首页|孟鲁司特钠与沙美特罗替卡松联合治疗支气管哮喘的有效性及安全性

孟鲁司特钠与沙美特罗替卡松联合治疗支气管哮喘的有效性及安全性

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目的:研究孟鲁司特钠联合沙美特罗替卡松治疗对支气管哮喘(Bronchial asthma,BA)患者肺功能及对血清趋化素样因子-1(Chemokine-like factor 1,CKLF-1)、烟酰胺磷酸核糖转移酶(Nicotinamide phosphoribosyl transferase,NAMPT)水平变化的影响.方法:选取 2020 年12 月~2022 年12 月于我院住院治疗的 132 例BA患者作为研究对象,依随机数字表法分为参照组和研究组,各 66 例.参照组采用沙美特罗替卡松粉治疗,研究组在参照组的基础上联合孟鲁司特钠治疗.对比两组临床疗效、血气分析指标、肺功能指标、血清细胞因子水平和不良反应发生率.结果:研究组临床总有效率明显高于参照组(P<0.05);治疗后,研究组动脉血氧分压(Oxygen partial pressure,PaO2、第 1 秒用力呼气量(Forced expiratory volume in 1 second,FEV1)、第1 秒用力呼气容积/用力肺活量(Forced vital capacity,FVC)(FEV1/FVC)、最大呼气流量(Peak expiratory fowl rate,PEF)、最大呼气中期流速(Maximum middle expiratory flow rate,MMEF)均明显高于参照组,二氧化碳分压(Carbon dioxide partial pressure,PaCO2)、血清白介素-17(Interleukin-17,IL-17)、CKLF-1、NAMPT、肿瘤坏死因子-α(Tumor necrosis factor-α,TNF-α)水平均明显低于参照组(P<0.05);两组不良反应总发生率无明显差异(P>0.05).结论:DA采用沙美特罗替卡松与孟鲁司特钠联合治疗疗效确切,能减轻炎症反应,改善血气分析指标,促进肺功能改善,安全可靠.
Efficacy and safety of Montelukast sodium combined with salmeterol ticasone in the treatment of bronchial asthma
Objective:To investigate the effects of Montelukast sodium combined with salmeteroticasone on lung function and serum Chemotine-like factor-1(CKLF-1)and Nicotinamide phosphoribosyl transferase(NAMPT)levels in patients with Bronchial asthma(BA).levels.Methods:A total of 132 patients with BA who were hospitalized in our hospital from December 2020 to December 2022 were selected as the research subjects and randomly divided into a reference group and a study group,with 66 cases in each group.The reference group was treated with salmeterol and fluticasone powder,while the study group was treated with salmeterol and fluticasone powder in combination with montelukast sodium on the basis of the reference group.The clinical efficacy,blood gas analysis indicators,lung function indicators,serum cytokine levels,and adverse reaction rates were compared between the two groups.Results:The total clinical effective rate in the study group was significantly higher than that in the reference group(P<0.05).After treatment,the arterial partial pressure of oxygen(PaO2),forced expiratory volume in 1 second(FEV1),FEV1/forced vital capacity(FEV1C/FVC),peak expiratory flow rate(PEF),maximum middle expiratory flow rate(MMEF)in the study group were significantly higher than those in the reference group,while the carbon dioxide partial pressure(PaCO2),interleukin-17(IL-17),CKLF-1,NAMPT,tumor necrosis factor-α(TNF-α)levels were significantly lower than those in the reference group(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion:The combination of Salmeterol ticasone and Montelukast sodium in the treatment of DA is effective,can reduce inflammation,improve blood gas analysis index,promote the improvement of lung function,and is safe and reliable.

Salmeterol ticasone powderMontelukast sodiumBronchial asthmaBlood gas analysis

马娟、苏勇

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信阳市人民医院呼吸内科,河南 信阳 464000

沙美特罗替卡松粉 孟鲁司特钠 支气管哮喘 血气分析

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(6)