多索茶碱联合布地奈德治疗急性支气管哮喘的效果及安全性分析OA
Analysis of the Effect and Safety of Doxofylline Combined with Budesonide in Treating Acute Bronchial Asthma
目的 研究急性支气管哮喘患者应用多索茶碱+布地奈德治疗的有效性及安全性.方法 纳入 2022 年 1 月-2024 年 12 月我院就诊的急性支气管哮喘患者,共 86 例.所有患者依据随机数字表法分为两组:对照组和研究组,各 43 例.对照组采用布地奈德雾化吸入,研究组予以布地奈德雾化吸入+多索茶碱治疗,比较两组临床疗效、肺功能指标、炎症因子指标、临床症状消退时间、不良反应发生率.结果 与对照组治疗总有效率的 83.72%对比,研究组更高,占比为 95.35%(P<0.05);与对照组治疗后肺功能指标、炎症因子指标、临床症状消退时间对比,研究组FEV1、PEF、FVC更高,IL-6、IL-17、TNF-α、CRP水平更低,咳嗽、喘息、哮鸣音消失时间更短(P<0.05);研究组不良反应发生率与对照组并无统计学差异(P>0.05).结论 布地奈德联合多索茶碱可提高急性支气管哮喘患者的临床疗效,改善肺功能、缓解临床症状并降低炎症因子水平,同时具有良好的安全性.
Objective To investigate the efficacy and safety of doxofylline combined with budesonide in treating acute bronchial asthma.Methods This study was conducted by enrolling 86 patients diagnosed with acute bronchial asthma at our hospital between January 2022 and December 2024,who were then randomly assigned to either a control group(n=43)or a study group(n=43)via a random number table.The control group was treated with budesonide nebulized inhalation,while the study group was treated with doxofylline in addition to the treatment given to the control group.The clinical efficacy,pulmonary function indicators,inflammatory factor levels,clinical symptom resolution time,and incidence of adverse reactions were compared between the two groups.Results Compared with the total effective rate of 83.72%in the control group,the study group had a higher rate of 95.35%(P<0.05).Compared with the control group in terms of pulmonary function indicators,inflammatory factor levels,and clinical symptom resolution time after treatment,the study group exhibited higher FEV1,PEF,and FVC,lower levels of IL-6,IL-17,TNF-α and CRP,and shorter disappearance times for cough,gasping and wheezing rales(P<0.05).The study group and the control group showed no statistically significant difference in the incidence of adverse reactions(P>0.05).Conclusion The combination of doxofylline and budesonide in the treatment of patients with acute bronchial asthma can enhance clinical efficacy,improve pulmonary function,alleviate clinical symptoms,and inhibit inflammatory factor levels,with a favorable safety profile.
王娟平;曾文宏;叶芳芳;王晓飞;杨舟君
吉水县人民医院 呼吸内科,江西 吉水 331600吉水县人民医院 呼吸内科,江西 吉水 331600吉水县人民医院 呼吸内科,江西 吉水 331600吉水县人民医院 医务科,江西 吉水 331600吉水县人民医院 院办,江西 吉水 331600
医药卫生
多索茶碱布地奈德急性支气管哮喘
DoxofyllineBudesonideAcute bronchial asthma
《医学信息》 2026 (8)
109-112,4
江西省吉安市科技计划指导性项目(编号:20244-049428)
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