Kostinov M P, Ryzhov A A, Magarshak O O, Zhirova S N, Protasov A D, Erofeev Iu V, Migunova O V, Tolokonnikova I N, Liverko E V
Ter Arkh. 2014;86(3):28-33.
To evaluate the impact of vaccination against pneumococcal infection on the clinical aspects of the underlying disease in patients with chronic obstructive pulmonary disease (COPD).
The study conducted in the West Siberian Region (Omsk and Tyumen) enrolled 200 COPD patients aged 30 to 55 years, of whom 50 people in each city were vaccinated with Pneumo 23, as well as 50 unvaccinated persons in each city formed a comparison group. Physical examination, questionnaire survey, and medical history data collection were made during a year before vaccination and after it. Changes in the number of COPD exacerbations, hospital admissions, and disability days were compared in the groups of Pneumo 23-vaccinated and unvaccinated patients.
In Pneumo 23-vaccinated patients with COPD, the number of its exacerbations, hospital admissions, and disability days within a year of starting the study were fewer than in the unvaccinated patients, with the more effect being seen in the Omsk dwellers, which had a beneficial effect on the clinical state of the vaccinated.
Incorporation of pneumococcal vaccine along with antirecurrent, standard therapy may serve as one of the tools to alleviate COPD.
评估肺炎球菌感染疫苗接种对慢性阻塞性肺疾病(COPD)患者基础疾病临床状况的影响。
在西西伯利亚地区(鄂木斯克和秋明)开展的这项研究纳入了200名年龄在30至55岁的COPD患者,每个城市中有50人接种了23价肺炎球菌多糖疫苗(Pneumo 23),每个城市中另外50名未接种疫苗的人员组成对照组。在接种疫苗前一年及接种后进行体格检查、问卷调查并收集病史数据。对接种Pneumo 23疫苗的患者组和未接种疫苗的患者组中COPD急性加重次数、住院次数和残疾天数的变化进行比较。
在接种Pneumo 23疫苗的COPD患者中,研究开始后一年内其急性加重次数、住院次数和残疾天数均少于未接种疫苗的患者,在鄂木斯克居民中效果更为明显,这对接种疫苗者的临床状况产生了有益影响。
将肺炎球菌疫苗与抗复发标准治疗相结合可作为缓解COPD的手段之一。