经鼻吸入布地奈德及特布他林治疗支气管哮喘急性发作并变应性鼻炎患者的临床疗效观察

发布时间：2018-01-17 16:29

本文关键词：经鼻吸入布地奈德及特布他林治疗支气管哮喘急性发作并变应性鼻炎患者的临床疗效观察　出处：《实用心脑肺血管病杂志》2016年11期 　论文类型：期刊论文

【摘要】：目的观察经鼻吸入布地奈德及特布他林治疗支气管哮喘急性发作并变应性鼻炎患者的临床疗效。方法选取2013年9月—2015年5月淮安市淮阴医院收治的支气管哮喘急性发作并变应性鼻炎患者96例,采用随机数字表法分为对照组和观察组,每组48例。两组患者入院后均给予支气管哮喘常规干预,对照组患者在此基础上经口吸入布地奈德和特布他林,观察组患者在此基础上经鼻吸入布地奈德和特布他林。比较两组患者治疗前、治疗后3 d、出院前视觉模拟量表(VAS)评分、哮喘控制问卷(ACT)评分,住院时间及住院期间糖皮质激素静脉给药量。结果治疗前两组患者VAS、ACT评分比较,差异无统计学意义(P0.05);治疗3 d后、出院前观察组患者VAS评分低于对照组,ACT评分高于对照组(P0.05)。观察组患者住院时间短于对照组,住院期间糖皮质激素静脉给药量少于对照组(P0.05)。结论经鼻吸入布地奈德及特布他林治疗支气管哮喘急性发作并变应性鼻炎患者的临床疗效确切,可有效控制鼻炎及哮喘症状,缩短住院时间并减少糖皮质激素用量。
[Abstract]:Objective To observe the clinical curative effect of nasal inhalation of budesonide and terbutaline in the treatment of acute attack of bronchial asthma and allergic rhinitis patients. Methods from September 2013 to May 2015 in Huai'an Huaiyin Hospital were acute bronchial asthma and 96 cases of allergic rhinitis were collected, were randomly divided into control group and observation group, 48 cases in each group. Two groups of patients were given conventional intervention bronchial asthma, patients in the control group on the basis of oral budesonide and terbutaline, patients in the observation group on the basis of nasal inhalation of budesonide and terbutaline. Comparison of two groups of patients before treatment, after treatment 3 D before discharge from the visual analog scale (VAS) score, asthma control questionnaire (ACT) score, hospitalization time and hospitalization during intravenous glucocorticoid dosage. The results of two groups of patients before treatment VAS, ACT score comparison, the difference was not statistically significant (P0.05); after 3 D treatment before discharge, VAS scores in observation group were lower than the control group, ACT score higher than the control group (P0.05). The patients in the observation group were shorter than the control group during hospitalization, intravenous glucocorticoid dosage was less than the control group (P0.05). Conclusion the nasal inhalation of budesonide and special cloth He Lin therapeutic effect in the treatment of acute attack of bronchial asthma and allergic rhinitis patients exactly, can effectively control the rhinitis and asthma symptoms, shorten the hospitalization time and reduce the dosage of corticosteroid.

【作者单位】：江苏省淮安市淮阴医院呼吸科;
【分类号】：R562.25;R765.21
【正文快照】： [J].实用心脑肺血管病杂志,2016,24(11):150-152.[www.syxnf.net]XU Y J,GE H T.Clinical effect of nasal inhalation of budesonide combined with terbutaline in treating acute paroxysmalbronchial asthma patients complicated with allergic rhinitis[J].Practical Jo

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