首页|孟鲁司特治疗支气管哮喘的疗效及对患者免疫状态的影响

孟鲁司特治疗支气管哮喘的疗效及对患者免疫状态的影响

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目的 观察孟鲁斯特治疗支气管哮喘的疗效及其对患儿免疫状态的影响.方法 筛选2014年12月~2016年1月期间来浙江省宁波市北仑区第二人民医院就诊的支气管哮喘患儿病例92例,随机分为2组.对照组给予支气管扩张剂+糖皮质激素吸入的常规治疗,治疗组在此基础上加载孟鲁司特钠片,10 mg/次,1次/d,疗程为1个月,记录治疗前后哮喘急性发作次数和β受体激动剂使用次数,治疗前及治疗后对患者的肺功能、血清T淋巴细胞亚群水平及炎症细胞因子水平等进行检测,比较组间差异.结果 治疗后,治疗组患儿日间、夜间急性发作次数和β受体激动剂的使用次数均显著低于对照组,治疗组患儿FEV1%、FVC%、PEF%显著高于对照组,治疗组患儿CD8+水平显著低于对照组,CD4+/CD8+比例显著高于对照组,治疗组患儿血清IL-2、INF-γ水平显著高于对照组,而IL-4、IL-8水平则显著低于对照组(P<0.05).结论 孟鲁司特对支气管哮喘患儿CD4+/CD8+、Th1/Th2失衡有一定的调节作用,对哮喘有较好的防治效果.
Clinical efficacy of montelukast on bronchial asthma and influence on the immune state of patients
Objective To observe the effect of montelukast on bronchial asthma and influence on the immune state , in order to provide support for the treatment of montelukast.Methods 92 patients with bronchial asthma in our hospital from December 2014 to January 2016 were selected in the study and randomLy divided into two group.The control group was treated with the conventional therapy of bronchial dilation and glucocorticoid inhalation , and on this basis, the treatment group was loaded with montelukast, 10 mg/times, one times of one day, and the course of treatment was one months.Then the frequency of acute attack of asthma and the number of beta receptor agonist were before and after treatment were recorded , and the lung function the level of T lymphocyte subsets and the levels of inflammatory cytokines before treatment and after treatment were detected , and the difference between the two groups was compared.Results After treatment, t the frequency of acute attack of asthma of day and night and the number of beta receptor agonist of the treatment group were significantly lower than the control group, the FEV1%, FVC% and PEF% of the treatment group were significantly higher than the control group, the level of CD8 + was significantly lower than the control group, the ratio of CD4 +/CD8 + was higher than the control group; the levels of IL-2, INF-γwere higher than the control group, while the levels of IL-4, IL-8 were lower than the control group (P<0.05).Conclusion The montelukast has certain regulation effect on imbalance of CD4 +/CD8 +and Th1/Th2 in children with bronchial asthma, and have a good effect on the prevention of asthma.

bronchial asthmamontelukastimmune state

陈琳、唐聪、吴蕾

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浙江省宁波市北仑区第二人民医院 西药房,浙江 宁波 315800

浙江省宁波市北仑区第二人民医院 外科,浙江 宁波 315800

浙江省宁波市北仑区第二人民医院 疼痛科,浙江 宁波 315800

支气管哮喘 孟鲁司特 免疫状态

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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