首页|缬沙坦联合沙美特罗替卡松粉吸入剂治疗支气管哮喘合并高血压患者的临床研究

缬沙坦联合沙美特罗替卡松粉吸入剂治疗支气管哮喘合并高血压患者的临床研究

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目的 探讨支气管哮喘(bronchial asthma,BA)合并高血压患者采用缬沙坦联合沙美特罗替卡松粉吸入剂治疗的临床效果.方法 目的抽样法选取2022年5月—2023年7月青州市人民医院收治的140例BA合并高血压患者为研究对象,按照治疗方法不同分为研究组(n=70)和对照组(n=70),对照组给予贝那普利联合沙美特罗替卡松粉吸入剂治疗,研究组给予缬沙坦联合沙美特罗替卡松粉吸入剂治疗,比较两组临床疗效、炎症因子水平、不良反应发生情况.结果 研究组治疗总有效率为94.29%(66/70),高于对照组的82.86%(58/70),差异有统计学意义(χ2=4.516,P<0.05).治疗后两组干扰素γ、白细胞介素2、白细胞介素17水平均下降,且研究组干扰素γ、白细胞介素2、白细胞介素17水平低于对照组,差异有统计学意义(P均<0.05).两组不良反应总发生率对比,差异无统计学意义(P>0.05).结论 BA合并高血压患者给予缬沙坦联合沙美特罗替卡松粉吸入剂治疗疗效显著,可抑制炎症反应,安全性较好.
Clinical Study of Valsartan and Salmeterol Fluticasone Aerosol in the Treatment of Patients with Bronchial Asthma and Hypertension
Objective To explore the clinical efficacy of valsartan and salmeterol fluticasone aerosol treatment in pa-tients with bronchial asthma(BA)and hypertension.Methods A total of 140 patients with BA and hypertension from May 2022 to July 2023 admitted to Qingzhou People's Hospital were selected as the study objects by target sampling method.According to different treatment methods,the patients were divided into a study group(n=70)and a control group(n=70).The control group was treated with benazepril combined with salmeterol and fluticasone powder inhala-tion,while the study group was treated with valsartan combined with salmeterol and fluticasone powder inhalation.The clinical efficacy,inflammatory cytokine levels,and incidence of adverse reactions were compared between the two groups.Results The total effective rate of the study group was 94.29% (66/70),which was higher than the control group's 82.86% (58/70),and the difference was statistically significant(χ2=4.516,P<0.05).After treatment,the levels of interferon γ,interleukin 2,and interleukin 17 in both groups decreased,and the levels of interferon γ,interleukin 2,and interleukin 17 in the study group were lower than those in the control group,the differences were statistically significant(all P<0.05).There was no statistically significant difference in the total incidence of adverse reactions be-tween the two groups(P>0.05).Conclusion The combination of valsartan and salmeterol/fluticasone powder inhalation therapy has significant therapeutic effects on BA patients with hypertension,can inhibit inflammatory reactions,and has good safety.

Bronchial asthmaHypertensionValsartanSalmeterol fluticasone aerosolInflammatory factors

张连鹏、王传同、张晓霞、褚文文、刘泽辰

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青州市人民医院呼吸内科,山东 潍坊 262500

青州市人民医院心内二科,山东 潍坊 262500

山东省青州市疾病预防控制中心艾滋病防制科,山东 潍坊 262500

支气管哮喘 高血压 缬沙坦 沙美特罗替卡松粉吸入剂 炎症因子

潍坊市卫生健康委员会科研项目

WFWSJK-2023-239

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(15)