首页|沙丁胺醇联合布地奈德对慢性阻塞性肺疾病急性加重期患者的影响

沙丁胺醇联合布地奈德对慢性阻塞性肺疾病急性加重期患者的影响

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目的:探讨沙丁胺醇联合布地奈德对慢性阻塞性肺疾病急性加重期(AECOPD)患者的影响。方法:选取2022年4 月—2023 年 4 月毕节市中医医院收治的 106 例AECOPD患者为研究对象。以随机数表法将其分为两组,各 53 例。两组均进行抗感染、常规吸氧等基础治疗。对照组给予布地奈德治疗,观察组在对照组的基础上给予沙丁胺醇治疗。对比两组治疗效果、炎症因子水平、血气分析指标、肺功能指标及不良反应。结果:观察组治疗总有效率高于对照组,差异有统计学意义(P<0。05)。治疗后,两组白细胞介素(IL)-6、IL-8、IL-10 水平较治疗前降低,且观察组低于对照组,差异有统计学意义(P<0。05)。治疗后,两组动脉二氧化碳分压(PaCO2)较治疗前降低,且观察组低于对照组,动脉血氧饱和度(SaO2)、动脉氧分压(PaO2)较治疗前升高,且观察组高于对照组,差异有统计学意义(P<0。05)。治疗后,两组第 1 秒用力呼气容积(FEV1)、用力肺活量(FVC)、FEV1/FVC%较治疗前升高,且观察组高于对照组,差异有统计学意义(P<0。05)。两组头晕、皮疹、心律失常、恶心呕吐等不良反应发生率比较,差异无统计学意义(P>0。05)。结论:沙丁胺醇联合布地奈德治疗AECOPD患者的临床效果较佳,有利于抑制炎症反应,改善血气分析指标,促进肺功能恢复,且安全性高。
Effect of Salbutamol and Budesonide in Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease
Objective:To investigate the effect of Salbutamol and Budesonide in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Method:A total of 106 AECOPD patients admitted to Bijie Hospital of Traditional Chinese Medicine from April 2022 to April 2023 were selected as the study objects,and they were divided into two groups according to the random number table method,with 53 cases in each group.Both groups received basic treatment such as anti-infection and routine oxygen inhalation.The control group was treated with Budesonide suspension,and the observation group received Albuterol based on the control group.The treatment effect,inflammatory factor level,blood gas analysis index,lung function index and the occurrence of adverse reactions between the two groups were compared.Result:The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the levels of interleukin(IL)-6,IL-8 and IL-10 in the two groups were lower than before treatment,and those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After treatment,the arterial partial pressure of carbon dioxide(PaCO2)in both groups were lower than that before treatment,and that in the observation group was lower than that in the control group,the arterial oxygen saturation(SaO2)and arterial partial pressure of oxygen(PaO2)were higher than those before treatment,and those in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).After treatment,the forced expiratory volume in one second(FEV1),forced vital capacity(FVC)and FEV1/FVC%in the two groups were higher than those before treatment,and those in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of dizziness,rash,arrhythmia,nausea and vomiting between the two groups(P>0.05).Conclusion:Salbutamol combined with Budesonide has a good clinical effect,plays a restraining effect on inflammatory response,which is conducive to improve the blood gas analysis of patients,promote the recovery of lung function,and has high safety.

Chronic obstructive pulmonary diseaseAcute exacerbationSalbutamolBudesonideInflammatory responseBlood gas analysis

刘玲、潘侥、李梦

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毕节市中医医院 贵州 毕节 551700

慢性阻塞性肺疾病 急性加重期 沙丁胺醇 布地奈德 炎症反应 血气分析

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(20)