目的 觀察噻托溴銨治療慢性阻塞性肺疾病急性加重期(AECOPD)臨床療效與安全性。 方法 選取 2010 年 1 月-2011年12月入院的69例AECOPD 患者隨機(jī)分為試驗(yàn)組(A組,n=36)和對(duì)照組(B組,n=33),A組在B組常規(guī)治療的基礎(chǔ)上吸入噻托溴銨。治療起始及結(jié)束分別觀察兩組肺功能指標(biāo)、慢性阻塞性肺疾病評(píng)估測(cè)試(CAT)評(píng)分、血?dú)夥治觥?分鐘步行距離、住院時(shí)間及藥物不良反應(yīng)。 結(jié)果 兩組均顯示出一定的臨床效果,A組治療后肺功能指標(biāo)、CAT評(píng)分、血?dú)夥治觥?分鐘步行距離均優(yōu)于B組,差異均具有統(tǒng)計(jì)學(xué)意義(P<0.05)。A組住院時(shí)間短于B組(P<0.05),且無(wú)嚴(yán)重不良反應(yīng)。 結(jié)論 AECOPD患者在常規(guī)治療同時(shí)吸入噻托溴銨,療效顯著且臨床安全性較高。
引用本文: 何大川,董瓊,王波,浦青,高涵,謝勇. 吸入噻托溴銨治療慢性阻塞性肺疾病急性加重期的臨床觀察. 華西醫(yī)學(xué), 2012, 27(12): 1837-1839. doi: 復(fù)制
1. | 中華醫(yī)學(xué)會(huì)呼吸病學(xué)分會(huì)慢性阻塞性肺疾病學(xué)組. 慢性阻塞性肺疾病診治指南(2007年修訂版)[J]. 中華結(jié)核和呼吸雜志,2007, 30(1):8-17. |
2. | Donaldson GC, Wedzicha JA. COPD exacerbations.1: Epidemiology[J]. Thorax,2006,61(2): 164-168. |
3. | 包宇旺,羅建雄,史洪輝,等. 重度、極重度COPD急性加重期合并多器官功能障礙226例臨床研究[J]. 華西醫(yī)學(xué), 2009, 24(10): 2588-2590. |
4. | Fromer L, Barnes T, Garvey C,et al. Innovations to achieve excellence in COPD diagnosis and treatment in primary care[J]. Postgrad Med,2010,122(5): 150-164. |
5. | Han MK, Martinez FJ. Pharmacotherapeutic approaches to preventing acute exacerbations of chronic obstructive pulmonary disease[J]. Proc Am Thorac Soc, 2011, 8(4) : 356-362. |
6. | 鐘南山. 慢性阻塞性肺疾病在中國(guó)[J]. 中國(guó)實(shí)用內(nèi)科雜志,2011, 31(5):321-322. |
7. | O’Donnell DE, Flüge T, Gerken F, et al. Effects of tiotropium onlung hyperinflation dyspnoea and exercise tolerance in COPD[J]. Eur Respir J, 2004, 23(6): 832-840. |
8. | Koumis T, Samuel S. Tiotropium bromide: a new long-acting bronchodilator for the treatment of chronic obstructive pulmonary disease[J]. Clin Ther, 2005, 27(4): 377-392. |
9. | Tashkin DP,Celli B, Senn S, et al. A 4 - year trial of tiotropium in chronic obstructive pulmonary disease[J]. N Engl J Med, 2008, 359(15) : 1543-1554 . |
10. | van Noord JA, Smeets JJ, Custers FL, et al. Pharmacodynamic steady state of tiotropium in patients with chronic obstructive pulmonary disease[J]. Eur Respir J, 2002, 19(4): 639-644. |
11. | Vogelmeier C, Hederer B, Glaab T, et al. Totropium versus Salmeterol for the prevention of exacerbations of COPD[J]. N Engl J Med, 2011, 364(12): 1093-1103. |
12. | Pieper MP, Chaudhary NI, Park JE. Acetylcholine-induced proliferation of fibroblasts and myofibroblasts in vitro is inhibited by tiotropium bromide[J]. Life Sci, 2007, 80(24-25): 2270-2273. |
13. | 梁劍, 張溪林, 鄭云, 等. 噻托溴銨改善COPD患者急性加重和氣流受限的療效研究[J]. 臨床醫(yī)學(xué)工程, 2011, 18(8): 1186-1189. |
14. | 史冬瑤, 孫力軍. 聯(lián)合應(yīng)用噻托溴銨與沙美特羅/氟替卡松治療慢性阻塞性肺疾病的療效觀察[J]. 中國(guó)醫(yī)藥指南, 2012, 10(3): 159-160. |
15. | Santus P, Di Marco F. Safety and pharmacological profile of tiotropium bromide[J]. Expert Opin Drug Saf, 2009, 8(3): 387-395. |
- 1. 中華醫(yī)學(xué)會(huì)呼吸病學(xué)分會(huì)慢性阻塞性肺疾病學(xué)組. 慢性阻塞性肺疾病診治指南(2007年修訂版)[J]. 中華結(jié)核和呼吸雜志,2007, 30(1):8-17.
