首页|沙丁胺醇联合氨溴索雾化吸入对支气管扩张患者肺功能的影响分析

沙丁胺醇联合氨溴索雾化吸入对支气管扩张患者肺功能的影响分析

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目的 探析沙丁胺醇联合氨溴索雾化吸入对支气管扩张患者肺功能的影响。方法 将74 例支气管扩张手术患者设为研究对象,将其按照入院顺序分为对照组和观察组,每组 37 例。对照组给予氨溴索雾化吸入治疗,观察组给予沙丁胺醇联合氨溴索雾化吸入治疗。对比两组治疗前后肺功能指标、咳嗽症状、血气指标。结果 治疗后,两组肺功能各指标值均有所提高,且观察组呼气峰流速(PEF)(4。64±0。51)L/s、用力肺活量(FVC)(2。65±0。43)L、第 1 秒用力呼气容积(FEV1)(2。36±0。35)L、第 1 秒用力呼气容积与用力肺活量的比值(FEV1/FVC)(78。86±9。07)%均高于对照组的(4。13±0。47)L/s、(2。23±0。42)L、(1。82±0。34)L、(66。58±8。63)%,差异有统计学意义(P<0。05)。治疗后,两组中文版莱斯特咳嗽量表(LCQ-MC)评分均有所下降,且观察组LCQ-MC评分(32。07±5。44)分低于对照组的(44。34±5。06)分,差异有统计学意义(P<0。05)。治疗后,两组动脉血氧分压(PaO2)均有所上升,动脉血二氧化碳分压(PaCO2)均明显下降,且观察组PaO2(82。85±9。73)mm Hg(1 mm Hg=0。133 kPa)明显高于对照组的(72。62±8。67)mm Hg,PaCO2(52。07±5。33)mm Hg明显低于对照组的(60。39±5。73)mm Hg,差异有统计学意义(P<0。05)。结论 沙丁胺醇联合氨溴索雾化吸入可以改善支气管扩张患者肺功能,缓解咳嗽症状,改善血气指标,具有推广意义。
Effect analysis of salbutamol combined with ambroxol aerosol inhalation on lung function of patients with bronchiectasis
Objective To explore the effect of salbutamol combined with ambroxol aerosol inhalation on lung function of patients with bronchiectasis.Methods 74 patients operated for bronchiectasis were divided into a control group and an observation group according to the order of admission,with 37 patients in each group.The control group was treated with ambroxol aerosol inhalation,while the observation group was treated with salbutamol combined with ambroxol aerosol inhalation.The lung function indicators,cough symptoms,blood gas indicators of the two groups were compared before and after treatment.Results After treatment,the lung function indicators were improved in both groups;the observation group had peak expiratory flow rate(PEF)of(4.64±0.51)L/s,forced vital capacity(FVC)of(2.65±0.43)L,forced expiratory volume in one second(FEV1)of(2.36±0.35)L,and FEV1/FVC of(78.86±9.07)%,which were all higher than(4.13±0.47)L/s,(2.23±0.42)L,(1.82±0.34)L,and(66.58±8.63)%in the control group;the difference was statistically significant(P<0.05).After treatment,Leicester Cough Questionnaire in Mandarin-Chinese(LCQ-MC)score in both groups decreased,and LCQ-MC score of(32.07±5.44)points in the observation group was lower than(44.34±5.06)points in the control group.The difference was statistically significant(P<0.05).After treatment,the arterial partial pressure of oxygen(PaO2)increased and arterial partial pressure of carbon dioxide(PaCO2)decreased significantly in both groups;the observation group had significantly higher PaO2 of(82.85±9.73)mm Hg(1 mm Hg=0.133 kPa)than(72.62±8.67)mm Hg in the control group,and significantly lower PaCO2 of(52.07±5.33)mm Hg than(60.39±5.73)mm Hg in the control group;the difference was statistically significant(P<0.05).Conclusion Salbutamol combined with ambroxol aerosol inhalation can improve lung function,alleviate cough symptoms,and improve blood gas indicators of patients with bronchiectasis,which has promotional significance.

SalbutamolAmbroxolAerosol inhalationBronchiectasisLung functionBlood gas indicators

陈小华、林丽芳

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361100 陆军第七十三集团军医院呼吸内科

沙丁胺醇 氨溴索 雾化吸入 支气管扩张 肺功能 血气指标

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(24)