首页|痰热清注射液联合布地奈德福莫特罗吸入治疗慢性阻塞性肺疾病急性加重期患者的效果

痰热清注射液联合布地奈德福莫特罗吸入治疗慢性阻塞性肺疾病急性加重期患者的效果

扫码查看
目的:观察痰热清注射液联合布地奈德福莫特罗吸入治疗慢性阻塞性肺疾病(COPD)急性加重期患者的效果.方法:选取 2022-2023 年该院收治的 96 例COPD急性加重期患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各 48 例.对照组给予布地奈德福莫特罗吸入治疗,观察组在对照组基础上联合痰热清注射液治疗.比较两组临床疗效,治疗前后中医证候积分(主症、次症)、肺功能[用力肺活量(FVC)、第 1 秒用力呼气容积(FEV1)、呼气峰值流速(PEF)]水平、炎性因子[淀粉样蛋白A(SAA)、白细胞介素-6(IL-6)]水平和氧化应激指标[超氧化物歧化酶(SOD)]水平,以及不良反应发生率.结果:观察组治疗总有效率为93.75%(45/48),高于对照组的72.92%(35/48),差异有统计学意义(P<0.05);治疗后,两组主症、次症等中医证候积分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);两组FVC、FEV1 及PEF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);治疗后,两组SOD水平均高于治疗前,且观察组高于对照组,两组SAA、IL-6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:痰热清注射液联合布地奈德福莫特罗吸入治疗COPD急性加重期患者可提高治疗总有效率、肺功能指标水平和SOD水平,降低中医证候积分和炎性因子水平的效果优于单纯布地奈德福莫特罗吸入治疗.
Effects of Tanreqing injection combined with Budesonide Formoterol inhalation in treatment of patients with acute exacerbation of chronic obstructive pulmonary disease
Objective:To observe effects of Tanreqing injection combined with Budesonide Formoterol inhalation in treatment of patients with acute exacerbation of chronic obstructive pulmonary disease(COPD).Methods:A prospective study was conducted on 96 patients with acute exacerbation of COPD admitted to this hospital from 2022 to 2023.According to the random number table method,they were divided into control group and observation group,48 cases in each group.The control group was treated with Budesonide Formoterol inhalation,while the observation group was treated with Tanreqing injection on the basis of that of the control group.The clinical efficacy,the scores of TCM syndromes(main symptoms,secondary symptoms),the levels of lung function[forced vital capacity(FVC),forced expiratory volume in one second(FEV1),peak expiratory flow rate(PEF)],the levels of inflammatory factors[amyloid A(SAA),interleukin-6(IL-6)],and the levels of oxidative stress indexes[superoxide dismutase(SOD)],before and after the treatment,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of the observation group was 93.75%(45/48),which was higher than 72.92%(35/48)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the scores of TCM syndromes such as main symptoms and secondary symptoms 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 FVC,FEV1 and PEF 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).After the treatment,the SOD levels of the two groups were higher than those before the treatment,and that in the observation group was higher than that in the control group;the levels of SAA and IL-6 in the two groups were lower than those before the treatment,and those in the observation 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:Tanreqing injection combined with Budesonide Formoterol inhalation in the treatment of the patients with acute exacerbation of COPD can improve the total effective rate,the lung function index levels and the SOD levels,and reduce the TCM syndrome scores and the inflammatory factor index levels.Moreover,it is superior to simple Budesonide Formoterol inhalation treatment.

Chronic obstructive pulmonary diseaseAcute exacerbationTanreqing injectionLung functionInflammatory factor

于亚红

展开 >

西咸新区沣东新城泰和医院急诊科,陕西 咸阳 710086

慢性阻塞性肺疾病 急性加重期 痰热清注射液 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(19)
  • 13