首页|多索茶碱与氨茶碱治疗支气管哮喘的临床疗效观察

多索茶碱与氨茶碱治疗支气管哮喘的临床疗效观察

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目的 探究多索茶碱与氨茶碱在治疗支气管哮喘中的临床价值。方法 将 100 例支气管哮喘患者设为研究对象,按照郑骰子的方式分为研究组与对照组,每组 50 例。对照组接受氨茶碱治疗,研究组接受多索茶碱治疗。比较两组患者临床疗效、症状改善时间、不良反应发生率及治疗前后呼气峰流速占预计值百分比、哮喘控制测试(ACT)评分。结果 研究组患者治疗后总有效率为 98。00%,高于对照组的84。00%,组间差异显著(P<0。05)。研究组患者啰音、喘息以及咳嗽改善时间分别为(5。01±1。21)、(3。01±1。56)、(5。01±1。32)d,均短于对照组的(6。03±1。26)、(4。05±1。51)、(6。36±1。51)d,组间差异显著(P<0。05)。治疗前,两组患者呼气峰流速占预计值百分比和ACT评分比较差异不显著(P>0。05);治疗后,两组患者呼气峰流速占预计值百分比及ACT评分均高于治疗前,且研究组呼气峰流速占预计值百分比(92。16±5。16)%及ACT评分(22。65±2。51)分均高于对照组的(86。53±6。33)%、(18。63±3。01)分,组间差异显著(P<0。05)。研究组患者不良反应发生率为 8。00%(4/50),与对照组患者的 10。00%(5/50)比较差异不显著(P>0。05)。结论 与氨茶碱治疗支气管哮喘的效果比较,多索茶碱的临床疗效更优,具有一定的推广应用价值。
Observation on clinical efficacy of doxofylline and aminophylline in the treatment of bronchial asthma
Objective To explore the clinical value of doxofylline and aminophylline in the treatment of bronchial asthma.Methods 100 patients with bronchial asthma were selected as the study subjects.They were divided into a study group and a control group according to dice-throwing method,with 50 patients in each group.The control group received aminophylline treatment,while the study group received doxofylline treatment.Comparison was made on clinical efficacy,symptom improvement time,incidence of complications,peak expiratory flow rate as a percentage of the predicted value and asthma control test(ACT)score before and after treatment between the two groups.Results After treatment,the total effective rate of the study group was 98.00%,which was higher than 84.00%in the control group,and there was a significant difference between the two groups(P<0.05).The remission time of rale,wheezing and cough in the study group were(5.01±1.21),(3.01±1.56)and(5.01±1.32)d,which were shorter than(6.03±1.26),(4.05±1.51)and(6.36±1.51)d in the control group,and there was a significant difference between the two groups(P<0.05).Before treatment,there was no significant difference in peak expiratory flow rate as a percentage of the predicted value and ACT score between the two groups(P>0.05).After treatment,the peak expiratory flow rate as a percentage of the predicted value and ACT score in both groups were higher than those before treatment;the study group had peak expiratory flow rate as a percentage of the predicted value of(92.16±5.16)%and ACT score of(22.65±2.51)points,which were higher than(86.53±6.33)%and(18.63±3.01)points in the control group;there was a significant difference between the two groups(P<0.05).The incidence of adverse reactions in the study group was 8.00%(4/50),which had no significant difference compared with 10.00%(5/50)in the control group(P>0.05).Conclusion Compared with aminophylline,doxofylline has better clinical efficacy in improving patients with bronchial asthma,and has certain promotion and application value.

DoxofyllineAminophyllineBronchial asthmaClinical efficacyClinical symptoms

林小菊、林丽芳

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361100 陆军第七十三集团军医院呼吸内科

多索茶碱 氨茶碱 支气管哮喘 临床疗效 临床症状

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)