首页|布地奈德福莫特罗吸入剂联合茶碱缓释片对COPD患者气道炎症及睡眠质量的影响

布地奈德福莫特罗吸入剂联合茶碱缓释片对COPD患者气道炎症及睡眠质量的影响

扫码查看
目的 探究布地奈德福莫特罗吸入剂联合茶碱缓释片对慢性阻塞性肺疾病(COPD)患者气道炎症及睡眠质量的影响。方法 选取2021年1月至2023年1月该院收治的COPD患者130例,采用随机数字表法分为观察组和对照组,每组65例。对照组给予布地奈德福莫特罗吸入剂治疗,观察组在布地奈德福莫特罗吸入剂治疗基础上给予茶碱缓释片治疗。比较2组患者治疗前后气道炎症指标[包括肿瘤坏死因子-α、白细胞介素-4(IL-4)、IL-6、IL-8等]、肺功能指标(包括1秒用力呼气量、用力肺活量、最大呼气流量等)、睡眠质量(匹兹堡睡眠质量指数评分)和并发症发生情况。结果 观察组患者治疗后诱导痰中肿瘤坏死因子-α、IL-4、IL-6、IL-8水平,以及匹兹堡睡眠质量指数评分均明显低于治疗前和对照组,1秒用力呼气量、用力肺活量、最大呼气流量水平均明显高于治疗前和对照组,治疗期间夜间呼吸困难发生次数明显少于对照组,差异均有统计学意义(P<0。05);2组患者并发症发生率比较,差异无统计学意义(P>0。05)。结论 布地奈德福莫特罗吸入剂联合茶碱缓释片可有效抑制COPD患者气道炎症,改善肺功能与睡眠质量,具有较高的安全性。
Effect of budesonide formoterol inhaler combined with theophylline extended-release tablets on airway inflammation and sleep quality in patients with COPD
Objective To investigate the effect of budesonide formoterol inhaler combined with theo-phylline extended-release tablets on airway inflammation and sleep quality in patients with chronic obstructive pulmonary disease(COPD).Methods A total of 130 patients with COPD admitted to our hospital from Janu-ary 2021 to January 2023 were selected and divided into the observation group and the control group by ran-dom number table method,with 65 cases in each group.The control group was treated with budesonide for-moterol inhalation,and the observation group was treated with theophylline extended-release tablets on the basis of budesonide formoterol inhaler treatment.The airway inflammation indexes[including tumor necrosis factor-α,interleukin-4(IL-4),IL-6,IL-8,etc.],lung function indexes(including 1-second exertional expiratory volume,exertional lung capacity,maximal expiratory flow rate,etc.),sleep quality(Pittsburgh Sleep Quality Index Score),and the occurrence of complications were compared between the two groups of patients before and after the treatment.Results The levels of tumor necrosis factor-α,IL-4,IL-6 and IL-8 in the induced spu-tum of the patients in the observation group after treatment,as well as the Pittsburgh Sleep Quality Index score were significantly lower than those before treatment and in the control group,and the levels of exertional expiratory volume in one second,exertional lung capacity and maximal expiratory flow rate were significantly higher than those of the pre-treatment and control groups,and the number of nocturnal respiratory distress during the period of treatment was significantly less than that of the control group,and the difference was sta-tistically significant(P<0.05).And there was no statistically significant difference in the incidence of compli-cations between the groups(P>0.05).Conclusion Budesonide formoterol inhaler combined with theophyl-line extended-release tablets can effectively inhibit airway inflammation and improve lung function and sleep quality in patients with COPD.At the same time,it has a high safety profile.

Budesonide formoterol inhalerTheophylline extended-release tabletsChronic ob-structive pulmonary diseaseAirway inflammationSleep quality

连景喜

展开 >

汝州市第一人民医院呼吸与危重症医学科,河南平顶山 467500

布地奈德福莫特罗吸入剂 茶碱缓释片 慢性阻塞性肺疾病 气道炎症 睡眠质量

2024

现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
年,卷(期):2024.40(9)
  • 13