血气指标和炎症因子水平.结果 研究组治疗总有效率为98.15%,高于对照组的84.91%,差异有统计学意义(x2=6.089,P=0.014).两组不良反应发生率对比,差异无统计学意义(P>0.05).治疗后,研究组肺功能指标、血气水平、炎症因子水平均优于对照组,差异有统计学意义(P均<0.05).结论 雾化吸入布地奈德混悬液、复方异丙托溴铵可减轻慢阻肺急性加重期患者症状体征,改善肺功能、血气指标,同时可降低炎症反应,临床效果显著,用药安全性高.
Investigation of the Effect of Adopting Budesonide Suspension Combined with Compound Ipratropium Bromide Nebulized Inhalation Treatment in Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Dis-ease
Objective To investigate the effect of budesonide suspension and compound ipratropium bromide com-bined with nebulized inhalation application in the treatment of patients with acute exacerbation of chronic obstructive pulmonary disease(COPD).Methods 107 patients with acute exacerbation of chronic obstructive pulmonary disease(COPD)admitted to Yixing Guanlin Hospital from January 2020 to December 2023 were conveniently selected as the study subjects,and they were divided into the study group(n=54)and the control group(n=53)by the odd-even method.The control group used nebulized inhalation budesonide suspension,and the study group used the combina-tion regimen of nebulized inhalation budesonide suspension and compound ipratropium bromide nebulized inhalation.The efficacy,adverse reactions,lung function indexes,blood gas indexes and inflammatory factor levels of the two groups were compared.Results The total therapeutic efficacy rate of the study group was 98.15%,which was higher than that of the control group 84.91%,and the difference was statistically significant(x2=6.089,P=0.014).Compari-son of the incidence of adverse reactions between the two groups,the difference was not statistically significant(P>0.05).After treatment,the study group's lung function indexes,blood gas levels,and inflammatory factor levels were better than those of the control group,and the differences were statistically significant(all P<0.05).Conclusion Nebu-lized inhalation of budesonide suspension and compound ipratropium bromide can reduce the symptoms and signs of patients with acute exacerbation of chronic obstructive pulmonary disease,improve lung function and blood gas in-dexes,and at the same time reduce the inflammatory response,with remarkable clinical effect and high safety of medi-cation.

Chronic obstructive pulmonary diseaseAcute exacerbationBudesonide suspensionCompound ipratropium bromide

柳冬英

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宜兴市官林医院内二科,江苏宜兴 214200

慢性阻塞性肺疾病 急性加重期 布地奈德混悬液 复方异丙托溴铵

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(15)