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硫酸沙丁胺醇联合噻托溴铵治疗53例AECOPD的疗效研究被引量:10
2013年
目的探讨硫酸沙丁胺醇联合噻托溴铵治疗慢性阻塞性肺疾病急性加重期(AECOPD)的临床疗效。方法将99例患者随机分为对照组46例和观察组53例。除常规治疗外,对照组给予雾化吸入噻托溴铵18μg和普米克令舒1mg,每天2次;观察组在对照组基础上给予吸入硫酸沙丁胺醇2mL,每天2次,治疗10d。于治疗前、后分别测定肺功能、血气分析指标,统计疗效和圣·乔治呼吸疾病问卷调查表(SGRQ)生活质量评分。结果观察组治疗的总有效率达90.6%,对照组为76.1%,观察组高于对照组(χ2=3.81,P<0.05);经治疗后两组患者肺功能指标均有升高(P<0.05),且观察组高于对照组(P<0.05);两组患者SGRQ评分较治疗前均有不同程度降低(P<0.05);观察组血气指标明显下降(P<0.05)。结论硫酸沙丁胺醇联合噻托溴铵治疗AECOPD疗效显著,可明显改善肺功能和血气指标,不良反应较少,值得临床推广。
李西玲谢俊刚
关键词:噻托溴铵硫酸沙丁胺醇呼吸功能试验
慢性阻塞性肺疾病发病机制的研究进展被引量:58
2014年
目前,COPD的高发病率和病死率是在世界范围内导致巨大经济和社会负担的主要原因。COPD发病机制复杂,炎症反应、氧化应激、蛋白酶/抗蛋白酶失衡、细胞凋亡是COPD发病机制的关键环节,感染是造成COPD急性加重和病情进展的主要因素,自身免疫可能是导致COPD患者戒烟后肺内炎症持续存在的主要原因。香烟烟雾引起的肺损伤最终形成自我放大的持续过程,导致临床症状及病理改变。
夏杰谢俊刚徐永健
关键词:慢性阻塞性肺疾病发病机制肺气肿氧化应激细胞凋亡
Effect of interleukin-33 on Th1/Th2 cytokine ratio in peripheral lymphocytes in asthmatic mice被引量:2
2014年
Background Allergic asthma is a chronic airway inflammatory disease partly characterised by high concentration of T help 2 (Th2) cytokines in bronchoalveolar lavage fluid (BALF). There is no report on the relation of peripherally circulating blood lymphocytes and asthma. We explored the balance of Th2fThl cytokines in asthmatic mice. Exogenous recombinant interleukin (IL) 33 acted on murine peripheral circulating blood lymphocytes, IL-5 cytokine was selected for assessing Th2 cytokines and interferon-gamma (IFN-~) for Thl cytokines. Methods Female specific pathogen free BABL/c mice were sensitised by intraperitoneal injection of 20 IJg of ovalbumin emulsified in 1 mg of aluminium hydroxide gel in a total volume of 200 IJI, and challenged for 30 minutes in 7 consecutive days with an aerosol of 2 g ovalbumin in 100 ml of PBS. Then we collected BALF and isolated lymphocytes from the peripheral blood. The lymphocytes were divided into two groups: asthmatic group and normal group. Thl/Th2 cytokines was detected by enzyme-linked immunosorbent assay (ELISA) kits. Results In the asthma group, we found numerous eosinophils and lymphocytes on the glass slides. We then confirmed that the optimal concentration of IL-33 was 10 ng/ml and time of IL-33 stimulating lymphocytes was 24 hours. In the asthma group, the production of IL-5 was significantly increased over normal group after stimulation with IL-33 (P 〈0.05) and the production of IFNy was supressed from IL-33 stimulated lymphocytes (P 〈0.05). Conclusion IL-33 acts on lymphocytes of peripheral blood increasing secretion of Th2 cytokines and inhibiting secretion of Thl cytokines.
He Xinliang Wu Wei Lu Yan Guo Yali Hu Chaoliang Huang Yuyun Xu Yuzu Xie Jungang Zhao Jianping
关键词:ASTHMAINTERLEUKIN-5INTERFERON-GAMMALYMPHOCYTES
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