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小剂量布地奈德联合特布他林治疗慢性阻塞性肺疾病急性加重期的效果

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目的:分析小剂量布地奈德联合特布他林治疗慢性阻塞性肺疾病急性加重期(AECOPD)的效果。方法:选取2022 年 1-12 月徐州医科大学第二附属医院收治的 100 例AECOPD患者。根据随机法将其分为单药组和两联组,各 50 例。单药组给予特布他林治疗,两联组在单药组基础上给予小剂量布地奈德。比较两组临床疗效,治疗前后症状严重程度、肺功能、免疫功能及不良反应。结果:两联组总有效率高于单药组,差异有统计学意义(P<0。05)。治疗后,两组慢性阻塞性疾病患者自我评估表(CAT)评分降低,第 1 秒用力呼气容积(FEV1)、最大通气量(MVV)、免疫球蛋白A(IgA)、免疫球蛋白G(IgG)、免疫球蛋白M(IgM)均升高,两联组CAT评分低于单药组,FEV1、MVV、IgA、IgG、IgM均高于单药组,差异有统计学意义(P<0。05)。两组不良反应发生率比较,差异无统计学意义(P>0。05)。结论:AECOPD患者以小剂量布地奈德+特布他林联合治疗,可快速消除疾病症状,促进肺功能恢复,并调节免疫,且不增加不良反应,具有较好安全性。
Effect of Low Dose Budesonide Combined with Terbutaline in the Treatment of Acute Exacerbation of Chronic Obstructive Pulmonary Disease
Objective:To analyze the effect of low dose Budesonide combined with Terbutaline in the treatment of acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Method:A total of 100 patients with AECOPD admitted to the Second Affiliated Hospital of Xuzhou Medical University from January to December 2022 were selected.According to the random method,they were divided into single drug group and two-drug group,with 50 cases in each group.The single drug group was given Terbutaline treatment,and the two drug group were given low doses Budesonide based on the single drug group.The clinical efficacy,severity of symptoms,lung function,immune function before and after treatment and adverse reactions were compared between the two groups.Result:The total effective rate of the two drug group was higher than that of the single drug group,and the difference was statistically significant(P<0.05).After treatment,the self assessment form for chronic obstructive disease patients(CAT)scores of both groups were decreased,and the forced expiratory volume in the first second(FEV1),the maximum volume of gas(MVV),immunoglobulin A(IgA),immunoglobulin G(IgG)and immunoglobulin M(IgM)were increased,and the CAT scores of the two drug group were lower than those of the single drug group,FEV1,MVV,IgA,IgG and IgM were higher than those in single drug group,and the differences were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:The combination of Budesonide+Terbutaline in AECOPD patients can quickly eliminate disease symptoms,promote lung function recovery,and regulate immunity without increasing adverse reactions,and has a good safety.

Acute exacerbation of chronic obstructive pulmonary diseaseBudesonideTerbutaline

薛鹏、赵英玉、江禹鑫、李玉洁

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徐州医科大学第二附属医院(徐州矿务集团总医院)江苏 徐州 221000

慢性阻塞性肺疾病急性加重期 布地奈德 特布他林

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(28)