首页|苏黄止咳胶囊联合复方异丙托溴铵治疗慢性阻塞性肺疾病急性加重期临床观察

苏黄止咳胶囊联合复方异丙托溴铵治疗慢性阻塞性肺疾病急性加重期临床观察

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目的 观察苏黄止咳胶囊联合复方异丙托溴铵对于慢性阻塞性肺疾病急性加重期(AECOPD)患者肺功能、血气分析指标和辅助性T细胞17(Th17)/调节性T细胞(Treg)平衡的影响.方法 选取2020年3月至2022年3月期间,我院AECOPD患者76例,利用随机数字表法将患者分为2组,每组各为38例.对照组给予复方异丙托溴铵,观察组给予苏黄止咳胶囊联合复方异丙托溴铵,对比2组患者临床疗效、指标包括肺功能、血气分析指标、Th17/Treg平衡、不良反应.结果 与对照组相比,观察组的临床总有效率明显升高(P<0.05).治疗2周后,观察组的第1秒用力呼气容积(FEV1)、用力肺活量(FVC)、FEV1/FVC高于对照组(P<0.05).治疗2周后,观察组的动脉氧分压高于对照组,动脉二氧化碳分压低于对照组(P<0.05).治疗2周后,观察组的Treg细胞,高于对照组,Th17、Th17/Treg比值,低于对照组(P<0.05).2组不良反应发生率组间对比,差异无统计学意义(P>0.05).结论 2种药物联合治疗AECOPD患者,有助于患者临床指标改善,对促进Th17/Treg平衡具有重要帮助,有助于患者临床症状好转,且具有良好的安全性.
Effects of Suhuang Zhike capsule combined with compound ipratropium bromide on treatment outcome in acute exacerbation of chronic obstructive pulmonary disease patients
Objective To observe the effect of Suhuang cough capsule combined with compound ipratropium on lung function,blood gas analysis index,and Thelper cell 17(Th17)/regulatory T cell(Treg)balance in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods Seventy-six AECOPD patients from March 2020 to March 2022 were divided into two groups,with 38 patients in each group.Control group:give compound ipratropium bromide,observation group:give Suhuang cough capsule combined with compound ipratropium bromide,compared with the two groups,clinical efficacy,indicators including lung function,blood gas analysis index,Th17/Treg balance,and adverse effects.Results The clinical total response rate in the observation group was significantly higher compared with the control group(P<0.05).After 2 weeks of treatment,FEV1,FVC,FEV1/FVC were higher in the observation group than in the control group(P<0.05).After 2 weeks of treatment,PaO2 was higher in the observation group and PaCO2 was lower than the control group(P<0.05).After 2 weeks of treatment,the Treg was higher than the control group,and the Th17 and Th17/Treg ratios were lower than the control group(P<0.05).The incidence of adverse reactions between the two groups showed no significant difference(P>0.05).Conclusion The combination of two drugs in AECOPD patients can help the improvement of clinical indicators,promote the Th17/Treg balance,and improve the clinical symptoms and have a good safety profile.

Pulmorary disease,chronic obstructiveIpratropiumBlood gas analysisRespirator function testsSuhuang Zhike capsule

刘美玲、张俊、郑美许

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萍乡市上栗县人民医院呼吸内科,萍乡 337009

肺疾病,慢性阻塞性 异丙托铵 血气分析 呼吸功能试验 苏黄止咳胶囊

2024

中医外治杂志
山西医药卫生传媒集团

中医外治杂志

影响因子:0.669
ISSN:1006-978X
年,卷(期):2024.33(4)