首页|孟鲁司特钠联合布地格福吸入气雾剂对COPD患者血气指标、炎性因子及肺功能指标的影响

孟鲁司特钠联合布地格福吸入气雾剂对COPD患者血气指标、炎性因子及肺功能指标的影响

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目的 分析孟鲁司特钠联合布地格福吸入气雾剂对慢性阻塞性肺疾病(COPD)患者血气指标、炎性因子及肺功能指标的影响。方法 按随机数字表法将2021年1月至2023年9月于龙南市第一人民医院治疗的80例COPD患者分为对照组(40例)和观察组(40例)。两组均进行止咳、抗感染及吸氧等治疗,对照组给予布地格福吸入气雾剂治疗,观察组给予布地格福吸入气雾剂联合孟鲁司特钠治疗,两组连续治疗3个月。比较两组临床疗效,炎症因子,肺功能指标[第一秒用力呼气量(FEV1)、用力肺活量(FVC)、最大呼吸流量(PEF)、第一秒用力呼吸量占预计值得百分比(FEV1%)],血气指标[二氧化碳分压(PaCO2)、血氧分压(PaO2)]和不良反应发生率。结果 观察组总有效率较对照组高(P<0。05)。治疗后,观察组白细胞介素-6(IL-6)、C蛋白反应(CRP)水平均较对照组低(P<0。05);观察组FVC、PEF、FEV1、FEV1%指标均较对照组高(P<0。05);观察组PaCO2指标较低,PaO2指标较高(P<0。05)。不良反应两组比较差异无统计学意义(P>0。05)。结论 COPD患者予以孟鲁司特钠联合布地格福吸入气雾剂治疗,可有效改善患者呼吸困难症状与血气指标,增强肺功能,降低炎症因子水平,效果确切,且安全性较高。
The Effects of Montelukast Sodium Combined with Budesonide,Glycopyrronium Bromide and Formoterol Fumarate Inhalation Aerosol on Blood Gas Indicators,Inflammatory Factors,and Lung Function Indicators in COPD Patients
Objective To analyze the effects of montelukast sodium combined with budesonide,glycopyrronium bromide and formoterol fumarate inhalation aerosol on blood gas indicators,inflammatory factors,and lung function indicators in patients with chronic obstructive pulmonary disease (COPD). Methods 80 COPD patients treated in Longnan First People's Hospital from January 2021 to September 2023 were divided into a control group (40 cases) and an observation group (40 cases) using a random number table method. Both groups of patients were treated with cough relief,anti infection,and oxygen therapy. The control group was treated with budesonide,glycopyrronium bromide and formoterol fumarate inhalation aerosol,while the observation group was treated with budesonide,glycopyrronium bromide and formoterol fumarate inhalation aerosol combined with montelukast sodium. The two groups were treated continuously for 3 months. Compare the clinical efficacy,inflammatory factors[interleukin-6 (IL-6),C-protein response (CRP)],lung function indicators[first second forced expiratory volume (FEV1),forced vital capacity (FVC),maximum respiratory flow (PEF),percentage of first second forced respiratory volume to expected value (FEV1%)],blood gas indicators[partial pressure of carbon dioxide (PaCO2),partial pressure of blood oxygen (PaO2)],and incidence of adverse reactions between two groups. Results The total effective rate of the observation group was higher than that of the control group (P<0.05). After treatment,the levels of IL-6 and CRP in the observation group were lower than those in the control group (P<0.05);the FVC,PEF,FEV1,and FEV1% indicators in the observation group were higher than those in the control group (P<0.05);the observation group had lower PaCO2 indicators and higher PaO2 indicators (P<0.05). There was no statistically significant difference in adverse reactions between the two groups (P>0.05). Conclusion The combination of montelukast sodium and budesonide,glycopyrronium bromide and formoterol fumarate inhalation aerosol can effectively improve respiratory distress symptoms and blood gas indicators in COPD patients,enhance lung function,reduce levels of inflammatory factors,and have a definite effect with high safety.

Chronic obstructive pulmonary diseaseMontelukast sodiumBudesonide,glycopyrronium bromide and formoterol fumarate inhalation aerosolBlood gas indicatorsInflammatory factorsPulmonary function indicators

廖亮亮

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赣南医学院第一附属医院龙南医院,龙南市第一人民医院,江西龙南 341700

慢性阻塞性肺疾病 孟鲁司特钠 布地格福吸入气雾剂 血气指标 炎性因子 肺功能指标

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(8)