福莫特罗、倍氯米松和格隆溴铵联合治疗慢性阻塞性肺疾病患者的疗效
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河北省卫生健康委员会医学科学研究课题计划项目(20220907);


Therapeutic effect of combination therapy with formoterol,beclometha-sone,and glycopyrronium in patients with chronic obstructive pulmonary disease
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    摘要:

    目的:探讨福莫特罗、倍氯米松和格隆溴铵联合治疗慢性阻塞性肺疾病(COPD)患者的疗效。方法:选取104例COPD患者为研究对象,根据治疗方案不同分为对照组和观察组,每组各52例。对照组患者给予格隆溴铵联合福莫特罗治疗;观察组在对照组基础上联合倍氯米松治疗,疗程均为3个月。比较两组患者临床疗效;治疗前及治疗3个月后肺功能指标[第1秒用力呼气量(FEV1)、用力肺活量(FVC)]、动脉血气指标[血氧分压(PaO2)、酸碱度(pH)、二氧化碳分压(PaCO2)]、生活质量[6 min步行距离及圣乔治呼吸问卷(SGRQ)评分]及炎症因子[白细胞介素6(IL-6)、肿瘤坏死因子α(TNF-α)和C反应蛋白(CRP)]水平;不良反应发生情况。结果:观察组患者治疗总有效率高于对照组的(8.28%vs.84.62%,P<0.05)。治疗3个月后,两组患者FEV1、FVC、血PaO2、pH值和6 min步行距离均升高(P<0.05),且观察组高于对照组(P<0.05);PaCO2、SGRQ评分、IL-6、TNF-α和CRP均降低(P<0.05),且观察组低于对照组(P<0.05)。两组患者不良反应发生率比较,差异无统计学意义(P>0.05)。结论:福莫特罗、倍氯米松和格隆溴铵联合治疗慢性阻塞性肺疾病患者疗效确切,能有效改善患者肺功能、动脉血气,降低炎症反应,提高患者生活质量。

    Abstract:

    Objective:To explore the application effect of the combination of formoterol,beclomethasone and glycopyrronium bro-mide in the treatment of patients with chronic obstructive pulmonary disease.Methods:104 patients with chronic obstructive pulmonary disease were selected and divided into 52 cases of the control group(adopting the double combination treatment of gronethammonium bromide+formoterol)and 52 cases of the observation group(on the basis of the control group+beclomethasone treatment)accord-ing to different treatment methods.All treatments lasted for 3 months.The treatment efficacy,pulmonary function indicators[forced ex-piratory volume in one second(FEV1),forced vital capacity(FVC)],arterial blood gas indicators[partial pressure of oxygen(PaO2),pH,partial pressure of carbon dioxide(PaCO2)],quality of life[6-minute walking distance and St.George's Respiratory Questionnaire(SGRQ)score],inflammatory factor[interleukin-6(IL-6),tumor necrosis factor alpha(TNF-α),and C-reactive pro-tein(CRP)]levels before and 3 months after treatment,and record the occurrence of adverse reactions were compared between the two groups.Results:The total effective rate of treatment in the observation group was higher than that in the control group(98.28%vs.84.62%,P<0.05).After 3 months of treatment,the FEV1,FVC,PaO2,pH,and 6-minute walking distance in both groups increased compared to before treatment(P<0.05),and the observation group was higher than the control group(P<0.05).PaCO2,SGRQ score,IL-6,TNF-α,and CRP were reduced compared to before treatment(P<0.05),and the observation group was lower than the con-trol group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Con-clusion:The combination of formoterol,beclomethasone and griseofulvin in the treatment of patients with chronic obstructive pulmonary disease is effective in improving lung function,arterial blood gas,reducing inflammatory response and improving quality of life.

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徐立婷;高树会;张翠云;高妍;.福莫特罗、倍氯米松和格隆溴铵联合治疗慢性阻塞性肺疾病患者的疗效[J].川北医学院学报,2025,40(5):597-600.

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  • 在线发布日期: 2025-07-09
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