Ni Xiuyuan, Zhou Shigeng, Wang Congling, Chen Shengheng, Hu Jingdan, Zhang Shengjing
Xiuyuan Ni Department of Respiratory, Wenzhou Geriatric Hospital, Wenzhou city, Zhejiang Province 325000, P.R. China.
Shigeng Zhou Department of Respiratory, Wenzhou Geriatric Hospital, Wenzhou city, Zhejiang Province 325000, P.R. China.
Pak J Med Sci. 2024 Aug;40(7):1391-1396. doi: 10.12669/pjms.40.7.9495.
To explore the clinical value of Vitamin-D combined with budesonide/formoterol (BF) and theophylline sodium glycinate (TSG) sustained-release tablets in the treatment of patients with chronic obstructive pulmonary disease (COPD).
Medical records of 114 patients with CODP, treated in Wenzhou Geriatric Hospital from October 2020 to February 2023, were retrospectively analyzed. Of them, 59 received treatment with Vitamin-D combined with BF and TSG sustained-release tablets (Group-A), and 55 patients received treatment with BF combined with TSG sustained-release tablets (Group-B). Lung function indicators, blood gas status, inflammatory factors, fractional exhaled nitric oxide (FeNO), and 25-hydroxyvitamin D [25(OH)D] levels before and after the treatment in both groups were collected.
After the treatment, lung function indicators, blood gas status, inflammatory factors, FeNO, and 25 (OH) D levels in both groups were significantly improved compared to pretreatment levels, and were significantly better in the Group-A compared to Group-B (P<0.05).
The combination of Vitamin-D, BF, and TSG sustained-release tablets can effectively regulate the blood gas status of patients with COPD, improve lung function, regulate FeNO and 25 (OH) D, and effectively downregulate the levels of inflammatory factors, thus reducing the degree of inflammatory response.
探讨维生素D联合布地奈德/福莫特罗(BF)及甘氨酸茶碱钠(TSG)缓释片治疗慢性阻塞性肺疾病(COPD)患者的临床价值。
回顾性分析2020年10月至2023年2月在温州老年医院接受治疗的114例COPD患者的病历。其中,59例接受维生素D联合BF及TSG缓释片治疗(A组),55例接受BF联合TSG缓释片治疗(B组)。收集两组治疗前后的肺功能指标、血气状态、炎症因子、呼出一氧化氮分数(FeNO)及25-羟基维生素D[25(OH)D]水平。
治疗后,两组的肺功能指标、血气状态、炎症因子、FeNO及25(OH)D水平均较治疗前显著改善,且A组明显优于B组(P<0.05)。
维生素D、BF及TSG缓释片联合应用可有效调节COPD患者的血气状态,改善肺功能,调节FeNO及25(OH)D,并有效下调炎症因子水平,从而减轻炎症反应程度。