甲泼尼龙琥珀酸钠对呼吸窘迫综合征患者肺功能及炎症状况的影响

Effect of methylprednisolone sodium succinateon pulmonary function and inflammation reaction in patients with respiratory distress syndrome

  • 摘要:
      目的  探讨甲泼尼龙琥珀酸钠对呼吸窘迫综合征患者肺功能及炎症状况的影响。
      方法  通过数字随机方法将90例呼吸窘迫综合征患者分成对照组与观察组各45例,对照组采用常规治疗,观察组则在常规治疗的同时采用甲泼尼龙琥珀酸钠治疗,观察比较2组患者的肺功能及炎症状况。
      结果  治疗后,观察组的Murray急性肺损伤评分、急性生理学与慢性健康状况评分Ⅱ(APACHE Ⅱ)评分均显著低于对照组(P < 0.05); 治疗后, 2组的肺总量(TLC)、肺活量(VC)、用力呼气肺活量(FVC)各项肺功能指标水平均较治疗前显著提高(P < 0.05), 且观察组各项肺功能指标水平显著高于对照组(P < 0.05); 与治疗前相比, 2组治疗后的白细胞介素-6(IL-6)、白细胞介素-8(IL-8)、肿瘤坏死因子-α(TNF-α)各项炎症因子水平均显著降低(P < 0.05), 且观察组各项炎症因子水平均显著低于对照组(P < 0.05); 2组的不良反应发生率差异无统计学意义(P>0.05)。
      结论  采用甲泼尼龙琥珀酸钠治疗呼吸窘迫综合征患者能取得较为理想的疗效,可显著改善患者肺功能,降低炎症水平,且安全性高。

     

    Abstract:
      Objective  To analyze the effect of methylprednisolone sodium succinate on pulmonary function and inflammation in patients with respiratory distress syndrome.
      Methods  A total of 90 patients with respiratory distress syndrome were randomly divided into two groups, with 45 per group. The control group received routine treatment, while the observation group was given methylprednisolone sodium succinate at the same time of routine treatment. The pulmonary function and inflammation were observed and compared between the two groups.
      Results  After treatment, the Murray acute lung injury score, Acute Physiology and Chronic Health Score II (APACHE II) of the observation group were significantly lower than those of the control group (P < 0.05). Compared with before treatment, the total lung capacity (TLC), vital capacity (VC), forced expiratory vital capacity (FVC) and other lung function indicators in the observation group were significantly improved after treatment (P < 0.05), and the lung function indicators above in the observation group after treatment were significantly higher than those in the control group (P < 0.05). Compared with before treatment, the levels of interleukin-6(IL-6), interleukin-8(IL-8), tumor necrosis factor-α(TNF-α)and other inflammatory factors in the two groups were significantly lower after treatment (P < 0.05), and the levels of inflammatory factors in the observation group were significantly lower than those in the control group (P < 0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05).
      Conclusion  Methylprednisolone sodium succinate in the treatment of respiratory distress syndrome patients can achieve a better curative effect, significantly improve lung function, and reduce the level of inflammation, and has high safety.

     

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