黄焰. 泼尼松联合自拟抗肺纤合方剂对肺间质纤维化病人肺功能、血清学指标和运动耐力的影响[J]. 蚌埠医科大学学报, 2020, 45(12): 1651-1654. DOI: 10.13898/j.cnki.issn.1000-2200.2020.12.015
    引用本文: 黄焰. 泼尼松联合自拟抗肺纤合方剂对肺间质纤维化病人肺功能、血清学指标和运动耐力的影响[J]. 蚌埠医科大学学报, 2020, 45(12): 1651-1654. DOI: 10.13898/j.cnki.issn.1000-2200.2020.12.015
    HUANG Yan. Effect of prednisone combined with self-designed anti-pulmonary fibrosis prescription on pulmonary function, serological index and exercise endurance in patients with pulmonary interstitial fibrosis[J]. Journal of Bengbu Medical University, 2020, 45(12): 1651-1654. DOI: 10.13898/j.cnki.issn.1000-2200.2020.12.015
    Citation: HUANG Yan. Effect of prednisone combined with self-designed anti-pulmonary fibrosis prescription on pulmonary function, serological index and exercise endurance in patients with pulmonary interstitial fibrosis[J]. Journal of Bengbu Medical University, 2020, 45(12): 1651-1654. DOI: 10.13898/j.cnki.issn.1000-2200.2020.12.015

    泼尼松联合自拟抗肺纤合方剂对肺间质纤维化病人肺功能、血清学指标和运动耐力的影响

    Effect of prednisone combined with self-designed anti-pulmonary fibrosis prescription on pulmonary function, serological index and exercise endurance in patients with pulmonary interstitial fibrosis

    • 摘要:
      目的探究泼尼松联合自拟抗肺纤合方剂对肺间质纤维化病人肺功能、血清学指标和运动耐力的影响。
      方法选取70例肺间质纤维化病人,采用随机数字表法随机分为对照组和观察组,各35例。对照组采用醋酸泼尼松治疗,观察组采用醋酸泼尼松联合自拟抗肺纤合方剂治疗。观察2组肺功能、血清炎症因子、血清纤维化指标、运动耐力等指标。
      结果治疗后,观察组病人测定用力肺活量、第1秒用力呼气量、第1秒用力呼气量/用力肺活量大于对照组(P < 0.05~P < 0.01);观察组病人磨玻璃密度影、小叶间隔增厚、胸膜下弧线影、小叶内间质增厚、蜂窝肺、支气管血管束增粗比例低于对照组(P < 0.05);观察组病人肿瘤坏死因子α、白细胞介素1β、血浆纤维蛋白原、D-二聚体水平低于对照组(P < 0.01);观察组病人透明质酸、Ⅲ型前胶原、Ⅳ型胶原、层黏蛋白低于对照组(P < 0.01);观察组病人6 min步行距离大于对照组,差异有统计学意义(P < 0.05)。
      结论泼尼松联合自拟抗肺纤合方剂能够改善病人肺功能、下调血清炎症因子及血清纤维化指标,增强病人运动耐力。

       

      Abstract:
      ObjectiveTo explore the effects of prednisone combined with self-made anti-pulmonary fibrosis prescription on pulmonary function, serological indexes and exercise endurance in patients with pulmonary interstitial fibrosis.
      MethodsSeventy patients with pulmonary interstitial fibrosis were randomly divided into the control group and observation group using random number table method(35 cases in each group).The control group was treated with prednisone acetate, while the observation group was treated with prednisone acetate combined with self-made anti-pulmonary fibrosis prescription.The lung function, serum inflammatory factors, serum fibrosis indexes, exercise endurance and other indexes were observed in two groups.
      ResultsAfter treatment, the FVC, FEV1 and FEV1/FVC in observation group were significantly higher than those in control group(P < 0.05 to P < 0.01).The proportion of ground glass density shadow, interlobular septal thickening, subpleural arc shadow, interlobular interstitial thickening, beehive lung and bronchovascular bundle thickening in observation group was lower than those in control group(P < 0.05).The levels of tumor necrosis factor α(TNF-α), IL-1 β, FIB and D-dimer in observation group were lower than those in control group(P < 0.01).The levels of hyaluronic acid, procollagen type Ⅲ, type Ⅳ collagen and layer mucins in observation group were lower than those in control group(P < 0.01).The 6-minute walking distance(6 MWD) in observation group was significantly higher than that in control group(P < 0.05).
      ConclusionsPrednisone combined with self-made anti-pulmonary fibrosis prescription can improve the patients' lung function, reduce serum inflammatory factors and serum fibrosis indexes, and enhance patients' exercise endurance.

       

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