首页|氟替美维吸入制剂联合甘氨酸茶碱治疗慢阻肺的临床研究

氟替美维吸入制剂联合甘氨酸茶碱治疗慢阻肺的临床研究

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目的 探讨氟替美维吸入制剂联合甘氨酸茶碱治疗慢阻肺(COPD)的临床效果。方法 选择 2020 年 10 月至2022 年 11 月上犹县中医院收治的COPD稳定期门诊患者 72 例,随机分为两组(n=36)。对照组施以氟替美维吸入制剂治疗,基于此,观察组则加用甘氨酸茶碱钠治疗,均连续治疗 1 个月。对两组临床疗效、治疗前后肺功能、血气指标、炎性因子、6 分钟步行试验(6MWT)水平、不良反应发生率予以比较。结果 与对照组(83。33%)相比较,观察组治疗总有效率(97。22%)较高(P<0。05)。治疗后观察组用力肺活量、第一秒最大呼气容积、一秒钟用力呼气容积与用力肺活量的比值、呼气流量峰值、氧分压、动脉血氧饱和度、6MWT水平均高于对照组(P<0。05),且与对照组相比较,观察组动脉血二氧化碳分压(PaCO2)、白介素-8 和C反应蛋白水平较低(P<0。05)。两组不良反应发生率比较差异无统计学意义(P>0。05)。结论 对COPD患者施以氟替美维吸入制剂联合甘氨酸茶碱治疗,临床疗效显著,有利于促进患者肺功能、血气指标的改善,并能有效减轻机体炎症水平,同时也具有较高的安全性。
Clinical Study on the Treatment of Chronic Obstructive Pulmonary Disease with Flutamide Inhalation Preparation Combined with Glycine Theophylline
Objective To investigate the clinical effect of flutamide inhalation preparation combined with glycine theophylline in the treatment of COPD.Methods A total of 72 patients with COPD admitted to Shangyou County Hospital of Traditional Chinese Medicine from October 2020 to November 2022 were randomly divided into two groups(n=36).The control group was treated with flutamide inhalation preparation,based on this,the observation group was treated with glycinate theophylline for one month.The clinical efficacy,lung function,blood gas index,inflammatory factors,6MWT level and incidence of adverse events were compared between the two groups.Results Compared with the control group(83.33%),the total effective rate of the observation group(97.22%)was higher(P<0.05).After treatment,the levels of FVC,FEV1,FEV1/FVC,PEF,PaO2,SaO2 and 6MWT in the observation group were higher than those in the control group(P<0.05)and the levels of PaCO2,CRP and IL-8 in the observation group were lower than those in the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion The clinical efficacy of flutamide inhalation combined with glycinate theophylline in COPD patients is significant,which is beneficial to the improvement of lung function and blood gas indexes of patients,and can effectively reduce the level of body inflammation,and has a high safety.

Chronic obstructive pulmonary diseaseFlutamide inhalation preparationGlycine theophylline sodiumEfficacyPulmonary function

郑文龙、甘丽丽、朱建伟

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上犹县中医院,江西 上犹 341200

慢性阻塞性肺疾病 氟替美维吸入制剂 甘氨酸茶碱钠 疗效 肺功能

赣州市指导性科技计划

20222ZDX9963

2024

药品评价
江西省药学会

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影响因子:0.672
ISSN:1672-2809
年,卷(期):2024.21(2)
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