首页|复方甲氧那明胶囊联合布地奈德福莫特罗吸入粉雾剂治疗老年稳定期慢性阻塞性肺疾病患者的效果

复方甲氧那明胶囊联合布地奈德福莫特罗吸入粉雾剂治疗老年稳定期慢性阻塞性肺疾病患者的效果

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目的:观察复方甲氧那明胶囊联合布地奈德福莫特罗吸入粉雾剂治疗老年稳定期慢性阻塞性肺疾病(COPD)患者的效果.方法:选取 2022 年 3 月至 2023 年 4 月该院收治的 82 例老年稳定期COPD患者进行前瞻性研究,按照随机数字表法分为研究组与对照组各 41 例.对照组采用布地奈德福莫特罗吸入粉雾剂治疗,研究组在对照组基础上联合复方甲氧那明胶囊治疗,比较两组治疗总有效率、肺功能指标[第 1 秒用力呼气容积(FEV1)、FEV1/用力肺活量(FVC)]水平、呼吸频率、动脉血二氧化碳分压(PaCO2)、血氧饱和度(SaO2)和不良反应发生率.结果:研究组治疗总有效率为 95.12%,明显高于对照组的 78.05%,差异有统计学意义(P<0.05);治疗后,两组FEV1、FEV1/FVC、SaO2 水平高于治疗前,且研究组高于对照组,呼吸频率、PaCO2 水平低于治疗前,且研究组低于对照组,差异均有统计学意义(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:复方甲氧那明胶囊联合布地奈德福莫特罗吸入粉雾剂治疗老年稳定期COPD患者可提高治疗总有效率、肺功能指标水平和SaO2 水平,降低呼吸频率和PaCO2 水平,效果优于单纯布地奈德福莫特罗吸入粉雾剂治疗.
Effects of Compound Methoxyphenamine capsules combined with Budesonide/Fomoterol powder for inhalation in treatment of elderly patients with stable chronic obstructive pulmonary disease
Objective:To observe effects of Compound Methoxyphenamine capsules combined with Budesonide/Fomoterol powder for inhalation in treatment of elderly patients with stable chronic obstructive pulmonary disease(COPD).Methods:A prospective study was conducted on 82 elderly patients with stable COPD admitted to this hospital from March 2022 to April 2023.They were divided into study group and control group according to the random number table method,41 cases in each group.The control group was treated with Budesonide/Fomoterol powder for inhalation,while the study group was treated with Compound Methoxyphenamine capsules on the basis of that of the control group.The total effective rate of treatment,the lung function indexes[forced expiratory volume in one second(FEV1),FEV1/forced vital capacity(FVC)]levels,the respiratory rate,the arterial partial pressure of carbon dioxide(PaCO2),the arterial oxygen saturation(SaO2),and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of the study group was 95.12%,which was significantly higher than 78.05%of the control group,and the difference was statistically significant(P<0.05).After the treatment,the levels of FEV1,FEV1/FVC and SaO2 in the two groups were higher than those before the treatment,and those in the study group were higher than those in the control group;the levels of respiratory rate and PaCO2 were lower than those before the treatment,and those in the study group were lower than those in the control group;and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Compound Methoxyphenamine capsule combined with Budesonide/Fomoterol powder for inhalation in the treatment of the elderly patients with stable COPD can improve the total effective rate,the lung function index levels and the SaO2 levels,and reduce the respiratory rate and the PaCO2 levels.Moreover,it is superior to single Budesonide/Fomoterol powder for inhalation treatment.

Compound Methoxyphenamine capsulesBudesonide/FomoterolElderlyChronic obstructive pulmonary diseaseLung functionRespiratory ratePartial pressure of carbon dioxide

盛彦芳

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濮阳广慈医院老年病科,河南 濮阳 457100

复方甲氧那明胶囊 布地奈德福莫特罗 老年 慢性阻塞性肺疾病 肺功能 呼吸频率 二氧化碳分压

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(2)
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