首页|流感患儿经重组人干扰素α2b雾化吸入联合帕拉米韦注射液治疗的效果分析

流感患儿经重组人干扰素α2b雾化吸入联合帕拉米韦注射液治疗的效果分析

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目的 分析流感患儿经重组人干扰素α2b雾化吸入联合帕拉米韦注射液的治疗效果。方法 回顾性分析2020年8月至2023年8月驻马店广济心血管病医院88例流感患儿,按不同治疗方案分为对照组(接受帕拉米韦注射液治疗)、研究组(接受重组人干扰素α 2b雾化吸入联合帕拉米韦注射液),各44例。比较两组临床疗效,症状改善及住院时间,不良反应发生率及治疗前后血清炎性因子[肿瘤坏死因子-α(TNF-α)、单核细胞趋化蛋白-1(MCP-1)、C反应蛋白(CRP)、白细胞介素-6(IL-6)],免疫球蛋白[免疫球蛋白A(IgA)、免疫球蛋白M(IgM)、免疫球蛋白G(IgG)]。结果 研究组临床总有效率95。45%高于对照组81。82%(P<0。05);研究组咳嗽、咽痛、高热等症状改善时间及住院时间短于对照组(P<0。05);研究组TNF-α、CRP、IL-6、MCP-1较对照组低(P<0。05);与治疗前比较,两组IgA、IgM、IgG均升高,且研究组更高(P<0。05);研究组不良反应发生率(9。09%)与对照组(6。82%)比较,差异无统计学意义(P>0。05)。结论 流感患儿采用重组人干扰素α2b雾化吸入联合帕拉米韦注射液治疗可减轻机体炎症反应,改善免疫功能,加速病情恢复,效果显著,且安全性高。
Effectiveness Analysis of Children with Influenza Treated with Recombinant Human Interferon α2b Nebulised Inhalation Combined with Paramivir Injection
Objective To analyze the therapeutic effect of recombinant human interferon α2b nebulised inhalation combined with peramivir injection in children with influenza.Methods A retrospective analysis was performed on 88 children with influenza in Zhumadian Guangji Cardiovascular Hospital from August 2020 to August 2023,and they were divided into control group(receiving peramivir injection)and study group(receiving recombinant human interferon α2b nebulised inhalation combined with peramivir injection)according to different treatment plans,44 cases in each group.Compare the clinical efficacy,symptom improvement,length of stay and incidence of adverse reactions between the two groups,as well as serum inflammatory factors[tumor necrosis factor-α(TNF-α),monocyte chemoattractant protein-1(MCP-1),C-reactive protein(CRP),interleukin-6(IL-6)],immunoglobulin[immunoglobulin A(IgA),immunoglobulin M(IgM),immunoglobulin G(IgG)]before and after treatment.Results The total clinical effective rate of the study group 95.45%was higher than that of the control group 81.82%(P<0.05).The improvement time of cough,sore throat,high fever and other symptoms in the study group was shorter than that in the control group(P<0.05).Compared with the control group,TNF-α,CRP,IL-6 and MCP-1 were lower in the study group after treatment(P<0.05).Compared with before treatment,IgA,IgM and IgG were increased in both groups,and more significantly in the study group(P<0.05).There was no significant difference in the incidence of adverse reactions between the study group(9.09%)and the control group(6.82%)(P>0.05).Conclusion Recombinant human interferon α2b nebulised inhalation combined with peramivir injection can reduce inflammation,improve immune function and accelerate disease recovery in children with influenza,with significant effect and high safety.

InfluenzaRecombinant human interferon α2bPeramivir injectionInflammatory factorsImmunoglobulin

徐远幸、黄妮妮、苏维彬

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驻马店广济心血管病医院,河南 驻马店 463000

流感 重组人干扰素α2b 帕拉米韦注射液 炎性因子 免疫球蛋白

2024

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江西省药学会

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影响因子:0.672
ISSN:1672-2809
年,卷(期):2024.21(6)