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尼达尼布治疗进展性肺纤维化的疗效分析

Analysis of the Efficacy of Nintedanib in the Treatment of Progressive Pulmonary Fibrosing

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目的 探讨进展性肺纤维化(progressive pulmonary fibrosing,PPF)患者应用尼达尼布治疗的临床效果及安全性分析.方法 回顾性分析2022 年6 月至2023 年10 月在锦州医科大学附属第一医院住院确诊为PPF的患者的临床资料(80例),依据是否应用尼达尼布治疗分为常规治疗组37 例和尼达尼布治疗组43 例,均通过完善检查明确病因,并给予病因治疗及对症治疗,尼达尼布治疗组在此基础上给予联合尼达尼布治疗.比较两组患者治疗前和治疗 6 个月后的肺功能DL-CO%、FVC%指标、PaO2、六分钟步行试验(6 minute walking test,6MWT)距离、胸部HRCT评分和不良反应发生率.结果 尼达尼布治疗组患者FVC%、DLCO%、PaO2以及6MWT距离优于常规治疗组(P<0.05).尼达尼布组的FVC%、DL-CO%下降率低于常规治疗组(P<0.05).胸部HRCT评分方面,尼达尼布治疗组治疗后的评分低于常规治疗组,差异具有统计学意义(P<0.05),表明尼达尼布有助于延缓PPF的进展.在安全性评价方面,经过 6 个月的治疗及观察,两组患者不良反应的发生率无明显差异(P>0.05).结论 尼达尼布治疗能够延缓PPF患者肺功能的下降速度.延缓肺纤维化进展,提高生活质量且治疗期间未增加不良反应发生率.
Objective To explore the clinical efficacy and safety of Nintedanib in the treatment of progressive pulmonary fibros-ing.Methods Clinical data of 80 patients diagnosed with PPF who were hospitalized in the First Affiliated Hospital of Jinzhou Medi-cal University from June 2022 to October 2023 were retrospectively analyzed.According to whether Nidanib was used,37 cases were divided into the conventional treatment group and 43 cases were divided into the Nidanib treatment group.The cause of the disease was determined through perfect examination,and the etiological treatment and symptomatic treatment were given.The Nidanib treatment group was given combined Nidanib treatment on this basis.Lung function DLCO%,FVC%index,PaO2,6MWT distance,chest HRCT score and incidence of adverse reactions were compared between the two groups before treatment and 6 months after treatment.Results FVC%,DLCO%,PaO2 and 6MWT distance in Nidanib treatment group were better than those in conventional treatment group(P<0.05).The decrease rates of FVC%and DLCO%in Nidanib group were lower than those in conventional treatment group(P<0.05).In terms of chest HRCT score,the score of Nidanib treatment group after treatment was lower than that of conventional treatment group,and the difference was statistically significant(P<0.05),indicating that Nidanib could help delay the progression of PPF.In terms of safety evaluation,after 6 months of treatment and observation,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Combined treatment with Nintedanib can delay the decline of pul-monary function in PPF patients,delay the progression of pulmonary fibrosis,improve quality of life and do not increase the incidence of adverse reactions during the treatment period

progressive pulmonary fibrosingNintedanibpulmonary function test6 minutes walking test

闫丽丽、李鑫、焦雪、刘超、单丽娜

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锦州医科大学附属第一医院,辽宁 锦州 121000

进展性肺纤维化 尼达尼布 肺功能 六分钟步行试验

辽宁省自然科学基金联合基金(面上资助计划项目)

2023-MSLH-039

2024

锦州医科大学学报
辽宁医学院

锦州医科大学学报

影响因子:0.802
ISSN:1674-0424
年,卷(期):2024.45(4)
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