重组人干扰素α-1b联合布地奈德雾化吸入治疗小儿急性支气管炎的疗效
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四川省医学(青年创新)科研项目(S22023);


Efficacy of recombinant human interferon α-1b combined with budesonide aerosol inhalation in treating acute bronchitis in children
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    摘要:

    目的:探究重组人干扰素α-1b联合布地奈德和单一布地奈德雾化治疗小儿急性支气管炎的疗效。方法:选取106例小儿急性支气管炎患儿为研究对象,按照治疗方法不同分为对照组和研究组,每组各53例。对照组患儿在常规治疗基础上给予布地奈德雾化治疗;研究组患儿在常规治疗基础上联合布地奈德和重组人干扰素α-1b雾化吸入治疗,疗程均为1周。比较两组患儿临床症状消退时间;治疗前、治疗1周后血清炎症因子[降钙素原(PCT)、血清C反应蛋白(CRP)]水平、血常规[白细胞计数(WBC)、中性粒细胞百分比(NEU%)]、肺功能[第1秒最大呼气容积(FEV1)、FEV1与用力肺活量比值(FEV1/FVC)、最大呼气流量(PEF)];治疗期间不良反应发生情况。结果:研究组患儿临床症状消退时间短于对照组(P<0.05)。治疗1周后,研究组患儿血清PCT、CRP、WBC、NEU%水平低于对照组(P<0.05);FEV1/FVC、PEF、FEV1高于对照组(P<0.05)。治疗期间两组患儿不良反应发生率比较,差异无统计学意义(P>0.05)。结论:重组人干扰素α-1b联合布地奈德雾化吸入治疗小儿急性支气管炎能快速减轻患儿临床症状,改善炎症水平,且安全性高。

    Abstract:

    Objective:To explore the clinical efficacy of recombinant human interferon α-1b combined with budesonide and sin-gle budesonide aerosol inhalation in the treatment of acute bronchitis in children.Methods:106 children with acute bronchitis were se-lected as study samples,and were divided into control group and study group by adopting different treatment methods,with 53 cases in each group.The children in the control group were treated with budesonide aerosol inhalation inhalation in addition to conventional treatment,while the children in the study group were combined with budesonide and recombinant human interferon α-1b aerosol inhala-tion inhalation on the basis of conventional treatment,both groups were treated for 1 week.The regression times of clinical symptoms,changes in serum inflammatory factors levels[procalcitonin(PCT),serum C-reactive protein(CRP)],blood routine[white blood cell count(WBC),neutrophil percentage(NEU%)]and lung function indexes[maximum expiratory volume in one second(FEV1),FEV1 to forced vital capacity ratio(FEV1/FVC),and maximum expiratory flow(PEF)]before treatment and after 1 week of treatment and adverse reactions during treatment were compared.Results:The regression times of clinical symptoms in study group were shorter than those in control group(P<0.05).After 1 week of treatment,the levels of serum PCT,CRP,WBC and NEU%were lower in study group than those in control group(P<0.05).The FEV1/FVC,PEF and FEV1 in study group were higher compared with those in con-trol group(P<0.05).During treatment,there were no statistical differences in the incidence rates of adverse reactions between both groups(P>0.05).Conclusion:Recombinant human interferon α-1b combined with budesonide aerosol inhalation inhalation for chil-dren with acute bronchitis can quickly relieve the clinical symptoms,and improve the inflammation level,and it has high safety.

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魏琼;饶睿;徐文艺;杨璐菱;鲁志力;李志鑫;.重组人干扰素α-1b联合布地奈德雾化吸入治疗小儿急性支气管炎的疗效[J].川北医学院学报,2025,40(6):774-777.

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  • 在线发布日期: 2025-07-09
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