首页|布地奈德联合特布他林雾化治疗在慢性阻塞性肺病中的应用及对炎性因子的影响

布地奈德联合特布他林雾化治疗在慢性阻塞性肺病中的应用及对炎性因子的影响

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目的 观察布地奈德联合特布他林雾化治疗在慢性阻塞性肺病中的应用及其对炎性因子的影响.方法 回顾性收集玉环县人民医院2014年5月~2016年5月收治的诊断为慢性阻塞性肺炎的患者189例,将其分为2组:观察组和对照组.观察组给予布地奈德联合特布他林雾化治疗,共98例,对照组给予特布他林单药雾化治疗方法,共91例.比较2组患者的临床疗效、治疗前后动脉血气分析指标动脉血氧分压(PaO2)、二氧化碳分压(PaCO2)及炎性因子白介素-6(IL-6)、白介素-8(IL-8)、肿瘤坏死因子(TNF-α)、C-反应蛋白(CRP)、降钙素原(PCT)变化情况.结果 观察组总有效率分别为93.9%,明显高于对照组的80.2%,差异有统计学意义(P<0.05);与对照组比较,治疗后观察组患者动脉血PaO2水平明显升高,差异有统计学意义(P<0.05),PaCO2水平明显降低,差异有统计学意义(P<0.05);与对照组比较,治疗后2组患者血清中炎性因子IL-6、IL-8、TNF-α、CPR、PCT水平均有不同程度降低,且观察组患者的降低幅度明显高于对照组的降低幅度,差异有统计学意义(P<0.05).结论 布地奈德联合特布他林雾化治疗能提高患者PaO2,减少炎症反应,临床疗效确切.
Application of budesonide combined with terbutaline aerosol in chronic obstructive pulmonary disease and its influence on inflammatory factors
Objective To observe the application of budesonide combined with terbutaline aerosol therapy in chronic obstructive pulmonary disease (COPD) and its influence on inflammatory factors.Methods Retrospective a total of 189 cases from May 2014 to May 2016 in our hospital were collected, they were divided them into two groups: the observation group and the control group.Observation group was given budesonide combined terbutaline aerosol therapy, total cases were 98, control group was given terbutaline atomization treatment alone, total cases were 91.The clinical efficacy of the two groups was compared, the changes of PaO2 , PaCO2 , IL-6, IL-8, TNF-α, CRP and PCT were measured before and after treatment. Results The total effective rate of the observation group was 93.9%, significantly higher than the control group 80.2%, the difference was statistically significant (P<0.05), compared with control group, the arterial blood PaO2 levels increased significantly, the difference was statistically significant (P<0.05), PaCO2 level significantly decreased, the difference was statistically significant (P<0.05), compared with the control group, the levels of IL-6, IL-8, TNF-α, CPR and PCT in the serum of the two groups decreased after treatment, and the reduces range was higher in observation group than that of control group, the difference was statistically significant (P <0.05).Conclusion Budesonide combined with terbutaline atomization could improve the level of arterial blood PaO2 , reduce inflammation, clinical curative effect were well.

budesonideterbutalinechronic obstructive pulmonary disease

黄桔红、姚必瑜

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玉环县人民医院 呼吸内科,浙江 台州 317600

布地奈德 特布他林 慢性阻塞性肺疾病

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(2)
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