白葡奈氏菌片联合布地格福吸入气雾剂治疗儿童支气管哮喘的临床研究
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江苏省宿迁市科技局宿迁市科研专项项目(SY202304);


Clinical study of Staphylococcus and neisseria tablets combined with Budesonide glycopyrronium bromide and formoterol fumarate inhalation aerosol in the treatment of childhood bronchial asthma
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    摘要:

    目的:探讨白葡奈氏菌片联合布地格福吸入气雾剂治疗儿童支气管哮喘的疗效及对患者细胞间黏附分子1(ICAM-1)、外周血嗜酸粒细胞(EOS)及肺功能的影响。方法:选取80例支气管哮喘患儿为研究对象,根据治疗方式不同分为对照组和联合组,每组各40例。对照组患儿予以布地格福吸入气雾剂治疗;联合组患儿在对照组基础上予以白葡奈氏菌片治疗,疗程均为3个月。比较两组患儿治疗有效率、炎症指标[ICAM-1、白细胞介素6(IL-6)水平]、免疫功能指标[总免疫球蛋白(IgE)及EOS水平]、肺功能指标[最大通气量(MVV)、肺活量(FVC)及第1秒用力呼气容积(FEV1)]、症状改善状况[呼吸困难量表(MRC)及哮喘测试控制量表(ACT)评分]及不良反应发生情况。结果:联合组患儿治疗总有效率高于对照组(P<0.05)。治疗后,两组患儿ICAM-1、IL-6、总IgE及EOS水平均降低(P<0.05),且联合组低于对照组(P<0.05);MVV、FVC、FEV1、ACT评分均升高(P<0.05),且联合组高于对照组(P<0.05);MRC评分均降低(P<0.05),且联合组低于对照组(P<0.05)。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:采用白葡奈氏菌片联合布地格福吸入气雾剂治疗支气管哮喘的疗效好,可有效减轻患儿气道炎症,同时改善免疫与肺功能。

    Abstract:

    Objective: To investigate the efficacy of a combination ofStaphylococcus andNeisseria tablets with Budesonide, glycopyrronium bromide, and formoterol fumarate inhalation aerosol in the treatment of childhood bronchial asthma, as well as its effects on intercellular adhesion molecule-1 (ICAM-1), peripheral blood eosinophils (EOS), and lung function.Methods: A total of 80 pediatric patients with bronchial asthma were enrolled and divided into a control group and a combination group according to different treatment methods, with 40 patients in each group. The control group was treated with Budesonide, glycopyrronium bromide, and formoterol fumarate inhalation aerosol, while the combination group received treatment withStaphylococcus andNeisseria tablets in addition to the control group's regimen. Both groups were treated for 3 months. Treatment efficacy, inflammatory indicators [ICAM-1, interleukin-6 (IL-6) levels], immune function indicators [total immunoglobulin E (IgE) and EOS levels], lung function indicators [maximum voluntary ventilation (MVV), forced vital capacity (FVC), and forced expiratory volume in one second (FEV1)], symptom improvement status [Medical Research Council (MRC) dyspnea scale and Asthma Control Test (ACT) scores], and the incidence of adverse reactions were compared between the two groups.Results: The effective rate of the combination group was higher than that of the control group (P0.05).Conclusion: The combination ofStaphylococcus andNeisseria tablets with Budesonide, glycopyrronium bromide, and formoterol fumarate inhalation aerosol demonstrates significant efficacy in treating bronchial asthma. It effectively reduces the severity of airway inflammatory responses, promotes the recovery of immune function, and improves lung function.

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王千;沈勤;孙炳霞;李芳琳;周中华.白葡奈氏菌片联合布地格福吸入气雾剂治疗儿童支气管哮喘的临床研究[J].川北医学院学报,2026,41(2):221-224.

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  • 在线发布日期: 2026-03-05
  • 出版日期: 2026-02-28
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