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多索茶碱与噻托溴铵粉联合治疗COPD患者的疗效及对肺功能的影响研究
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摘要
目的:研究多索茶碱与噻托溴铵粉联合治疗COPD患者的疗效及对肺功能的影响。方法:选取我院2015年2月~2016年1月住院部收治的80例COPD患者,将其按照简单随机的方式分为2组,观察组——40例,对照组——40例。其中对照组患者给予多索茶碱治疗,观察组患者给予多索茶碱与噻托溴铵粉联合治疗;比较两组患者在不同治疗后的临床总有效率、不良反应发生率、临床症状评分、肺功能指数。结果:临床总有效率97.50%、总不良反应发生率2.50%、临床症状评分(咳嗽0.38±0.02分、呼吸困难0.36±0.03分、喘息0.24±0.02分)、肺功能指数(FEV1/FVC72.78±12.34%、PEF0.52±0.20%、MMEF0.44±0.16%)均优于对照组患者数据(P<0.05)。结论:COPD患者采用多索茶碱与噻托溴铵粉联合治疗具有明显的效果,能改善患者临床表现和肺功能,减少不良反应发生率,临床上值得推广及应用。
Objective:To study the effect of doxofylline and tiotropium powder combined treatment with COPD and its effect on pulmonary function.Methods:80 cases of COPD patients in our hospital from February 2015 to January 2016 were selected and divided into the following groups according to the simple and random way,——40 in the observation group and in the control group(——40 cases).The patients in the control group were treated with doxofylline treatment,observation group were treated with doxofylline and tiotropium bromide powder combined therapy:clinical comparison of two groups of patients in different after treatment,the total efficiency,the incidence of adverse reaction,clinical symptom score,pulmonary function index.Results:the total clinical efficiency of 97.50%,the total adverse reaction rate was 2.50%,clinical symptom score(0.38 + 0.02 points,cough and dyspnea in 0.36 + 0.03,0.24 + 0.02 wheezing and lung function index(FEV1/FVC72.78) + 12.34%,PEF0.52 + 0.20%,MMEF0.44 + 0.16%) were better than those in control group(data P < 0.05).Conclusion:the combined treatment of tiotropium bromide powder has obvious effect with doxofylline and hydrochlorothiazide in patients with COPD,can improve the clinical symptoms and pulmonary function of patients,reduce the incidence of adverse reactions,worthy of promotion and application in clinical practice.
引文
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