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Exploration on the Diagnosis and Treatment Atomization Inhalation Budesonide Capillary Bronchitis Curative Effect
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作者 WANG Chongli 《外文科技期刊数据库(文摘版)医药卫生》 2021年第11期903-905,共5页
Objective: to analyze the application and symptom improvement of atomized inhalation budesonide (BUD) in the treatment of bronchiolitis (RSV). Methods: a total of 100 patients with RSV in our hospital from January 201... Objective: to analyze the application and symptom improvement of atomized inhalation budesonide (BUD) in the treatment of bronchiolitis (RSV). Methods: a total of 100 patients with RSV in our hospital from January 2019 to January 2021 were selected, and the number table was randomly divided into 2 groups with 50 patients in each group. The patients in the reference group were given conventional drug treatment, and the atomized group was given atomized inhalation BUD treatment on the basis of this. Compare the relative efficacy. Results: before treatment, the lung function and RSV inflammation indexes of the two groups were compared, P > 0.05, but after treatment, the lung function of the two groups was improved, while RSV inflammation indexes were decreased, and the decrease degree of RSV inflammation indexes of the atomization group was greater than that of the reference group, and the improvement degree of lung function was greater than that of the reference group, P < 0.05. The improvement rate of atomization group was higher than that of reference group, P < 0.05. Conclusion: the therapeutic mode of nebulized inhalation of BUD is very effective in the clinical intervention of children with RSV, and can promote the improvement of pulmonary function, which is worth promoting. 展开更多
关键词 atomizing inhalation BUD RSV symptom improvement
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Nursing Experience of Treating Acute and Chronic Pharyngolaryngitis by Atomization Inhalation
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作者 ZHANLimei 《外文科技期刊数据库(文摘版)医药卫生》 2022年第8期146-149,共4页
Objective: to study and analyze the clinical application effect of comprehensive nursing in the treatment of acute and chronic pharyngitis by spray inhalation. Methods: 120 patients with acute and chronic pharyngitis ... Objective: to study and analyze the clinical application effect of comprehensive nursing in the treatment of acute and chronic pharyngitis by spray inhalation. Methods: 120 patients with acute and chronic pharyngitis who were admitted to our hospital from January 2020 to May 2021 were all treated by atomization inhalation. The patients were divided into two groups according to the admission time. 60 patients in the experimental group received comprehensive nursing intervention and 60 patients in the control group received daily nursing intervention. The effect of nursing intervention was compared between the two groups. Results: after the intervention, 3.33% of the patients in the experimental group did not reach the effective standard, 30.00% of the patients reached the effective standard, and 66.67% of the patients reached the significant effective standard. the total effective rate in the experimental group was higher than that in the control group by 96.67%, with a significant difference between the two groups (P0.05). There was no side reaction in the experimental group, and the incidence of side reaction in the experimental group was significantly lower than that in the control group, with a significant difference between the two groups (P0.05). Conclusion: the application of comprehensive nursing intervention to patients with acute and chronic pharyngolaryngitis treated by atomization inhalation can reduce the occurrence of adverse reactions and further improve the treatment effect, which has important clinical value. 展开更多
关键词 atomizing inhalation acute and chronic pharyngolaryngitis comprehensive care application effect
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Effect of Ultrasonic Atomization Inhalation on Oral Mucosal Reaction in Patients with Nasopharyngeal Carcinoma Treated by Intensity Modulated Radiation
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作者 ZHU Fei MA Tiantian 《外文科技期刊数据库(文摘版)医药卫生》 2021年第2期425-429,共5页
