Clinical efficacy and safety analysis of human interferonα-2b atomized inhalation combined with budesonide in the treatment of infantile bronchitis
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摘要: 目的 探讨在小儿毛细支气管炎中运用布地奈德联合重组人干扰素α-2b(rhlFNα-2b)雾化吸入治疗的临床疗效和安全性,为小儿毛细支气管炎的诊治提供理论依据。 方法 将2018年1—12月阜阳市妇女儿童医院收治的毛细支气管炎患儿共205例,按随机数字表法分为治疗组(103例)和对照组(102例)。对照组采用雾化吸入布地奈德治疗;治疗组在对照组的基础上加用重组人干扰素α-2b(rhlFNα-2b)20万IU/(kg·次),2组患儿均给予合适的对症支持治疗。动态观察治疗前和治疗7 d内每天2组患儿的临床症状积分,记录各临床表现改善率,比较2组患儿的治疗效果。 结果 治疗组第5~7天喘憋积分明显低于对照组(均P<0.05);治疗组第4~7天咳嗽、哮鸣音积分明显低于对照组(均P<0.05);治疗组第2~5天三凹征积分明显低于对照组(均P<0.05);治疗组第4~7天总分明显低于对照组(均P<0.05);治疗第7天,治疗组在咳嗽、喘憋和哮鸣音等临床症状改善情况均显著优于对照组(均P<0.05);治疗第7天,治疗组总改善情况优于对照组[(95.68±18.71)分vs.(76.57±21.73)分],差异有统计学意义(t=6.750,P<0.001);2组患儿均未发生严重不良反应。 结论 布地奈德联合重组人干扰素α-2b(rhlFNα-2b)雾化吸入治疗小儿毛细支气管炎可显著提高治疗效果,迅速改善临床症状,且安全性高,值得临床上推广。
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关键词:
- 重组人干扰素α-2b /
- 毛细支气管炎 /
- 布地奈德 /
- 雾化吸入 /
- 临床效果
Abstract: Objective To explore the method of budesonide combined with recombinant human interferon α-2 b(rhIFNα-2 b) aerosol inhalation in children with bronchiolitis, and to observe its clinical efficacy and safety analysis, so as to provide theoretical basis for the diagnosis and treatment of children with bronchiolitis. Methods A total of 205 children with bronchiolitis admitted to Fuyang women's and children's Hospital from January to December 2018 were randomly divided into treatment group(103 cases) and control group(102 cases). The control group was treated with inhaled budesonide; the treatment group was treated with rhIFNα-2 b 200 000 IU/(kg·time) on the basis of the control group, and the two groups were given appropriate symptomatic support treatment. The clinical symptom scores of the two groups before and 7 days after treatment were dynamically observed, the improvement rate of each clinical performance was recorded, and the therapeutic effects of the two groups were compared. Results The score of asthmatic suffocation in the treatment group was significantly lower than that in the control group on the 5 th to 7 th day(P<0.05). The score of cough and wheezing in the treatment group was significantly lower than that in the control group on the 4 th to 7 th day(P<0.05). The score of three concave signs in the treatment group was significantly lower than that in the control group on the 2 nd to 5 th day(P<0.05). The score of four concave signs in the treatment group was significantly lower than that in the control group on the 4 th to 7 th day(P<0.05). The difference was statistically significant(P<0.05) d. The improvement of cough, wheezing and wheezing sound in the treatment group was significantly higher than that in the control group, the difference was statistically significant(P<0.05). On the 7 th day of treatment, the total improvement of the treatment group was higher than that of the control group[(95.68±18.71) scores vs.(76.57±21.73) scores], the difference was statistically significant(t=6.750, P<0.001), no serious adverse reactions occurred in the two groups. Conclusion Budesonide combined with rhIFNα-2 b aerosol inhalation can significantly improve the therapeutic effect of bronchiolitis in children, rapidly improve the clinical symptoms, and has high safety, which is worthy of clinical promotion.
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