首页|强力枇杷露联合布地奈德福莫特罗吸入粉雾剂治疗咳嗽变异性哮喘临床研究

强力枇杷露联合布地奈德福莫特罗吸入粉雾剂治疗咳嗽变异性哮喘临床研究

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目的:观察强力枇杷露联合布地奈德福莫特罗吸入粉雾剂治疗咳嗽变异性哮喘(CVA)的临床效果。方法:选取2022年1月—2024年1月舟山市普陀区人民医院收治的96例CVA患者,按随机数字表法分为西药组和联合组各48例。西药组给予布地奈德福莫特罗吸入粉雾剂治疗,联合组在西药组基础上给予强力枇杷露口服治疗,连续治疗4周。评价2组临床疗效,比较2组治疗前后咳嗽症状积分、肺功能[第1秒用力呼气容积(FEV1)、用力肺活量(FVC)、呼气流量峰值百分比(PEFpred%)]及炎症指标[嗜酸粒细胞比例(EOS%)、免疫球蛋白E(IgE)]水平,统计不良反应发生率。结果:联合组总有效率为97。92%(47/48),高于西药组85。42%(41/48)(P<0。05)。联合组咳嗽消失时间、喘息症状消失时间均短于西药组(P<0。05)。治疗后,2组日间咳嗽症状积分、夜间咳嗽症状积分较治疗前降低(P<0。05),且联合组日间咳嗽症状积分、夜间咳嗽症状积分低于西药组(P<0。05)。治疗后,2组FEV1、FVC及PEFpred%水平较治疗前升高(P<0。05),且联合组FEV1、FVC及PEFpred%水平高于西药组(P<0。05)。治疗后,2组EOS、IgE水平较治疗前降低(P<0。05),且联合组EOS、IgE水平低于西药组(P<0。05)。2组不良反应发生率比较,差异无统计学意义(P>0。05)。结论:强力枇杷露联合布地奈德福莫特罗吸入粉雾剂能有效治疗CVA,改善患者肺功能,缓解呼吸道炎症,不良反应少,安全性高。
Clinical Study on Qiangli Pipa Syrup Combined with Budesonide Formoterol Inhalation in Treating Cough Variant Asthma
Objective:To observe the clinical effect of Qiangli Pipa Syrup combined with Budesonide Formoterol Inhalation in the treatment of cough variant asthma(CVA).Methods:A total of 96 patients with CVA admitted to Putuo District People's Hospital of Zhoushan from January 2022 to January 2024 were selected and randomly divided into the western medicine group and the combination group,with 48 patients in each group.The western medicine group was treated with Budesonide Formoterol Inhalation,and the combination group was treated with oral administration of Qiangli Pipa Syrup based on the treatment of the western medicine group.Both groups were treated for four consecutive weeks.Clinical effects were evaluated in the two groups.The changes in the cough symptom scores,lung function[forced expiratory volume in one second(FEV1),forced vital capacity(FVC),and peak expiratory flow percentage(PEFpred%)],and the levels of inflammatory indicators[eosinophil percentage(EOS%)and immunoglobulin E(IgE)]were compared between the two groups before and after treatment.The incidence of adverse reactions was counted.Results:The total effective rate in the combination group was 97.92%(47/48),which was higher than that in the western medicine group at 85.42%(41/48)(P<0.05).The disappearance time of cough and wheezing symptoms in the combination group was shorter than that in the western medicine group(P<0.05).After treatment,the daytime and nighttime cough symptom scores in the two groups were declined when compared with those before treatment(P<0.05),and the daytime and nighttime cough symptom scores in the combination group were lower than those in the western medicine group(P<0.05).After treatment,the levels of FEV1,FVC,and PEFpred%in the two groups were increased when compared with those before treatment(P<0.05),and the levels of FEV1,FVC,and PEFpred%in the combination group were higher than those in the western medicine group(P<0.05).After treatment,the levels of EOS and IgE in the two groups were decreased when compared with those before treatment(P<0.05),and the EOS and IgE levels in the combination group were lower than those in the western medicine group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:The combination of Qiangli Pipa Syrup and Budesonide Formoterol Inhalation is effective in treating CVA,which can improve patients'lung function and alleviate respiratory inflammation,with few adverse reactions and high safety.

Cough variant asthmaQiangli Pipa SyrupBudesonide Formoterol InhalationCough symptom scoresLung functionInflammatory factors

潘胤池、顾靖华、徐旭东

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舟山市普陀区人民医院呼吸内科,浙江 舟山 316100

咳嗽变异性哮喘 强力枇杷露 布地奈德福莫特罗吸入粉雾剂 咳嗽症状积分 肺功能 炎症因子

2025

新中医
广州中医药大学 中华中医药学会

新中医

影响因子:0.595
ISSN:0256-7415
年,卷(期):2025.57(1)