首页|孟鲁司特钠联合信必可对哮喘患者炎症因子水平及肺功能指标的影响

孟鲁司特钠联合信必可对哮喘患者炎症因子水平及肺功能指标的影响

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目的:探讨应用孟鲁司特钠联合信必可治疗哮喘患者的临床效果,为临床提供参考.方法:选择2020年7月—2021年7月江西省会昌县人民医院收治的110例哮喘患者作为研究对象,按随机数表法分为对照组和观察组,每组各55例.对照组采用信必可治疗,观察组在此基础上加服孟鲁司特钠治疗,两组患者均持续治疗4周.比较两组患者治疗效果、炎症因子水平、肺功能指标变化和不良反应.结果:观察组治疗总有效率(92.73%)高于对照组(70.91%),差异有统计学意义(x2=8.80,P<0.05).治疗后,观察组咳嗽、喘息、肺部哮鸣音症状缓解时间低于对照组,差异有统计学意义(t=12.236、5.927、14.396,P<0.05);观察组C反应蛋白(CRP)、白细胞介素-6(IL-6)低于对照组,差异有统计学意义(t=12.126、11.108,P<0.05);治疗后,观察组呼气峰流速(PEFR)、用力肺活量(FVC)、第1s用力呼气容积(FEV1)高于对照组,差异有统计学意义(t=11.314、2.247、3.066,P<0.05).结论:孟鲁司特钠联合信必可能够减轻哮喘患者机体炎症反应,改善患者肺功能,提升临床疗效,可作为一种安全有效的治疗方式.
Effect of Montelukast Sodium Combined with Xinpocetine on the Levels of Inflammatory Factors and Lung Func-tion Indexes in Patients with Asthma
Objective:To investigate the clinical efficacy of applying the combination of montelukast sodium and xinpocetine in the treatment of asthmatic patients,to provide clinical reference.Methods:110 cases of asthma patients admitted to the hospital from July 2020 to July 2021 were selected as the study subjects and were divided into the control group and observation group according to the random number table method,with 55 cases in each group.The control group was treated with Sinebicol,and the observation group was treated with montelukast sodium on this basis,and both groups continued to be treated for 4 weeks.The treatment effect,inflammatory factor level,changes in lung function indexes and adverse reactions were compared between the two groups.Results:The total effective rate of treatment in the observation group(92.73%)was higher than that in the control group(70.91%),and the difference was statistically significant(x2=8.80,P<0.05).After treatment,the time to relieve symptoms of cough,wheezing,and lung rales was lower in the observation group than in the control group,and the difference was statistically significant(t=12.236,5.927,14.396,P<0.05).C-reactive protein(CRP)and interleukin-6(IL-6)were lower in the observation group than in the control group,and the difference was statistically significant(t=12.126,11.108,P<0.05).After treatment,peak expiratory flow rate(PEFR),forceful lung capacity(FVC),and forceful expiratory volume in the 1st s(FEV1)of the observation group were higher than those of the control group,and the differences were statistically significant(t=11.314,2.247,3.066,P<0.05).Conclusion:The combination of montelukast sodium and xinbicol can reduce the inflammatory response of asthma patients,improve their lung function,enhance clinical efficacy,and can be used as a safe and effective treatment modality.

AsthmaMontelukast sodiumSymbicortInflammatory factorsPulmonary functionClinical efficacy

陈少辉、曾德斌、李青、陈琛

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江西省会昌县人民医院,江西 会昌 342600

哮喘 孟鲁司特钠 信必可 炎症因子 肺功能 临床疗效

赣州市指导性科技计划项目

GZ2021ZSF751

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(3)
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