临床医学研究与实践2024,Vol.9Issue(9) :55-58.DOI:10.19347/j.cnki.2096-1413.202409014

孟鲁司特钠联合布地奈德鼻喷雾剂治疗变应性鼻炎的效果及对免疫炎性因子水平的影响

Effect of montelukast sodium combined with budesonide nasal spray in the treatment of allergic rhinitis and its influences on immune inflammatory factors levels

庞礴 李雅琼 曹永华
临床医学研究与实践2024,Vol.9Issue(9) :55-58.DOI:10.19347/j.cnki.2096-1413.202409014

孟鲁司特钠联合布地奈德鼻喷雾剂治疗变应性鼻炎的效果及对免疫炎性因子水平的影响

Effect of montelukast sodium combined with budesonide nasal spray in the treatment of allergic rhinitis and its influences on immune inflammatory factors levels

庞礴 1李雅琼 2曹永华3
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作者信息

  • 1. 汉中市中心医院,陕西 汉中,723000
  • 2. 咸阳市第一人民医院,陕西 咸阳,712000
  • 3. 陕西中医药大学第二附属医院,陕西 咸阳,712000
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摘要

目的 分析孟鲁司特钠联合布地奈德鼻喷雾剂治疗变应性鼻炎(AR)的效果及对免疫炎性因子水平的影响.方法 选取2020年4月至2022年4月收治的100例AR患者为研究对象,根据随机数字表法将其分为对照组和研究组,每组 50 例.对照组接受布地奈德鼻喷雾剂治疗,研究组在对照组基础上应用孟鲁司特钠治疗.比较两组的治疗效果.结果 研究组的治疗总有效率高于对照组(P<0.05).治疗后,两组的最大呼气流速(PEF)、第 1 秒用力呼气容积(FEV1)、第 1 秒用力呼气容积/用力肺活量(FEV1/FVC)均升高,且研究组高于对照组(P<0.05).治疗后,两组的可溶性细胞间黏附分子-1(sICAM-1)、白细胞介素-5(IL-5)、白细胞介素-17(IL-17)、免疫球蛋白E(IgE)水平均降低,且研究组低于对照组(P<0.05).治疗后,两组的CC趋化因子配体 17(CCL17)、CC趋化因子配体22(CCL22)水平均降低,且研究组低于对照组(P<0.05).结论 孟鲁司特钠联合布地奈德鼻喷雾剂能够改善AR患者的肺功能,调节免疫炎性因子及趋化因子水平,疗效确切.

Abstract

Objective To analyze the effect of montelukast sodium combined with budesonide nasal spray in the treatment of allergic rhinitis(AR)and its influences on immune inflammatory factors levels.Methods A total of 100 AR patients admitted from April 2020 to April 2022 were selected as the research objects and divided into control group and study group according to the random number table method,with 50 cases in each group.The control group was treated with budesonide nasal spray,and the study group was treated with montelukast sodium on the basis of the control group.The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the study group was higher than that in the control group(P<0.05).After treatment,the peak expiratory flow(PEF),forced expiratory volume in one second(FEV1)and forced expiratory volume in one second/forced vital capacity(FEV1/FVC)in the two groups increased,and those in the study group were higher than the control group(P<0.05).After treatment,the levels of soluble intercellular adhesion molecule-1(sICAM-1),interleukin-5(IL-5),interleukin-17(IL-17)and immunoglobulin E(IgE)in the two groups decreased,and those in the study group were lower than the control group(P<0.05).After treatment,the levels of CC chemokine ligand 17(CCL17)and CC chemokine ligand 22(CCL22)in the two groups decreased,and those in the study group were lower than the control group(P<0.05).Conclusion Montelukast sodium combined with budesonide nasal spray can improve the lung function of AR patients and regulate the levels of immune inflammatory factors and chemokines,and has a definite curative effect.

关键词

变应性鼻炎/孟鲁司特钠/布地奈德鼻喷雾剂

Key words

allergic rhinitis/montelukast sodium/budesonide nasal spray

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基金项目

陕西中医药大学第二附属医院学科创新团队项目(2020)(2020XKTD-C05)

出版年

2024
临床医学研究与实践

临床医学研究与实践

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