首页|二羟丙茶碱联合丙酸倍氯米松治疗支气管哮喘缓解期患者的效果

二羟丙茶碱联合丙酸倍氯米松治疗支气管哮喘缓解期患者的效果

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目的:观察二羟丙茶碱联合丙酸倍氯米松治疗支气管哮喘缓解期患者的效果.方法:回顾性分析 2020 年 4 月至 2022 年11 月该院收治的 108 例支气管哮喘缓解期患者的临床资料,根据治疗方法不同将其分为对照组和观察组各 54 例.对照组采用丙酸倍氯米松治疗,观察组在对照组基础上联合二羟丙茶碱治疗,比较两组临床疗效、治疗前后哮喘控制测试表(ACT)评分、血气分析指标[动脉血二氧化碳分压(PaCO2)、氧分压(PaO2)]水平、肺功能指标[呼气峰值流速(PEF)、第1秒用力呼气容积(FEV1)、用力肺活量(FVC)]水平和炎性因子[肿瘤坏死因子-α(TNF-α)、脂氧素A4(LXA4)、C反应蛋白(CRP)]水平.结果:观察组治疗总有效率为 96.30%(52/54),高于对照组的83.33%(45/54),差异有统计学意义(P<0.05);治疗后,观察组ACT评分高于对照组,差异有统计学意义(P<0.05);观察组PaO2 水平高于对照组,PaCO2 水平低于对照组,差异均有统计学意义(P<0.05);观察组FEV1、FVC、PEF水平均高于对照组,TNF-α、CRP、LXA4 水平均低于对照组,差异有统计学意义(P<0.05).结论:二羟丙茶碱联合丙酸倍氯米松治疗支气管哮喘缓解期患者可提高治疗总有效率、肺功能指标水平和ACT评分,改善血气分析指标水平,降低炎性因子水平,效果优于单纯丙酸倍氯米松治疗.
Effects of Diprophylline combined with Beclomethasone dipropionate in treatment of patients with bronchial asthma in remission period
Objective:To observe effects of Diprophylline combined with Beclomethasone dipropionate in treatment of patients with bronchial asthma in remission period.Methods:The clinical data of 108 patients with bronchial asthma in remission period admitted to this hospital from April 2020 to November 2022 were retrospectively analyzed.According to different treatment methods,they were divided into control group and observation group,54 cases in each group.The control group was treated with Beclomethasone dipropionate,while the observation group was treated with Diprophylline on the basis of that od the control group.The clinical efficacy,the asthma control test(ACT)score,the blood gas analysis indexes[arterial partial pressure of carbon dioxide(PaCO2),partial pressure of oxygen(PaO2)]levels,the lung function indexes[peak expiratory flow(PEF),forced expiratory volume in one second(FEV1),forced vital capacity(FVC)]levels,and the inflammatory factors[tumor necrosis factor-α(TNF-α),lipoxin A4(LXA4),C-reactive protein(CRP)]levels were compared between the two groups before and after the treatment.Results:The total effective rate of the observation group was 96.30%(52/54),which was higher than 83.33%(45/54)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the ACT score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The PaO2 level of the observation group was higher than that of the control group,the PaCO2 level was lower than that of the control group,and the differences were statistically significant(P<0.05).Further,the levels of FEV1,FVC and PEF in the observation group were higher than those in the control group,the levels of TNF-α,CRP and LXA4 were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:Diprophylline combined with Beclomethasone dipropionate in the treatment of the patients with bronchial asthma in remission period can improve the total effective rate,the lung function index levels and the ACT scores,improve the levels of blood gas analysis indexes,and reduce the levels of inflammatory factors.Moreover,it is superior to single Beclomethasone propionate treatment.

DiprophyllineBeclomethasone propionateBronchial asthma in remission periodLung functionInflammatory factor

陈梦诗、高辉煜

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平顶山市中医医院,中药房,河南 平顶山 467000

平顶山市中医医院,肺病科,河南 平顶山 467000

二羟丙茶碱 丙酸倍氯米松 支气管哮喘缓解期 肺功能 炎性因子

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(3)
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