首页|特布他林联合孟鲁司特钠治疗支气管哮喘患者的效果

特布他林联合孟鲁司特钠治疗支气管哮喘患者的效果

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目的:观察特布他林联合孟鲁司特钠治疗支气管哮喘患者的效果.方法:选取 2020 年 1 月至 2022 年 12 月该院收治的186 例支气管哮喘患者进行前瞻性研究,按随机数字表法将其分为对照组(n=93)和研究组(n=93).对照组采用孟鲁司特钠治疗,研究组在对照组基础上联合特布他林治疗.比较两组临床疗效,治疗前后炎性因子[肿瘤坏死因子-α(TNF-α)、白细胞介素-8(IL-8)、白细胞介素-17(IL-17)]水平、氧化应激指标[丙二醛(MDA)、超氧化物歧化酶(SOD)]水平、呼吸力学指标[气道峰压(PIP)、气道阻力(Raw)、呼吸做功(WOB)]水平,以及不良反应发生率.结果:研究组治疗总有效率为94.62%(88/93),高于对照组的81.72%(76/93),差异有统计学意义(P<0.05);治疗后,两组TNF-α、IL-8、IL-17水平均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05);两组MDA水平均低于治疗前,且研究组低于对照组,两组SOD水平均高于治疗前,且研究组高于对照组,差异有统计学意义(P<0.05);两组PIP、Raw、WOB水平均低于治疗前,且研究组低于对照组,差异有统计学意义(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:特布他林联合孟鲁司特钠治疗支气管哮喘患者可提高治疗总有效率,改善氧化应激指标水平,降低呼吸力学指标和炎性因子水平,其效果优于单纯孟鲁司特钠治疗.
Effects of Terbutaline combined with Montelukast sodium in treatment of patients with bronchial asthma
Objective:To observe effects of Terbutaline combined with Montelukast sodium in treatment of patients with bronchial asthma.Methods:A prospective study was conducted on 186 patients with bronchial asthma admitted to the hospital from January 2020 to December 2022.They were divided into control group(n=93)and study group(n=93)by using the random number table method.The control group was treated with Montelukast sodium,while the study group was treated with Terbutaline on the basis of that of the control group.The clinical efficacy,the levels of inflammatory factors[tumor necrosis factor-α(TNF-α),interleukin-8(IL-8),interleukin-17(IL-17)],oxidative stress indexes[malondialdehyde(MDA),superoxide dismutase(SOD)]and respiratory mechanics indexes[peak airway pressure(PIP),airway resistance(Raw),respiratory work(WOB)],and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of the study group was 94.62%(88/93),which was higher than 81.72%(76/93)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the levels of TNF-α,IL-8 and IL-17 in the two groups were lower than those before the treatment,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).The levels of MDA in the two groups were lower than those before the treatment,and that in the study group was lower than that in the control group;the levels of SOD in the two groups were higher than those before the treatment,and that in the study group was higher than that in the control group;and the differences were statistically significant(P<0.05).The levels of PIP,Raw and WOB in the two groups were lower than those before the treatment,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:Terbutaline combined with Montelukast sodium in the treatment of the patients with bronchial asthma can improve the total effective rate of treatment,improve the levels of oxidative stress indexes and reduce the levels of respiratory mechanics indexes and inflammatory factors.Moreover,it is superior to single Montelukast sodium treatment.

Bronchial asthmaTerbutalineMontelukast sodiumRespiratory mechanicsOxidative stressInflammatory factorAdverse reaction

蔡晓菲、魏然、马慧、贾金广

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河南中医药大学第五临床医学院 郑州人民医院呼吸与危重症医学科,河南 郑州 450000

支气管哮喘 特布他林 孟鲁司特钠 呼吸力学 氧化应激 炎性因子 不良反应

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(11)
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