文章摘要
张沥文,宋紫霞,李 娟,吴玮玮,张 娟.维生素D滴剂联合布地奈德气雾剂治疗儿童哮喘的疗效及对患儿肺功能、免疫功能和炎症因子的影响[J].,2023,(24):4720-4724
维生素D滴剂联合布地奈德气雾剂治疗儿童哮喘的疗效及对患儿肺功能、免疫功能和炎症因子的影响
Efficacy of Vitamin D Drops Combined with Budesonide Aerosol in the Treatment of Children with Asthma and its Effects on Lung Function, Immune Function and Inflammatory Factors in Children with Asthma
投稿时间:2023-05-18  修订日期:2023-06-13
DOI:10.13241/j.cnki.pmb.2023.24.024
中文关键词: 维生素D  布地奈德气雾剂  哮喘  儿童  肺功能  免疫功能
英文关键词: Vitamin D  Procaterol hydrochloride  Asthma  Children  Lung function  Immune function
基金项目:四川省基层卫生事业发展研究中心项目(SWFZ19-Y-43)
作者单位E-mail
张沥文 南充市中心医院儿科 四川 南充 637000 zlw9403@163.com 
宋紫霞 南充市中心医院儿科 四川 南充 637000  
李 娟 南充市中心医院儿科 四川 南充 637000  
吴玮玮 南充市中心医院儿科 四川 南充 637000  
张 娟 南充市中心医院儿科 四川 南充 637000  
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中文摘要:
      摘要 目的:探究维生素D滴剂联合布地奈德气雾剂治疗儿童哮喘的疗效及对患儿肺功能、免疫功能和炎症因子的影响。方法:选取 2019年8月~2022年12月本院收治的120例哮喘患儿为研究对象,根据治疗方式不同分为观察组和对照组,各60例。对照组予以布地奈德气雾剂治疗;观察组在对照组基础上增加维生素D滴剂治疗。比较两组临床疗效及治疗前后临床症状、肺功能[第1 s用力呼气容积(FEV1)、呼气峰流速(PEF)、PEF昼夜变异率]、免疫功能[调节性T细胞(Treg)、辅助性T细胞2(Th2)、Th17]及炎症因子[肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、IL-8]水平。结果:观察组临床总有效率明显高于对照组(91.67% vs 73.33%,P<0.05)。与对照组相比,观察组治疗后日间症状、夜间症状评分均更低,C-ACT评分更高(P<0.05)。与对照组相比,观察组治疗后FEV1、PEF、Treg百分比均更高,PEF昼夜变异率、Th2和Th17百分比更低(P<0.05)。治疗后,与对照组相比,观察组TNF-α水平、IL-6水平和IL-8水平均更低(P<0.05)。结论:维生素D滴剂联合布地奈德气雾剂治疗儿童哮喘疗效显著,对患儿临床症状、肺功能均有明显改善作用,提高免疫功能,降低炎症因子水平。
英文摘要:
      ABSTRACT Objective: To explore the efficacy of vitamin D drops combined with budesonide aerosol in the treatment of children with asthma and its effects on lung function, immune function and inflammatory factors. Methods: 120 children with asthma admitted to our hospital from August 2019 to December 2022 were randomly divided into observation group and control group, 60 cases in each group. The control group was treated with budesonide aerosol; on the basis of the control group, the observation group was treated with vitamin D drops. The clinical efficacy and clinical symptoms, lung function [forced expiratory volume in the first second (FEV1), peak expiratory flow (PEF), PEF diurnal variation rate], immune function [regulatory T cells (Treg), helper T cells 2 (Th2), Th17] and inflammatory factors [tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), IL-8] levels before and after treatment were compared between the two groups. Results: The total effective rate of the observation group was higher comparing with the control group(91.67% vs 73.33%, P<0.05). Compared with the control group, the scores of daytime symptoms and nighttime symptoms in the observation group were lower, and the C-ACT score was higher(P<0.05). Compared with the control group, the percentage of FEV1, PEF and Treg in the observation group was higher, and the diurnal variation rate of PEF, the percentage of Th2 and Th17 were lower(P<0.05). After treatment, the percentages of Treg, Th2 and Th17 in the observation group were lower comparing with the control group (P<0.05). The levels of serum TNF-α, IL-6 and IL-8 in the observation group were significantly lower comparing with the control group(P<0.05). Conclusion: Vitamin D drops combined with budesonide aerosol is effective in the treatment of children with asthma, which can significantly improve the clinical symptoms and lung function, immune function and reduce the level of inflammatory factors.
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