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中国当代医药  2020, Vol. 27 Issue (21): 53-56    
  临床研究 本期目录 | 过刊浏览 | 高级检索 |
小剂量阿奇霉素联合噻托溴铵吸入粉雾剂治疗稳定期慢性阻塞性肺疾病患者的临床效果
刘兴华1 叶占兰1 黎爱芬
1.广东省东莞市中西医结合医院呼吸内科,广东东莞 523000;
2.广东省东莞市中西医结合医院药剂科,广东东莞 523000
Clinical effect of low-dose Azithromycin combined with Tiotropium Bromide Inhalation Powder Spray in the treatment of patients with chronic obstructive pulmonary disease in stable phase
LIU Xing-hua1 YE Zhan-lan1 LI Ai-fen
1.Department of Respiratory Medicine,Dongguan Hospital of Integrated Traditional Chinese and Western Medicine,Guangdong Province,Dongguan 523000,China;
2.Department of Pharmacy,Dongguan Hospital of Integrated Traditional Chinese and Western Medicine,Guangdong Province,Dongguan 523000,China
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摘要 目的 探讨小剂量阿奇霉素联合噻托溴铵吸入粉雾剂治疗稳定期慢性阻塞性肺疾病患者的临床效果。方法 选取2016年2月~2019年2月我院呼吸内科接收的60 例稳定期慢性阻塞性肺疾病患者作为研究对象,采取随机数字表法将其分成常规组(30 例)和实验组(30 例)。常规组患者采用噻托溴铵吸入粉雾剂治疗,实验组患者采用小剂量阿奇霉素联合噻托溴铵吸入粉雾剂治疗,每组均持续用药1 个月。比较两组患者治疗前后的氧分压、二氧化碳分压、第1 秒用力呼气量、1 秒率、呼气峰值流量、用力呼气量和第1 秒用力呼气量/用力呼气量水平以及治疗效果。结果 实验组患者治疗后的氧分压水平高于常规组,二氧化碳分压水平低于常规组,差异有统计学意义(P<0.05);实验组患者治疗后的第1 秒用力呼气量、1 秒率、呼气峰值流量、用力呼气量和第1 秒用力呼气量/用力呼气量水平均高于常规组,差异有统计学意义(P<0.05)。实验组患者的治疗总有效率高于常规组,差异有统计学意义(P<0.05)。结论 稳定期慢性阻塞性肺疾病患者采用小剂量阿奇霉素联合噻托溴铵吸入粉雾剂治疗,可提升患者肺部功能,增强治疗效果。
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刘兴华
叶占兰
黎爱芬
关键词 慢性阻塞性肺疾病稳定期噻托溴铵吸入粉雾剂阿奇霉素小剂量氧分压二氧化碳分压    
AbstractObjective To explore the clinical effect of Azithromycin combined with Tiotropium Bromide Inhalation Powder Spray in the treatment of patients with chronic obstructive pulmonary disease in stable phase. Methods Sixty patients with chronic obstructive pulmonary disease in stable phase received treatment from the department of respiratory medicine in our hospital from February 2016 to February 2019 were selected as the research subjects.They were divided into regular group (n=30) and experimental group (n=30) by random number table method.The patients in the regular group were treated with Tiotropium Bromide Inhalation Powder Spray,and the patients in the experimental group were treated with low-dose Azithromycin combiued with Tiotropium Bromide Inhalation Powder Spray.Treatment in each group lasted one month.Oxygen partial pressure,carbon dioxide partial pressure,forced expiratory volume in one second,one-second rate,peak expiratory flow,forced expiratory volume,and the ratio of forced expiratory volume in first second and forced expiratory volume,and therapeutic effect were compared in the two groups. Results After treatment,the oxygen partial pressure level of the experimental group was higher than that of the regular group,and the carbon dioxide partial pressure level was lower than that of the regular group,with statistically significant differences(P<0.05).In the experimental group,the forced expiratory volume in one second,one-second rate,peak expiratory flow,forced expiratory volume,and the ratio of forced expiratory volume in first second and forced expiratory volume were all higher than those in the regular group,and the differences were statistically significant (P<0.05).The total effective rate of the experimental group was higher than that of the regular group,and the difference was statistically significant (P<0.05).Conclusion The treatment of patients with with chronic obstructive pulmonary disease in stable phase by using lowdose Azithromycin combined with Tiotropium Bromide Inhalation Powder Spray can improve the lung function and enhance the therapeutic effect.
Key wordsChronic obstructive pulmonary disease    Stable phase    Tiotropium Bromide Inhalation Powder Spray    Azithromycin    Low-dose    Oxygen partial pressure    Carbon dioxide partial pressure
    
作者简介: 刘兴华(1982-),男,广东东莞人,本科,副主任医师,研究方向:呼吸内科
引用本文:   
刘兴华;叶占兰;黎爱芬. 小剂量阿奇霉素联合噻托溴铵吸入粉雾剂治疗稳定期慢性阻塞性肺疾病患者的临床效果[J]. 中国当代医药, 2020, 27(21): 53-56.
LIU Xing-hua;YE Zhan-lan;LI Ai-fen. Clinical effect of low-dose Azithromycin combined with Tiotropium Bromide Inhalation Powder Spray in the treatment of patients with chronic obstructive pulmonary disease in stable phase. 中国当代医药, 2020, 27(21): 53-56.
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