Objective: to observe the oral mucosa reaction of nasopharyngeal carcinoma patients treated with intensity modulated radiation therapy after ultrasonic atomization inhalation. Methods: in order to protect oral mucosa,... Objective: to observe the oral mucosa reaction of nasopharyngeal carcinoma patients treated with intensity modulated radiation therapy after ultrasonic atomization inhalation. Methods: in order to protect oral mucosa, the patients were randomly divided into two groups: the control group was given 0.9% sodium chloride injection and the observation group was given ultrasonic atomization inhalation. Results: the incidence of oral mucosa reaction in the observation group was lower than that in the control group. The difference was statistically significant (P < 0.05). Conclusion: intensity-modulated radiotherapy for nasopharyngeal carcinoma using ultrasonic atomization inhalation is beneficial to protect oral mucosa and promote the improvement of patients' oral mucosa reaction. 展开更多
关键词 ultrasonic atomization inhalation nasopharyngeal carcinoma oral mucosa reaction
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Nitrogen monoxide vector of ultrasonic atomizing inhalation improves vertebro-basilar artery insufficiency Hemodynamic changes are detected by transcranial Doppler test 被引量:1
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作者 Donghong Xu Jinfeng Liu Zhaohui Li Ailing Wang Chengjun Zhao 《Neural Regeneration Research》 SCIE CAS CSCD 2007年第8期506-509,共4页
BACKGROUND: Latest researches at home and abroad indicate that glycerol trinitrate plays its function because it can metabolize into nitrogen monoxide (NO) in vivo. OBJECTIVE: To study the therapeutic effects of N... BACKGROUND: Latest researches at home and abroad indicate that glycerol trinitrate plays its function because it can metabolize into nitrogen monoxide (NO) in vivo. OBJECTIVE: To study the therapeutic effects of NO vector of ultrasonic atomizing inhalation on vertebro-basilar artery insufficiency (VBI) through transcranial Doppler (TCD) detection and serum NO content and indirect effect of TCD on cerebral blood flow changes. DESIGN: Randomized grouping and controlled clinical study. SETTING: Department of Neurology, the Fourth People's Hospital of Jinan. PARTICIPANTS: A total of 130 patients who were diagnosed as VBI were selected from Department of Neurology, the Fourth People's Hospital of Jinan from December 2001 to December 2005. The involved inpatients were checked by CT and MRI, and met the VBI diagnostic standard enacted by the Fourth National Academic Meeting of Cerebrovascular Disease in 1995. All patients and their relatives provided the confumed consent. They were randomly divided into low-dose treatment group (n =60), high-lose treatment group (n =30) and control group (n =40). METHODS: Patients in the low-dose and high-dose treatment groups were given ultrasonic atomizing inhalation of 3 mg and 5 mg glycerol trinitrate, respectively, for 20 minutes, once a day. In addition, ligustrazine and energy mixture were used once a day for three days in a course. Cases in the control group were only given ligustrazine and energy mixture. All selected cases accepted TCD, blood NO content was checked at the time of beginning, after the first time and after a period of treatment. According to the TCD test, VBI patients were divided into two groups (high-low flow velocity). The vertebral artery (VA) and basal artery (BA) of left or right sides were detected by 2 Hz detector via occipital window. MAIN OUTCOME MEASURES: ①Blood flow velocity of systolic phase, blood flow velocity of diastole phase and vascular resistance in left and right VA and BA detected by using TCD before treatment, after treatment for one course; ②content of serum NO indirectly measured by using nitric acid disoxidation technique. RESULTS: All 130 VBI patients were involved in the final analysis. ①Changes of hemodynamic indexes: Systolic phase of VA and diastole phase of BA were higher in low-dose treatment group than that in the control group after first treatment, and there was significant difference (P 〈 0.05); meanwhile, systolic phase and diastole phase of VA and systolic phase of BA were also higher in treatment group than that in the control group after one course (P 〈 0.05). However, both systolic phase and diastole phase of VA and BA were lower in high-dose treatment group than that in the control group after first treatment and one course, and there was significant difference (P 〈 0.05). ②Content of serum NO: After first treatment, there was no significant difference between low-dose treatment group and high-dose treatment group (P 〉 0.05); but both groups were higher than control group, and there was significant difference (P 〈 0.05, 0.01). CONCLUSION: NO vector of ultrasonic atomizing inhalation can improve VBI so as to improve cerebral blood-supply state. 展开更多
