重组人干扰素-γ与泼尼松联用治疗特发性肺间质纤维化的应用价值探究2712

来源 :临床肺科杂志 | 被引量 : 0次 | 上传用户:huoshu
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
目的:探究重组人干扰素-γ与泼尼松联用治疗特发性肺间质纤维化的应用价值。方法选取从2012年1月至2015年1月在我院进行治疗的特发性肺间质纤维化患者120例,随机分为两组,观察组60例患者进行重组人干扰素-γ与泼尼松治疗,对照组60例患者进行泼尼松治疗,对2组患者治疗效果进行对比分析。结果观察组患者刺激性干咳好转38例(63.3%),呼吸困难好转34例(56.7%),活动能力好转36例(60.0%),肺弥散功能好转34例(56.7%);对照组患者刺激性干咳好转20例(33.3%),呼吸困难好转16例(26.7%),活动能力好转12例(20.0%),肺弥散功能好转12例(20.0%),差异有统计学意义(P<0.05)。治疗后,两组患者血清纤维化指标均得到了不同程度改善,观察组患者Ⅲ型胶原蛋白为(51.0±11.5) ng/L,Ⅳ型胶原蛋白为(63.1±21.6) ng/L,透明质酸为(78.6±31.6) ng/L;对照组患者Ⅲ型胶原蛋白为(80.5±17.2) ng/L,Ⅳ型胶原蛋白为(70.3±24.5) ng/L,透明质酸为(87.8±26.7) ng/L。与治疗前相比差异有统计学意义(P<0.05),治疗后两组患者相比差异有统计学意义(P<0.05)。结论在进行特发性肺间质纤维化治疗时,重组人干扰素-γ与泼尼松治疗联用的方法效果良好,能够减轻患者病症,应在临床中推广使用。“,”Objective To explore the efficacy of recombinant human interferon-γ and prednisone in the treatment of patients with idiopathic pulmonary fibrosis. Methods 120 patients with idiopathic pulmonary fibrosis from January 2012 to January 2015 were randomly divided into 2 groups. The observation group was treated with re-combinant human interferon-γand prednisone, and the control group was treated with prednisone. The curative effect was analyzed and compared between the two groups. Results In the observation group, there were 38 cases of stimula-ting dry cough improved (63. 3%), and 34cases of dyspnea improved (56. 7%), 36 cases of activity improved (60. 0%) and 34 cases of lung diffusion function improved (56. 7%). In the control group, there were 20 cases of irritating cough improved ( 33. 3%) , 16 cases of dyspnea improved ( 26. 7%) , 12 cases of activity improved (20. 0%), and 12 cases of pulmonary diffusion function improved (20. 0%) (P<0. 05). After the treatment, the indexes of serum fibrosis all improved, and the improvement was more pronounced in the observation group than in the control group (P<0. 05). The level of typeⅢ collagen was (51 ± 11. 5) ng/L, typeⅣ collagen was (63. 1 ± 21. 6) ng/L, and hyaluronic acid was (78. 6 ± 31. 6) ng/L in the observation group. The level of type Ⅲ collagen was (80. 5 ± 17. 2) ng/L, type Ⅳ collagen was (70. 3 ± 24. 5) ng/L, and hyaluronic acid was (87. 8 ± 26. 7) ng/L. Conclusion In the treatment of idiopathic pulmonary fibrosis, recombinant human interferon-γ and prednisone have a good curative effect, which can relieve patients’ pathological symptom and should be promoted in clinical use.
其他文献
期刊
夏季酷热,蚊虫活跃、消化道疾病渐多,尤其小儿高热及中暑多见.在备药时除一般常备药品外,夏季要重点加备以下药品:
编辑同志:rn我女儿16岁,生理上一切正常.但自从12岁起我们就发现孩子在心理方面有些不正常的行为趋向,她非常喜欢穿男孩子服装、留短发.尤其最近两年,这种爱好逐渐加重,从不
目前,市场假药品种繁多,再有经验的专家也不可能搜罗市场上所有的假药,但其中还是大有规律可循的.
保健医生:rn我有个朋友刚满60岁,就患了半身不遂,医院检查后说是“双重中风”,不知这是什么意思,有没有办法治好?请给予指点.
期刊
老汤是一位退休工人,退休生活过得还算舒适,唯一使老汤感到不如意的是他的慢性头痛症.头痛发作时经常使他心绪不宁、坐卧不安.可是每次为同样的病去看医生,拿回的几乎是相同
期刊
保健医生:rn我今年40岁,近来出现心跳加快,每分钟达120次以上.开始时一周发作一次,几分钟后缓解.现在发作次数增多,有时在打哈欠、伸懒腰或弯腰系鞋袋时均会发作,被诊断为“
期刊