摘要
目的 分析孟鲁司特钠片联合硫酸镁注射液对支气管哮喘患者肺功能的影响。方法 采用简单随机化分组方法将96例 支气管哮喘患者分为研究组与对照组各48例。对照组予以常规支气管哮喘治疗,研究组在前者基础上同时使用孟鲁 司特钠片与硫酸镁注射液。比较两组患者治疗前、治疗3个月后肺功能指标[第一秒用力呼气量(FEV1)占预计的值、 第一秒用力呼气量占用力肺活量比值(FEV1/FVC)、呼气峰值流速(PEF)]、症状缓解时间(喘息、咳嗽、胸闷)、心理 状态[临床症状自评量表(SCL-90)]评估的情况。结果 治疗3个月后,两组患者肺功能指标(FEV1、FEV1/FVC、PEF)水 平均较治疗前显著提高,且研究组提高程度高于同期对照组(P<0.05),症状缓解时间、SCL-90评分均较治疗前明 显减少,且研究组减少程度高于对照组(P<0.05)。所有患者均未出现呼吸困难、血压下降等严重不良反应。结论 孟鲁司特钠片与硫酸镁注射液共同使用对支气管哮喘患者的治疗效果显著,于患者病情转归有利。
Objective To analyze the effects of montelukast sodium tablets combined with magnesium sulfate injection on pulmonary function in patients with bronchial asthma. Methods 96 patients with bronchial asthma were divided into study group and control group according to the simple randomized grouping method, with 48 cases in each group. Control group was given conventional bronchial asthma, and study group was given montelukast sodium tablets and magnesium sulfate injection on the basis of the former. Thepulmonary function indexes [ratio of forced expiratory volume in 1st second(FEV1) in predicted value, ratio of forced expiratory volume in 1st second in forced vital capacity(FEV1/FVC), peak expiratory flow(PEF)], symptom relief time(wheezing, cough, chest tightness) and psychological status [Clinical Symptom Checklist(SCL-90)] were compared between the two groups before treatment and after 3 months of treatment. Results After 3 months of treatment, thelevels of pulmonary function indexes (FEV1, FEV1/FVC, PEF) in the two groups were significantly higher than those before treatment, and the improvements in study group were higher than those in control group(P<0.05), and the symptom relief time and SCL-90 score were significantly lower than those before treatment, and the reductionsin study group were higher than those in control group(P<0.05). There were no serious adverse reactions such as dyspnea and blood pressure reduction. Conclusion Montelukast sodium tablets combined with magnesium sulfate injection has significant treatment effects on patients with bronchial asthma, and it is beneficial to disease outcomes of patients.
【关键词】孟鲁司特钠片;硫酸镁注射液;支气管哮喘;肺功能
【中图分类号】R562.2+5
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2019.03.020
前言
支气管哮喘是一种由于慢性呼吸道炎症引起的 异质性疾病[1]。药物治疗仍旧是诊治支气管哮喘的最 有效的方式,包括扩张支气管药物和抗炎药物两大 类[2]。临床上主要使用扩张支气管药物中的β2-受体 激动剂、抗炎药物中的糖皮质激素治疗支气管哮喘, 但是对患者肺功能的改善并不十分理想。孟鲁司特钠 作为一种新型非皮质激素类抗炎药物,其可有效降低炎症物质的生成率。硫酸镁注射液可从多方面上制止 哮喘的发生。目前,关于孟鲁司特钠片与硫酸镁注射 液共同使用对支气管哮喘患者肺功能影响的研究较 少。基于此,本研究通过对患者肺功能指标水平的测 定、记录症状缓解时间,分析两者药物合用对支气管 哮喘患者肺功能的影响,取得一定成果,具体情况如 下。
罕少疾病杂志
第26卷, 第 3 期
2019年05月
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