关键词 ultrasonic atomizing inhalation nitroglyceride vertebro-basilar artery insufficiency NITRICOXIDE ultrasonography Doppler transcranial
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Efficacy and safety of atomized inhalation for Shuanghuanglian on chronic pharyngitis:a Meta-analysis of the randomized controlled trials
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作者 Jian Cheng Ying Yu +1 位作者 Chang Yu Lei Zhang 《Medical Data Mining》 2019年第1期10-21,共12页
Objective: As a Chinese drugs preparation to clear heat and remove toxicity, Shuanghuanglian (SHL) has been widely used, but the clinical efficacy and safety of SHL on chronic pharyngitis remain unclear, especially th... Objective: As a Chinese drugs preparation to clear heat and remove toxicity, Shuanghuanglian (SHL) has been widely used, but the clinical efficacy and safety of SHL on chronic pharyngitis remain unclear, especially the application of atomized inhalation of SHL need to be verified. The aim of this study was to evaluate its clinical efficacy and safety for chronic pharyngitis. Methods: From the Cochrane Library, Pubmed, EMbase, Wanfang Datebase, CNKI (China National Knowledge Infrastructure), VIP (Chinese Scientifc Journals Database), CBM (Chinese Biomedicine Database), We got the qualified randomized controlled trials(RCTs) and adopted RevMan5.3 software and the risk of bias tool according to the Cochrane to perform a metaanalysis. Results: Ten RCTs, a total of 950 cases (involving 472 cases in SHL group and 478 in control group) were included. The results showed that the clinical efficacy in SHL group was superior to control group [Chi2=5.61, 95%CI (4.29, 11.43), P<0.05], and four literatures reported no obvious adverse reactions in SHL group. Conclusion: Application of atomized inhalation of SHL may have a potential advantage in treating chronic pharyngitis. However, due to the limitation of the quality and sample size of those studies, the accuracy of the result should be treated with caution, higher standardized researches are required to justify the conclusion. 展开更多
关键词 Shuanghuanglian atomized inhalation CHRONIC PHARYNGITIS META-ANALYSIS
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Nursing Experience of Treating Acute and Chronic Pharyngitis by Atomizing Inhalation
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作者 WANG Ting 《外文科技期刊数据库(文摘版)医药卫生》 2021年第11期084-085,共4页
Objective: to analyze the effect of nursing intervention for inhalation of aerosolized acute chronic pharyngitis. Methods: 73 patients with acute and chronic pharyngitis were randomly divided into two groups, 36 cases... Objective: to analyze the effect of nursing intervention for inhalation of aerosolized acute chronic pharyngitis. Methods: 73 patients with acute and chronic pharyngitis were randomly divided into two groups, 36 cases in the control group and 37 cases in the study group. Results: the total efficiency of the study group was significantly higher than that of the control group (P<0.05). Conclusion: the reasonable nursing intervention can accelerate the recovery of patients with acute and chronic pharyngitis by atomizing inhalation, which is worth popularizing. 展开更多
关键词 atomization inhalation acute and chronic pharyngitis clinical nursing
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Application and Research on Atomization Therapy in Pediatric Respiratory Diseases
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作者 CHENMei 《外文科技期刊数据库(文摘版)医药卫生》 2022年第5期051-054,共4页
Objective: to discuss and analyze the application and research of atomization inhalation therapy in pediatric respiratory diseases. Methods: from February 2019 to May 2020, 70 children with respiratory diseases were s... Objective: to discuss and analyze the application and research of atomization inhalation therapy in pediatric respiratory diseases. Methods: from February 2019 to May 2020, 70 children with respiratory diseases were selected as the research object. The 70 children were divided into two groups, A and B, with 35 children in each group. Patients in group A were given routine clinical medication, while patients in group B were given aerosol inhalation therapy. Finally, the therapeutic effects and the remission time of clinical symptoms of the two groups were compared. Results: after implementing the corresponding treatment measures in the two groups, it can be seen that the therapeutic effect of group B on children reached 96.24%, while that of group A only reached 79.23%. Comparing the