|
|
Effect of Salbutamol Aerosol combined with hormone in the treatment of asthma |
YANG Hua MA Jiqin LIU Jin |
Department of Pharmacy, the First Affiliated Hospital of Dali University, Yunnan Province, Dali 671000, China |
|
|
Abstract Objective To investigate the clinical efficacy of Salbutamol Aerosol combined with hormone in the treatment of asthma. Methods Ninety-four patients with bronchial asthma admitted to the First Affiliated Hospital of Dali University from March 2015 to March 2016 were selected as research objects, and they were divided into observation group (47 cases) and control group (47 cases) by random number table method. The patients of two groups were all treated with conventional treatment, including reducing phlegm, relieving cough, anti-inflammation and others. The control group was treated with Aminophylline Tablets 0.2 g, 2 times/d; Budesonide Aerosol, aerosolized inhalation, once 10 min, 3 times/d. On basis of control group, the observation group was treated with Salbutamol Aerosol, aerosolized inhalation, once 10 min, 3 times/d. Both groups were treated for 2 weeks. The clinical efficacy of the two groups after treatment was observed, the levels of lung function and the changes of C-reactive protein (CRP), tumor necrosis factor-α (TNF-α), transforming growth factor-β1 (TGF-β1) and other indexes before and after treatment between the two groups were compared. Results The total effective rate of observation group was 93.6%, which of control group was 76.6%, the difference was statistically significant (χ2=5.371, P < 0.05). After treatment, the forced expiratory volume in the first second (FEV1) and the percentage of forced expiratory volume in the first second occupied in the vital capacity (FEV1/FVC) in the observation group were all higher than those of control group, the differences were all statistically significant (t = 5.214, 6.104, all P < 0.05). After treatment, CRP, TNF-α, TGF-β1 in the observation group were all lower than those of control group, the differences were all statistically significant (t = 22.383, 4.510, 18.996, all P < 0.05). Conclusion β-receptor agonist Salbutamol combined with hormone Budesonide in the treatment of patients with asthma has exact effect, which can improve the lung function of patients, reduce the inflammatory reaction, so it can be as a reference for the clinical treatment.
|
|
|
|
|
[1] Trzcinska H,Zwierzchowska B,Kozlowski B,et al. Analysis of the role of selected demographic and psychological variables(anxiety and depression)as risk factors of inadequate control of bronchial asthma [J]. Ann Agric Environ Med,2013,20(3):504-508.
[2] Gong F,Su Q,Jiang D,et al. High frequency of circulating follicular helper T cells in patients with bronchial asthma [J]. Clin Lab,2014,60(6):963-968.
[3] Kim SR,Kim DI,Kang MR,et al. Endoplasmic reticulum stress influences bronchial asthma pathogenesis by modulating nuclear factor κb activation [J]. J Allergy Clin Immunol,2013,132(6):1397-1408. doi:10.1016/j.jaci.2013.08.041.
[4] 杨阳.支气管哮喘患者不同分期血清白细胞介素-35和25-羟维生素D的变化及意义[J].广东医学,2015,36(14)2174-2177. doi:10.2168/cma.j.issn.0254-1424.2015.11.08.
[5] 中国支气管哮喘防治指南(基层版)——支气管哮喘的诊断与鉴别诊断[J].中国全科医学,2013,16(25):3030. doi:10.3969j.issn.1007-9572.2013.25.036.
[6] 中华医学会呼吸病学分会哮喘学组.支气管哮喘控制的中国专家共识[J].中华内科杂志,2013,52(5):440-443. doi:10.3760/cma.j.issn.0578-1426.2013.05.021.
[7] Shimoda T,Obase Y,Kishikawa R,et al. Impact of inhaled corticosteroid treatment on 15-year longitudinal respiratory function changes in adult patients with bronchial asthma [J]. Int Arch Allergy Immunol,2013,162(4):323-329. doi:10.1159/000353910.
[8] 苏楠,林江涛,刘国梁,等.我国8省市支气管哮喘患者控制水平的流行病学调查[J].中华内科杂志,2014,53(8):601-606. doi:10.3760cma.j.issn.0578-1426.2014.08.006.
[9] 宫静,罗雅玲,张旃,等.地塞米松对慢性哮喘小鼠肺组织中白细胞介素21、磷酸化信号转导及转录激活因子3的干预作用[J].南方医科大学学报,2013,33(5):742-745. doi:10.3969j.issn.1673-4254.2013.05.23.
[10] 牛晓婷,胡红,许菡苡,等.支气管哮喘控制水平与焦虑抑郁情绪关系的研究[J].疑难病杂志,2014,13(3):249-252,255. doi:10.3969j.issn.1671-6450.2014.03.011.
[11] 方丽萍,赵明,张鹏鹏,等.难治性哮喘患者血清肿瘤坏死因子-α的表达及其与肺功能和气道炎症的关系[J].医学研究生学报,2014,27(1):55-57.
[12] 安霞,叶伶,龚颖,等.哮喘患者初始抗炎治疗前后炎症状态的变化[J].复旦学报:医学版,2013,40(5):545-549. doi:10.3969j.issn.1672-8467.2013.05.008.
[13] 李斌,谢俊刚,陈奇志,等.穴位疗法对支气管哮喘缓解期患者炎症因子及临床疗效的影响[J].中华物理医学与康复杂志,2016,38(12):920-923.
[14] 刘国梁.哮喘控制测试对成人哮喘控制水平的实际检测效能评价[J].国际呼吸杂志,2016,36(9):641-644. doi:10.3760/cma.j.issn.1673-436X.2016.09.001.
[15] 张晓艳.探讨可比特氧驱雾化吸入在重度哮喘治疗中的临床应用[J].陕西医学杂志,2015,26(9):1145-1146. doi:10.3969/j.issn.1000-7377.2015.09.018.
[16] 徐金生.气泵雾化吸入布地奈德混悬液联合特布他林治疗喘息性支气管炎50例疗效观察[J].陕西医学杂志,2015,26(1):94-95. doi:10.3969/j.issn.1000-7377.2015. 01.037.
[17] 黄妙毅,杜旭升.布地奈德对哮喘大鼠气道重塑及气道平滑肌中Toll样受体4表达的影响[J].陕西医学杂志,2015,26(5):524-526. doi:10.3969/j.issn.1000-7377.2015. 05.004.
[18] 欧阳洋,方荣,施荣,等.FeNO 水平对老年哮喘吸入性糖皮质激素治疗的指导意义[J].医学临床研究,2016, 33(1):88-91. doi:10.3969/j.issn.1671-7171.2016.01.029.
[19] 雷雪春,朱黎明,戴爱国,等.药物基因组学与哮喘个体化给药研究进展[J].中国临床药理学杂志,2014,30(9):871-874. doi:10.13699/j.cnki.1001-6821.2014.09.036.
[20] 唐丽玲.糖皮质激素与β2-受体激动剂小剂量吸入治疗哮喘临床疗效观察[J].河北医学,2015,21(5):723-726. doi:10.3969/j.issn.1006-6233.2015.05.006. |
|
|
|