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多索茶碱联合布地奈德在慢阻肺急性加重期患者中的应用

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目的:探讨多索茶碱结合雾化吸入布地奈德混悬液在慢阻肺急性加重期患者中对肺通气指标、炎症指标的改善作用价值.方法:采取前瞻性研究,选取 100 例慢阻肺急性加重期患者,均收治于2023 年 5 月—2024 年 5 月遵义市第一人民医院.经随机数字表法分为两组,各 50 例.参照组行多索茶碱静脉滴注治疗,研究组联合雾化吸入布地奈德混悬液治疗.观察两组各指标变化情况.结果:治疗后,研究组动脉血氧分压(PaO2)、pH值水平均高于参照组,动脉血二氧化碳分压(PaCO2)水平低于参照组,差异均有统计学意义(P<0.05).治疗后,研究组用力肺活量(FVC)、第 1 秒用力呼气容积(FEV1)、第1 秒用力呼气容积与用力肺活量的比值(FEV1/FVC)均高于参照组,差异均有统计学意义(P<0.05).治疗后,研究组嗜酸性粒细胞百分比、中性粒细胞百分比均低于参照组,差异均有统计学意义(P<0.05).结论:在慢阻肺急性加重期患者治疗中应用多索茶碱结合雾化吸入布地奈德混悬液,有利于改善患者肺功能及气道炎症,效果明显.
Application of Doxofylline Combined with Budesonide in Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease
Objective:To explore the value of Doxofylline combined with Budesonide suspension for inhalation in improving lung ventilation indicators and inflammatory indicators in patients with acute exacerbation of chronic obstructive pulmonary disease.Method:A prospective study was conducted,and 100 patients with acute exacerbation of chronic obstructive pulmonary disease were selected,all of whom were admitted to the First People's Hospital of Zunyi from May 2023 to May 2024.They were divided into two groups by random number table method,with 50 cases in each group.The reference group received intravenous infusion of Doxofylline,while the study group received Budesonide suspension for inhalation combined with Doxofylline.The changes of various indicators in the two groups were observed.Result:After treatment,the partial pressure of oxygen(PaO2)and pH value levels in the study group were higher than those in the reference group,the partial pressure of carbon dioxide(PaCO2)level in the study group was lower than that in the reference group,the differences were statistically significant(P<0.05).After treatment,the forced vital capacity(FVC),forced expiratory volume in one second(FEV1),and the ratio of forced expiratory volume in one second to forced vital capacity(FEV1/FVC)in the study group were higher than those in the reference group,the differences were statistically significant(P<0.05).After treatment,the percentage of eosinophils and neutrophils in the study group were lower than those in the reference group,the differences were statistically significant(P<0.05).Conclusion:The application of Doxofylline combined with Budesonide suspension for inhalation in the treatment of patients with acute exacerbation of chronic obstructive pulmonary disease is beneficial to improve lung function and airway inflammation,with obvious effects.

Acute exacerbation of chronic obstructive pulmonary diseaseDoxofyllineBudesonideInhalationLung functionAirway inflammation

吾曼莉

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遵义市第一人民医院(遵义医学院第三附属医院)呼吸与危重症医学科 贵州 遵义 563000

慢阻肺急性加重期 多索茶碱 布地奈德 雾化吸入 肺功能 气道炎症

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(27)