首页|氨茶碱联合布地奈德治疗慢阻肺的疗效及对患者生活质量的影响探讨

氨茶碱联合布地奈德治疗慢阻肺的疗效及对患者生活质量的影响探讨

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目的 探析慢性阻塞性肺疾病(慢阻肺)患者应用氨茶碱联合布地奈德的治疗效果及对生活质量的影响。方法 纳入慢阻肺患者 80 例为分析对象,采用随机数字表法分为对照组、观察组,各 40 例。所有患者均接受常规对症治疗,对照组同时应用布地奈德治疗,观察组在对照组基础上应用氨茶碱治疗。对比两组患者的临床疗效及治疗前后肺功能指标[第 1 秒用力呼气容积占预计值的百分比(FEV1%)、用力肺活量(FVC)、第 1 秒用力呼气容积与用力肺活量的比值(FEV1/FVC)]、生活质量。结果 观察组患者治疗总有效率 95。00%显著高于对照组的 77。50%,差异有统计学意义(P<0。05)。治疗后两组FEV1%、FVC、FEV1/FVC均高于治疗前,且观察组FEV1%(71。28±11。73)%、FVC(2。75±0。21)L、FEV1/FVC(69。55±10。67)%均高于对照组的(62。31±10。27)%、(2。45±0。15)L、(60。38±10。06)%,差异有统计学意义(P<0。05)。治疗后两组生理、心理、社会、环境评分均高于治疗前,且观察组生理评分(4。39±0。78)分、心理评分(4。41±0。97)分、社会评分(4。48±0。79)分、环境评分(4。78±0。89)分均高于对照组的(3。41±1。09)、(3。14±1。02)、(3。35±1。14)、(3。46±0。98)分,差异有统计学意义(P<0。05)。结论 为慢阻肺患者在布地奈德基础上联合氨茶碱治疗,有利于更好地控制病情,改善肺功能及生活质量。
The therapeutic effect of aminophylline combined with budesonide on patients with chronic obstructive pulmonary disease and its influence on quality of life of patients
Objective To explore the therapeutic effect of aminophylline combined with budesonide on patients with chronic obstructive pulmonary disease and its influence on quality of life of patients.Methods 80 patients with chronic obstructive pulmonary disease were included as the analysis subjects.The patient were divided into a control group and an observation group using a random number table,with 40 patients in each group.All patients received routine symptomatic treatment,while the control group received budesonide,and the observation group received aminophylline on this basis.Both groups were compared in terms of clinical efficacy,pulmonary function indexes[forced expiratory volume in one second as a percentage of the predicted value(FEV1%),forced vital capacity(FVC),ratio of forced expiratory volume in one second to forced vital capacity(FEV1/FVC)]and quality of life of before and after treatment.Results The total effective rate was 95.00%in the observation group,which was significantly higher than 77.50%in the control group,and the difference was statistically significant(P<0.05).After treatment,FEV1%,FVC and FEV1/FVC in both groups were higher than those before treatment;the observation group had FEV1%of(71.28±11.73)%,FVC of(2.75±0.21)L and FEV1/FVC of(69.55±10.67)%,which were higher than(62.31±10.27)%,(2.45±0.15)L and(60.38±10.06)%in the control group;the difference was statistically significant(P<0.05).After treatment,the scores of physiology,psychology,society and environment in both groups were higher than those before treatment;the physiology score in the observation group was(4.39±0.78)points,the psychology score was(4.41±0.97)points,the society score was(4.48±0.79)points and the environment score was(4.78±0.89)points,which were higher than(3.41±1.09),(3.14±1.02),(3.35±1.14)and(3.46±0.98)points in the control group;the difference was statistically significant(P<0.05).Conclusion Combination of aminophylline and budesonide for patients with chronic obstructive pulmonary disease is beneficial for better control of the condition,improvement of lung function and quality of life.

AminophyllineBudesonideChronic obstructive pulmonary diseaseLung functionQuality of life

潘艳婷

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737100 金昌市金川区双湾镇中心卫生院

氨茶碱 布地奈德 慢性阻塞性肺疾病 肺功能 生活质量

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(13)
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