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咳喘胶囊联合抗炎治疗在难治性咳嗽中的应用观察

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目的 分析咳喘胶囊联合抗炎治疗难治性咳嗽的临床效果。方法 选取2020年4月-2022年4月,南阳市第二人民医院收治的202例难治性咳嗽患者,随机分成常规组(n=101)和联合组(n=101),常规组给予抗炎(头孢拉定胶囊+利巴韦林颗粒)治疗,联合组给予咳喘胶囊联合抗炎治疗,均治疗2周。比较两组临床疗效,记录两组治疗前后咳嗽症状评分、肺功能指标、血清炎性指标、气道炎性指标以及生活质量评分。结果 联合组总有效率高于常规组,差异有统计学意义(P<0。05);联合组治疗后日间及夜间咳嗽评分低于常规组,差异有统计学意义(P<0。05),1 s用力呼气容积、1 s用力呼气容积/用力肺活量和呼气流量峰值高于常规组(P<0。05);联合组治疗后血清白介素-4(interleukin-4,IL-4)、白介素-6(interleukin-6,IL-6)、白介素-1β(interleukin-1β,IL-1β)、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)水平及痰标本中嗜酸性粒细胞(eosinophil,EOS)、P物质(substance,SP)水平低于常规组,差异有统计学意义(P<0。05),痰标本中分泌免疫球蛋白A(secrete immuno-globulin A,sIgA)水平高于常规组,差异有统计学意义(P<0。05);治疗后,联合组生活质量各维度评分以及总分高于常规组,差异有统计学意义(P<0。05)。结论 咳喘胶囊联合抗炎治疗在难治性咳嗽中的应用效果显著,可明显缓解患者咳嗽症状,减轻气道炎症,提高患者肺部机能,并改善其生活质量。
Applicationof Kechuan capsules combined with anti-inflammatory therapy in refractory cough
Objective To analyze the clinical effect of Kechuan capsules combined with anti-inflammatory treatment of refractory cough.Methods From April 2020 to April 2022,totally 202 patients with refractory cough who were admitted to Nanyang Second General Hospital were selected and randomly divided into regular group(n=101)and combined group(n=101).The regular group was given anti-inflammatory therapy(cefradine capsules+ribavirin granules)treat-ment while the combined group was treated with Kechuan capsules combined with anti-inflammatory therapy,and both groups were treated for 2 weeks.The clinical efficacy of the two groups was compared,and the scores of cough symptoms,pulmonary function indicators,serum inflammatory indicators,airway inflammatory indicators and quality of life scores were recorded in the two groups before and after treatment.Results The total effective rate in combined group was high-er than that in regular group,the difference was statistically significant(P<0.05).After treatment,the daytime cough score and night time cough score were lowerin combined group than those in regular group,the difference was statistically significant(P<0.05)while the forced expiratory volume in one second,forced expiratory volume in one second/forced vital capacity and peak expiratory flow were higher than those in regular group,the difference was statistically significant(P<0.05).The levels of serum interleukin-4(IL-4),interleukin-6(IL-6),interleukin-1β(IL-1β)and tumor necrosis factor-α(TNF-α)and the levels of eosinophil(EOS)and substance(SP)in sputum specimens in combined group after treatmentwere lower than those inregular group,the difference was statistically significant(P<0.05)while the level of secrete immunoglobulin A(sIgA)in sputum specimens was higher than that in regular group,the difference was statistically significant(P<0.05).After treatment,the scores of the dimensions of quality of life as well as the total score in combined group were higher compared with those in regular group,the difference was statistically significant(P<0.05).Conclusion Kechuan capsules combined with anti-inflammatory therapy has a significant application effect in the treatment of refractory cough,which can significantly relieve the patient's cough symptoms,reducing airway inflammatory,improvingthe patients lung function,and improving their quality of life.

Kechuan capsulesAnti-inflammatory therapyRefractory coughAirway inflammationQuality of life

尹正海、井梦昕、邹永祎、李彦芳

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南阳市第二人民医院呼吸与危重症一病区,河南南阳 473012

咳喘胶囊 抗炎 难治性咳嗽 气道炎症 生活质量

2024

医药论坛杂志
中华预防医学会,河南省医学情报研究所

医药论坛杂志

影响因子:0.47
ISSN:1672-3422
年,卷(期):2024.45(16)