- 2. Donaldson GC, Wedzicha JA. COPD exacerbations.1: Epidemiology[J]. Thorax,2006,61(2): 164-168.
- 3. 包宇旺,羅建雄,史洪輝,等. 重度、極重度COPD急性加重期合并多器官功能障礙226例臨床研究[J]. 華西醫(yī)學(xué), 2009, 24(10): 2588-2590.
- 4. Fromer L, Barnes T, Garvey C,et al. Innovations to achieve excellence in COPD diagnosis and treatment in primary care[J]. Postgrad Med,2010,122(5): 150-164.
- 5. Han MK, Martinez FJ. Pharmacotherapeutic approaches to preventing acute exacerbations of chronic obstructive pulmonary disease[J]. Proc Am Thorac Soc, 2011, 8(4) : 356-362.
- 6. 鐘南山. 慢性阻塞性肺疾病在中國(guó)[J]. 中國(guó)實(shí)用內(nèi)科雜志,2011, 31(5):321-322.
- 7. O’Donnell DE, Flüge T, Gerken F, et al. Effects of tiotropium onlung hyperinflation dyspnoea and exercise tolerance in COPD[J]. Eur Respir J, 2004, 23(6): 832-840.
- 8. Koumis T, Samuel S. Tiotropium bromide: a new long-acting bronchodilator for the treatment of chronic obstructive pulmonary disease[J]. Clin Ther, 2005, 27(4): 377-392.
- 9. Tashkin DP,Celli B, Senn S, et al. A 4 - year trial of tiotropium in chronic obstructive pulmonary disease[J]. N Engl J Med, 2008, 359(15) : 1543-1554 .
- 10. van Noord JA, Smeets JJ, Custers FL, et al. Pharmacodynamic steady state of tiotropium in patients with chronic obstructive pulmonary disease[J]. Eur Respir J, 2002, 19(4): 639-644.
- 11. Vogelmeier C, Hederer B, Glaab T, et al. Totropium versus Salmeterol for the prevention of exacerbations of COPD[J]. N Engl J Med, 2011, 364(12): 1093-1103.
- 12. Pieper MP, Chaudhary NI, Park JE. Acetylcholine-induced proliferation of fibroblasts and myofibroblasts in vitro is inhibited by tiotropium bromide[J]. Life Sci, 2007, 80(24-25): 2270-2273.
- 13. 梁劍, 張溪林, 鄭云, 等. 噻托溴銨改善COPD患者急性加重和氣流受限的療效研究[J]. 臨床醫(yī)學(xué)工程, 2011, 18(8): 1186-1189.
- 14. 史冬瑤, 孫力軍. 聯(lián)合應(yīng)用噻托溴銨與沙美特羅/氟替卡松治療慢性阻塞性肺疾病的療效觀察[J]. 中國(guó)醫(yī)藥指南, 2012, 10(3): 159-160.
- 15. Santus P, Di Marco F. Safety and pharmacological profile of tiotropium bromide[J]. Expert Opin Drug Saf, 2009, 8(3): 387-395.