首页|茚达特罗格隆溴铵联合布地奈德治疗慢性阻塞性肺疾病患者的效果

茚达特罗格隆溴铵联合布地奈德治疗慢性阻塞性肺疾病患者的效果

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目的:观察茚达特罗格隆溴铵联合布地奈德治疗慢性阻塞性肺疾病(COPD)患者的效果.方法:回顾性分析 2022 年 6 月至 2024 年 4 月该院收治的 68 例COPD患者的临床资料,按不同治疗方案将其分为对照组与观察组各 34 例.对照组采用布地奈德混悬液雾化吸入治疗,观察组在对照组基础上联合茚达特罗格隆溴铵治疗,比较两组治疗前后肺功能指标[用力肺活量(FVC)、第 1 秒用力呼气容积(FEV1)、FEV1/FVC]水平、炎性因子[白细胞介素-6(IL-6)、白细胞介素-8(IL-8)、肿瘤坏死因子-α(TNF-α)、超敏C反应蛋白(hs-CRP)]水平、血气分析指标[动脉血氧分压(PaO2)、动脉血氧饱和度(SaO2)、动脉血二氧化碳分压(PaCO2)]水平和不良反应发生率.结果:治疗后,两组FEV1、FVC、FEV1/FVC水平均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);两组IL-6、IL-8、TNF-α、hs-CRP水平均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);两组PaO2、SaO2 水平均高于治疗前,且观察组高于对照组,两组PaCO2 水平均低于治疗前,且观察组低于对照组,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:茚达特罗格隆溴铵联合布地奈德治疗COPD患者可提高肺功能指标水平,改善血气分析指标水平,降低炎性因子水平,效果优于单纯布地奈德混悬液雾化吸入治疗.
Effects of Indacaterol maleate and Glycopyrronium bromide combined with Budesonide in treatment of patients with chronic obstructive pulmonary disease
Objective:To observe effects of Indacaterol maleate and Glycopyrronium bromide combined with Budesonide in treatment of patients with chronic obstructive pulmonary disease(COPD).Methods:The clinical data of 68 patients with COPD admitted to this hospital from June 2022 to April 2024 were retrospectively analyzed.According to different treatment schemes,they were divided into control group and observation group,34 cases in each group.The control group was treated with Budesonide suspension aerosol inhalation,while the observation group was treated with Indacaterol maleate and Glycopyrronium bromide on the basis of that of the control group.The levels of pulmonary function indexes[forced vital capacity(FVC),forced expiratory volume in one second(FEV1),FEV1/FVC],inflammatory factors[interleukin-6(IL-6),interleukin-8(IL-8),tumor necrosis factor-α(TNF-α),hypersensitive C-reactive protein(hs-CRP)]and blood gas analysis indexes[arterial partial pressure of oxygen(PaO2),arterial oxygen saturation(SaO2),arterial partial pressure of carbon dioxide(PaCO2)],and the incidence of adverse reactions were compared between the two groups before and after the treatment.Results:After the treatment,the levels of FEV1,FVC and FEV1/FVC in the two groups were higher than those before the treatment,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The levels of IL-6,IL-8,TNF-α and hs-CRP in the two groups were lower than those before the treatment,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The levels of PaO2 and SaO2 in the two groups were higher than those before the treatment,and those in the observation group were higher than those in the control group;the PaCO2 levels of the two groups were lower than those before the treatment,and that in the observation group was lower than that 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:Indacaterol maleate and Glycopyrronium bromide combined with Budesonide in the treatment of the COPD patients can improve the levels of lung function indexes,improve the levels of blood gas analysis indexes,and reduce the levels of inflammatory factors.Moreover,it is superior to simple Budesonide suspension aerosol inhalation.

Indacaterol maleate and Glycopyrronium bromideBudesonideChronic obstructive pulmonary diseaseLung functionBlood gas analysisInflammatory factorAdverse reaction

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上高县人民医院药剂科,江西 宜春 336400

茚达特罗格隆溴铵 布地奈德 慢性阻塞性肺疾病 肺功能 血气分析 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(19)