首页|孟鲁司特钠联合沙丁胺醇、丙酸倍氯米松雾化治疗支气管肺炎的效果

孟鲁司特钠联合沙丁胺醇、丙酸倍氯米松雾化治疗支气管肺炎的效果

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目的:探讨孟鲁司特钠联合沙丁胺醇、丙酸倍氯米松雾化治疗支气管肺炎的效果和安全性。方法:选取2021年9 月—2023 年 9 月在遵义市妇幼保健院收治的 120 例支气管肺炎患儿作为研究对象,按照随机数表法将患儿分为对照组和观察组,各 60 例。对照组给予沙丁胺醇、丙酸倍氯米松雾化治疗,观察组在对照组基础上加用孟鲁司特钠片口服,两组均治疗 5~7 d。比较两组临床症状改善情况、血常规[白细胞计数(WBC)、中性粒细胞比例(NEUT%)]、超敏C反应蛋白(hs-CRP)、白细胞介素-6(IL-6)和不良反应发生情况等。结果:治疗后 3 d、治疗结束,两组临床症状评分较治疗前降低,且观察组低于对照组,差异有统计学意义(P<0。05);观察组临床症状改善有效率高于对照组,差异有统计学意义(P<0。05)。治疗后,两组WBC、NEUT%、hs-CRP和IL-6 较治疗前降低,且观察组低于对照组,差异有统计学意义(P<0。05)。观察组治疗期间不良反应率低于对照组,出院后复发率低于对照组,差异有统计学意义(P<0。05)。结论:孟鲁司特钠联合沙丁胺醇、丙酸倍氯米松雾化治疗支气管肺炎是一种有效和安全的方法,可以改善患者的临床症状,降低气道炎症水平。
Effect of Montelukast Sodium Combined with Salbutamol and Beclomethasone Propionate Atomization in the Treatment of Bronchopneumonia
Objective:To investigate the efficacy and safety of Montelukast Sodium combined with Salbutamol and Beclomethasone Propionate Atomization in the treatment of bronchopneumonia.Method:A total of 120 children with bronchopneumonia who admitted to Zunyi Maternal and Child Health Hospital from September 2021 to September 2023 were selected as the research objects,the children were divided into the control group and the observation group according to the random number table method,with 60 cases in each group.The control group was treated with Salbutamol and Beclomethasone Propionate atomization,and the observation group was treated with Montelukast Sodium Tablets orally on the basis of the control group,two groups were treated for 5-7 d.The improvement of clinical symptoms,blood routine[white blood cell count(WBC),neutrophil ratio(NEUT%)],high-sensitivity C-reactive protein(hs-CRP),interleukin-6(IL-6)and adverse reactions were compared between two groups.Result:At 3 d after treatment and at the end of treatment,the clinical symptom scores of two groups were lower than those before treatment,and those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05);the effective rate of clinical symptom improvement in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).After treatment,the WBC,NEUT%,hs-CRP and IL-6 in two groups were lower than those before treatment,and those in the observation group were lower than the control group,the differences were statistically significant(P<0.05).The adverse reaction rate during treatment in the observation group was lower than that in the control group,and the recurrence rate after discharge was lower than that in the control group,the differences were statistically significant(P<0.05).Conclusion:Montelukast Sodium combined with Salbutamol and Beclomethasone Propionate in the treatment of bronchopneumonia is an effective and safe method to improve the clinical symptoms of patients and reduce the level of airway inflammation.

BronchopneumoniaMontelukast SodiumSalbutamolBeclomethasone PropionateNebulization treatment

林世飞

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遵义市妇幼保健院 贵州 遵义 563000

支气管肺炎 孟鲁司特钠 沙丁胺醇 丙酸倍氯米松 雾化治疗

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(11)
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