首页|布地格福吸入气雾剂联合无创正压通气治疗慢阻肺急性加重期的疗效

布地格福吸入气雾剂联合无创正压通气治疗慢阻肺急性加重期的疗效

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目的:分析布地格福吸入气雾剂联合无创正压通气(Non Invasive Positive Pressure Ventilation,NIPPV)治疗慢阻肺急性加重期(Acute exacerbation of chronic obstructive pulmonary disease,AECOPD)的疗效.方法:回顾性收集 2021 年 6 月至 2023 年 6 月期间于本院接受治疗的 84 例AECOPD患者的临床资料.根据患者不同的治疗方法,将患者分为对照组(予布地奈德吸入气雾剂治疗+NIPPV治疗,42 例)和观察组(予布地格福吸入气雾剂治疗+NIPPV治疗,42例).治疗7 d后,对比两组治疗前后动脉血气指标:酸碱度(Pondus Hydrogenii,pH)、动脉血氧分压(Partial pressure of oxygen,PaO2)、动脉二氧化碳分压(Partial pressure of carbon dioxide,PaCO2);炎症因子:C-反应蛋白(C-reactive protein,CRP)、降钙素原(Procalcitonin,PCT)、白细胞介素-6(Interleukin 6,IL-6);肺功能:最大肺活量(Forced Vital Capacity,FVC)、第 1 秒用力呼吸气量(Forced Expiratory Volume in 1 second,FEV1)、呼气峰值流速(Peak Expiratory Flow,PEF),记录治疗期间不良反应的发生情况.结果:与治疗前相比,两组的pH、PaO2、FVC、FEV1 及PEF水平均升高,PaCO2、PCT、IL-6 及CRP水平均降低(P<0.05),其中观察组pH、PaO2、FVC、FEV1 及PEF水平升高更显著,PaCO2、PCT、IL-6及CRP的水平降低更显著(P<0.05).观察组的不良反应发生率显著低于对照组(P<0.05).结论:对AECOPD患者使用布地格福吸入气雾剂联合NIPPV治疗,能改善患者的动脉血气水平,缓解炎症,提升肺功能,减少不良反应.
Therapeutic effect of Budigerfo inhalation aerosol combined with non-invasive positive pressure ventilation in the treatment of acute exacerbation of COPD
Objective:To analyze the curative effect of budigerfol inhalation aerosol combined with non-invasive positive pressure ventilation(NIPPV)in the treatment of acute COPD exacerbation(AECOPD).Methods:The clinical data of 84 patients with AECOPD who were treated in our hospital from June 2021 to June 2023 were retrospectively collected.According to different treatment methods,patients were divided into control group(budesonide inhalation aerosol treatment+NIPPV treatment,42 cases)and observation group(Budesonide inhalation aerosol treatment+NIPPV treatment,42 cases).After 7 days of treatment,the arterial blood gas indexes before and after treatment were compared between the two groups:Pondus Hydrogenii(pH),Partial pressure of oxygen(PaO2),Partial pressure of carbon dioxide(PaCO2);inflammatory factors:C-reactive protein(CRP),procalcitonin(PCT),interleukin-6(IL-6);pulmonary function:Forced Vital Capacity(FVC),Forced Expiratory Volume in 1 second(FEV1),Peak Expiratory Flow(PEF),and adverse reactions during treatment were recorded.Results:Compared with before treatment,the levels of pH,PaO2,FVC,FEV1,and PEF in both groups increased,while the levels of PaCO2,PCT,IL-6,and CRP decreased(P<0.05).Among them,the levels of pH,PaO2,FVC,FEV1,and PEF in the observation group increased more significantly,while the levels of PaCO2,PCT,IL-6,and CRP decreased more significantly(P<0.05).The incidence of adverse reactions in observation group was significantly lower than that in control group(P<0.05).Conclusion:The treatment of AECOPD patients with Budigerfo inhalation aerosol combined with NIPPV can improve the level of arterial blood gas,relieve inflammation,enhance lung function,and reduce adverse reactions.

COPDAcute exacerbation stageBudigfordLung functionInflammatory factorsAdverse reaction

张浩飞、宋冠男

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汝州市第一人民医院呼吸与危重症科,河南 汝州 467599

慢阻肺 急性加重期 布地格福 肺功能 炎症因子 不良反应

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(8)
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