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辛伐他汀联合N‑乙酰半胱氨酸治疗支气管哮喘患者的临床效果
Clinical effect of simvastatin combind with N-acetylcysteine in the treatment of patients with bronchial asthma

内科 202419卷01期 页码:34-37

作者机构:广东省广州市增城区新塘医院内二科,广州市 511340

DOI:10.16121/j.cnki.cn45-1347/r.2024.01.07

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目的 探讨辛伐他汀联合N‑乙酰半胱氨酸治疗支气管哮喘患者的临床效果。方法 选取61例支气管哮喘患者作为研究对象,将其随机分为对照组(n=31例)和观察组(n=30例)。对照组给予常规治疗,观察组在对照组的基础上加用辛伐他汀联合N‑乙酰半胱氨酸治疗,两组均治疗6周。比较两组患者的临床疗效、治疗前后的肺功能和炎性因子水平,以及治疗期间不良反应的发生情况。结果 治疗6周后,观察组患者治疗总有效率高于对照组患者;两组患者呼气峰值流量实测值/预计值、用力肺活量和第1秒用力呼气容积均升高,且观察组患者上述指标均大于对照组患者;两组患者血清白细胞介素‑6、白细胞介素‑17和肿瘤坏死因子‑α水平均降低,且观察组患者上述指标均低于对照组患者(均P<0.05)。治疗期间,两组患者不良反应的发生情况差异无统计学意义(P>0.05)。结论 辛伐他汀联合N‑乙酰半胱氨酸治疗支气管哮喘患者的临床效果好,可有效地改善患者的肺功能,降低炎性因子水平,减轻气道炎症反应,且不良反应较轻。


Objective To investigate the clinical effect of simvastatin combined with N-acetylcysteine in the treatment of patients with bronchial asthma. Methods A total of 61 patients with bronchial asthma were selected as research subjects and randomly divided into the control group (n=31) or the observation group (n=30). The control group was treated conventionally, based on which the observation group was treated with a combination of simvastatin and N-acetylcysteine additionally, and both groups were treated for 6 weeks. The clinical efficacy, lung function and inflammatory factors levels before and after treatment, and the incidence of adverse reactions during treatment were compared between the two groups. Results After 6 weeks of treatment, the total effective rate of treatment of the observation group was higher than that of the control group; the tested peak expiratory flow over expected, forced vital capacity, and forced expiratory volume in 1 second were increased in both groups, and the above indexes in the observation group were higher than those in the control group; the serum levels of interleukin-6, interleukin-17, and tumor necrosis factor-α in the two groups were decreased, and the above indexes in the observation group were lower than those in the control group (all P<0.05). There was no statistically significant difference in the incidence of adverse reactions during treatment between the two groups (P>0.05). Conclusion Simvastatin combined with N-acetylcysteine has a good clinical effect in the treatment of patients with bronchial asthma, which can effectively improve their lung function, reduce inflammatory factors levels, alleviate airway inflammation, and the adverse reactions are mild.


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