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支气管镜肺灌洗治疗对稳定期慢性阻塞性肺疾病患者肺功能、生活质量以及血清炎性因子水平的影响▲
Effect of bronchoscopy and lung lavage on pulmonary function, quality of life and serum inflammatory factors in patients with stable chronic obstructive pulmonary disease

内科 201813卷04期 页码:551-553+602

作者机构:白银市第一人民医院呼吸科,甘肃省白银市730900

基金信息:▲基金项目:白银市科学技术局项目(2013-2-58Y)

*通信作者

DOI:DOI:10.16121/j.cnki.cn45-1347/r.2018.04.04

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目的探讨支气管镜肺灌洗治疗对稳定期慢性阻塞性肺疾病患者肺功能、生活质量以及炎性因子水平的影响。方法选取2015年2月至2017年10月在白银市第一人民医院诊治的稳定期慢性阻塞性肺疾病患者74例为研究对象,随机分为对照组与观察组,每组37例。对照组患者给予家庭氧疗和布地奈德/福莫特罗吸入治疗,观察组患者在对照组治疗的基础上行支气管镜肺灌洗术治疗。检测比较两组患者灌洗前、灌洗后1周的肺功能、血清炎症因子水平、生活质量。结果灌洗治疗1周后,观察组患者FEV1%、FEV1/FVC显著高于灌洗前及对照组,血清白介素1β(IL-1β)、肿瘤坏死因子α(TNF-α)、干扰素γ(IFN-γ)、结缔组织生长因子(CTGF)水平显著低于灌洗前及对照组,MRC评分低于灌洗前及对照组,ADL(Barthel)评分显著高于灌洗前及对照组,差异有统计学意义(P<0.01)。结论对稳定期慢性阻塞性肺疾病患者,在给予家庭氧疗和布地奈德/福莫特罗吸入治疗的基础上给予支气管镜肺灌洗治疗,可以有效改善肺功能、减轻气道炎症和全身性炎症反应,延缓病情进展,提高生活质量。
ObjectiveTo investigate the effects of bronchoscopy and lung lavage on lung function, quality of life and inflammatory factors in patients with stable chronic obstructive pulmonary disease. Methods74 patients with stable chronic obstructive pulmonary disease diagnosed at the First People’s Hospital of Baiyin from February 2015 to October 2017 were randomly divided into the control group and the observation group, with 37 cases in each group. Patients in the control group were treated with home oxygen therapy and budesonide/formoterol, and the patients in the observation group were treated with basal bronchial lung lavage in the control group. The lung function, serum inflammatory factor levels and quality of life were compared between the two groups before and after lavage. ResultsAfter 1 week of lavage treatment, FEV1% and FEV1/FVC were significantly higher in the observation group than before lavage and control group, serum interleukin-1β (IL-1β), tumor necrosis factor alpha (TNF-α), interferon gamma (IFN-γ), connective tissue growth factor (CTGF) levels were significantly lower than before lavage and control group, MRC score was lower than before lavage and control group, ADL (Barthel) score was significantly higher than before lavage and control group, the difference was Statistical significance (P<0.01). ConclusionAdministration of home oxygen therapy and budesonide/formoterol treatment and bronchoscopy lung lavage in patients with stable chronic obstructive pulmonary disease can effectively improve lung function, reduce airway inflammation and systemic inflammatory response, delay the progression of the disease, and improve the quality of life.

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