辛伐他汀联合乙酰半胱氨酸治疗支气管哮喘的疗效及其对患者气道炎症的影响
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山东省老年医学学会科技发展计划项目(LKJGG2021W070);


Effect of simvastatin combined with N-acetylcysteine on bronchial asthma and airway inflammation in patients
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    摘要:

    目的:探究辛伐他汀联合乙酰半胱氨酸治疗支气管哮喘(BA)的疗效及对患者气道炎症的影响。方法:回顾性分析122例BA患者的临床资料,根据治疗方法不同分为实验组和对照组,每组各61例。对照组采取常规治疗,同时口服乙酰半胱氨酸片;实验组在对照组治疗基础上口服辛伐他汀片。治疗2个月后,观察两组患者疗效及治疗前后的血清学指标[超敏C反应蛋白(hs-CRP)、白细胞介素6(IL-6)和嗜酸性粒细胞(EOS)]、气道炎症指标[呼出气一氧化氮(FeNO)、肺泡气一氧化氮浓度(CaNO)]和哮喘控制指标[哮喘控制评分(ACT)、哮喘发作次数]。结果:治疗后,实验组总有效率96.72%,高于对照组的78.69%(P<0.05)。治疗前,两组患者血清学指标、气道炎症指标、哮喘控制指标比较,差异均无统计学意义(P>0.05);治疗后,两组患者血清学指标、气道炎症指标均降低(P<0.05),ACT评分提高(P<0.05),哮喘发作次数减少(P<0.05);且实验组血清学和气道炎症指标均低于对照组(P<0.05),ACT评分高于对照组(P<0.05),哮喘发作次数少于对照组(P<0.05)。结论:辛伐他汀联合乙酰半胱氨酸治疗BA的疗效确切,可以有效减轻患者的炎症水平,缓解气道炎症,且有利于控制疾病进展。

    Abstract:

    Objective:To explore the efficacy of simvastatin combined with acetylcysteine in the treatment of Bronchial Asthma(BA)and the effect on airway inflammation in patients.Methods:A retrospective analysis of clinical date was conducted on 122 BA patients,who were divided into the experimental group and the control group according to different treatment methods,with 61 cases in each group.The control group received routine treatment and took N-acetylcysteine tablets at the same time,while the experimental group received simvastatin tablets on the basis of the control group.The therapeutic effects,serological indexes[hypersensitive C-reac-tive protein(hs-CRP),Interleukin-6(IL-6)and Eosinophils(EOS)],airway inflammation indicators[Fractional exhaled nitric oxide(FeNO),Alveolar nitric oxide concentration CaNO)]and Asthma Control indicators[Asthma Control Test(ACT),number of asthma attacks]after 2 months of treatment were compared between the two groups.Results:The total effective rate of 96.72%in the experi-mental group was higher than 78.69%in the control group(P<0.05).Before treatment,there were no significant differences in sero-logical indexes,airway inflammation indexes and asthma control indexes between the two groups(P>0.05).Compared with before treatment,serological indexes and airway inflammation indexes were decreased in both groups after treatment(P<0.05),ACT score was increased(P<0.05),and the number of asthma attacks was decreased(P<0.05).After treatment,serological and airway inflam-mation indexes of the experimental group were lower than those of the control group(P<0.05),ACT score was higher than that of the control group(P<0.05),and the number of asthma attacks was lower than that of the control group(P<0.05).Conclusion:Simvas-tatin combined with acetylcysteine is effective in the treatment of BA,which can effectively reduce the level of inflammation in patients,relieve airway inflammation,and help control the progression of the disease.

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史雪;秦姗;袁林栋;蒋婷婷;.辛伐他汀联合乙酰半胱氨酸治疗支气管哮喘的疗效及其对患者气道炎症的影响[J].川北医学院学报,2025,40(7):896-899.

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  • 在线发布日期: 2025-08-10
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