辽宁医学杂志2024,Vol.38Issue(4) :28-31.

复方异丙托溴铵联合普米克令舒对尘肺病大容量WLL围术期患者的疗效和安全性影响

Effect of compound ipratropium bromide combined with Pulmicort resuscitation on the efficacy and safety of pneumoconiosis patients with large volume WLL during perioperative period

刘召霞 赵山林
辽宁医学杂志2024,Vol.38Issue(4) :28-31.

复方异丙托溴铵联合普米克令舒对尘肺病大容量WLL围术期患者的疗效和安全性影响

Effect of compound ipratropium bromide combined with Pulmicort resuscitation on the efficacy and safety of pneumoconiosis patients with large volume WLL during perioperative period

刘召霞 1赵山林1
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作者信息

  • 1. 平顶山市第一人民医院(河南平顶山 462500)
  • 折叠

摘要

目的 探讨复方异丙托溴铵联合普米克令舒在尘肺病大容量全肺灌洗(WLL)的临床疗效.方法 选取2018年1月至2019年4月在我院治疗的尘肺病患者94例,采用随机数字表法将患者随机分为观察组(n=46)和对照组(n=48),对照组给予大容量WLL治疗,观察组在对照组基础上给予复方异丙托溴铵联合普米克令舒,观察两组患者治疗前后肺功能、血气指标等.结果 观察组治疗后用力肺活量(FVC)、第1秒用力呼气容积(FEV1)和FEV1/FVC明显高于对照组(P<0.05);观察组治疗后血氧分压(PaO2)明显高于对照组(P<0.05),而动脉血二氧化碳分压(PaCO2)明显低于对照组(P<0.05);观察组低氧血症、气道压增高发生率分别为13.04%和10.87%,明显低于对照组(P<0.05).结论 复方异丙托溴铵联合普米克令舒在尘肺病大容量WLL治疗中有较好的效果,值得临床使用.

Abstract

Objective To investigate the clinical efficacy of compound ipratropium bromide combined with Pulmicort resuscitation in large volume whole lung lavage(WLL)for pneumoconiosis.Methods 94 pneumoconiosis patients treated in our hospital from January 2018 to April 2019 were selected,the patients were randomly divided into observation group(n=46)and control group(n=48),the control group was treated with large volume WLL,while the observation group was trea-ted with compound ipratropium bromide combined with Pulmicort resuscitation on the basis of the control group,the pulmo-nary function and blood gas index and so on were observed before and after treatment in both groups.Results The forced lung volume(FVC),forced expiratory volume(FEV1)and FEV1/FVC in the observation group after treatment were signifi-cantly higher than those in the control group(P<0.05);The blood oxygen partial pressure(PaO2)in the observation group was significantly higher than that in the control group(P<0.05),while arterial blood carbon dioxide partial pressure(PaCO2)was significantly lower than the control group(P<0.05);The incidence of hypoxemia and airway pressure were 13.04%and 10.87%,respectively,significantly lower than the control group(P<0.05).Conclusion Compound iprat-ropium bromide combined with Pulmicort resuscitation has a good effect in the treatment of pneumoconiosis with large vol-ume WLL,which is worthy of clinical use.

关键词

复方异丙托溴铵/普米克令舒/全肺灌洗/大容量/尘肺病

Key words

Compound ipratropium bromide/Pulmicort resuscitation/Whole lung lavage/Large volume/Pneumoconiosis

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出版年

2024
辽宁医学杂志
辽宁省医学会

辽宁医学杂志

影响因子:0.339
ISSN:1001-1722
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