首页|布地格福吸入气雾剂治疗慢性阻塞性肺疾病稳定期临床疗效的影响因素分析

布地格福吸入气雾剂治疗慢性阻塞性肺疾病稳定期临床疗效的影响因素分析

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目的:探讨在慢性阻塞性肺疾病稳定期中影响布地格福吸入气雾剂治疗疗效的关键影响因素.方法:选取2022 年 7 月至 2023 年 10 月宁都县中医院收治的 60 例COPD稳定期患者为研究对象.患者经布地格福吸入气雾剂治疗 3 m后,按疗效分为有效组、无效组.比较两组一般资料、疾病情况和实验室指标,并通过多因素Logistic分析可能对临床疗效产生影响的因素.结果:治疗后COPD患者pH值和PaO2 水平上升,PaCO2 水平下降,差异有统计学意义(P<0.05).60例患者纳入有效组 44 例,无效组 16 例,两组COPD分级、吸烟史、急性加重持续时间、6 分钟步行距离(6MWD)、改良英国医学会呼吸困难指数(mMRC)、COPD评估测试(CAT)评分、动脉血氧分压、动脉血二氧化碳分压比较差异有统计学意义(P<0.05).其中吸烟史、急性加重持续时间、6MWD、mMRC评分、CAT评分、动脉血氧分压是布地格福疗效的独立影响因素.结论:使用布地格福吸入气雾剂治疗可以显著减轻稳定期COPD患者的临床症状,增强其生活质量和日常活动能力.
Analysis of factors influencing the clinical efficacy of Budigerford inhalation aerosol in the treatment of chronic obstructive pulmonary disease in stable stage
Objective:To investigate the key factors affecting the therapeutic effect of budigerfo inhalation aerosol in the stable period of chronic obstructive pulmonary disease(COPD).Methods:60 patients with stable COPD treated in Ningdu County Hospital of Traditional Chinese Medicine from July 2022 to October 2023 were selected as the study objects.The patients were divided into effective group and ineffective group according to the efficacy after 3 months of treatment with Budigerfo inhalation aerosol.The general data,disease status and laboratory indicators of the two groups were compared,and the factors that might affect the clinical efficacy were analyzed by multivariate Logistic analysis.Results:After treatment,the pH value and PaO2 level of COPD patients increased,and the PaCO2 level decreased,with statistical significance(P<0.05).Of the 60 patients,44 were in the effective group and 16 were in the ineffective group.There were significant differences in COPD grade,smoking history,duration of acute exacerbation,6-minute walking distance(6MWD),modified British Medical Association dyspnea Index(mMRC),COPD assessment test(CAT)score,arterial blood oxygen partial pressure and arterial blood carbon dioxide partial pressure between the two groups(P<0.05).Among them,smoking history,duration of acute exacerbation,6MWD,mMRC score,CAT score and arterial blood oxygen partial pressure were independent influencing factors of budegforo efficacy.Conclusion:The use of budigerfo inhalation aerosol can significantly reduce the clinical symptoms of stable COPD patients,improve their quality of life and daily activities.

Budigford inhalation aerosolChronic obstructive pulmonary diseaseStable periodClinical effectInfluencing factor

李九龙、卢保荣、蔡强、邱友民

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宁都县中医院内科,江西 赣州 342800

布地格福吸入气雾剂 慢性阻塞性肺疾病 稳定期 临床疗效 影响因素

赣州市科技计划项目

GZ2023ZSF548

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(2)
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