data obtained from the two groups of children's therapeutic effects, it has statistical significance (P < 0.05). In addition, the time for the clinical symptoms of the two groups of children to disappear was significantly shorter in group B than in group A, and the two groups also had statistical significance (P < 0.05). After treatment, the data of blood oxygen saturation and maximal respiratory flow rate in group B were all better than those in group A, and the two groups also had statistical significance (P < 0.05). Conclusion: through this study, it can be seen that atomization inhalation therapy is more effective in the treatment of pediatric respiratory diseases, and it can also relieve various clinical symptoms of children in the shortest time. Atomization inhalation therapy is also safer in clinic, so it can be seen that atomization inhalation therapy is more effective. 展开更多
关键词 PEDIATRICS respiratory diseases atomization inhalation therapy MEDICATION
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Comparison of the Clinical Effect of Budesonide Formoterol Powder Inhalation and Budesonide Suspension Aerosol Inhalation in the Treatment of Moderate and Severe Bronchial Asthma
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作者 CUI Xinyang 《外文科技期刊数据库(文摘版)医药卫生》 2021年第9期1085-1087,共5页
Objective: the experiment will implement different treatment plans for patients with moderate and severe bronchial asthma, and further compare the clinical efficacy of budesonide and formoterol powder inhalation and b... Objective: the experiment will implement different treatment plans for patients with moderate and severe bronchial asthma, and further compare the clinical efficacy of budesonide and formoterol powder inhalation and budesonide suspension atomization inhalation. Methods: 100 patients with moderate to severe bronchial asthma admitted to our hospital were randomly selected as the subjects of this study. The diagnosis and treatment time range was from July 2020 to August 2021, and they were divided into groups by random design. The control group received budesonide suspension inhalation, while the observation group received budesonide formoterol powder inhalation, and the situation after four weeks of treatment was compared. Results: from the perspective of nursing quality, the lung function indexes of patients in the observation group were better than those in the control group. After treatment, FEV1 and FEV1/FVC in the observation group were (1.69±0.26) L and (65.77±0.28) %, respectively, while those in the control group were (1.13±0.19) L and (56.92±0.17) %. The comparison was statistically significant (P < 0.05). At the same time, the negative rate of bronchial dilation test in the observation group was higher than that in the control group (76.0% and 56.0%, respectively), and the difference was statistically significant. In addition, we compared the asthma control scores of patients before and after treatment, and the scores of the observation group were more advantageous after treatment, indicating that asthma symptoms were better controlled. Finally, the incidence of adverse reactions in patients was compared. There was no significant difference between the two groups, and both groups had safety guarantee. Conclusion: inhalation of Budesonide formoterol powder in the treatment of moderate and severe bronchial asthma has good efficacy, can improve the lung function index of patients, strengthen the control of asthma symptoms, and has the value of clinical promotion. 展开更多
关键词 budesonide formoterol powder inhalation budesonide suspension atomization inhalation moderate and
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雾化吸入氨溴索治疗老年黏痰症的多中心临床试验亚组分析
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作者 马锦芳 郑劲平 +3 位作者 陈丽萍 何正光 肖祖克 杨晓红 《中国医院药学杂志》 北大核心 2025年第6期680-687,共8页
目的:本研究旨在评估雾化吸入盐酸氨溴索溶液治疗老年患者黏痰症的临床疗效和安全性。方法:研究采用多中心、开放、单臂设计,按年龄分为老年组(>60岁)和非老年组(≤60岁),于2021年5月至2022年4月共纳入1192例患者。所有患者每天2次... 目的:本研究旨在评估雾化吸入盐酸氨溴索溶液治疗老年患者黏痰症的临床疗效和安全性。方法:研究采用多中心、开放、单臂设计,按年龄分为老年组(>60岁)和非老年组(≤60岁),于2021年5月至2022年4月共纳入1192例患者。所有患者每天2次雾化吸入盐酸氨溴索溶液,持续最多7 d。研究主要观察指标为治疗前后痰液性状评分的变化,次要观察指标包括咳痰难度、痰液量、咳嗽症状、痰液黏稠度、生活质量(EQ-5D评分)等的变化,以及治疗期间的不良反应发生情况。结果:随着治疗时间的延长,两组患者的痰液性状、咳痰难度、痰液量、咳嗽症状、痰液黏稠度评分均显著下降(P<0.05)。在治疗结束时,老年组痰液性状评分较基线降低75.8%,非老年组降低79.3%,差异无统计学意义(P=0.06)。然而,非老年组在咳痰难度、痰液量、咳嗽症状、痰液黏稠度方面的改善幅度显著大于老年组(P<0.05),而老年组患者的生活质量改善幅度更大(P<0.05)。两组患者的不良反应发生率相近(老年组4.7%vs.非老年组5.0%,P=0.792),主要为轻中度的胃肠和呼吸系统症状,无严重不良反应报告。结论:雾化吸入盐酸氨溴索溶液能有效改善老年患者的黏痰症状,安全性良好。 展开更多
关键词 盐酸氨溴索 雾化吸入 黏痰症 老年患者 生活质量
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布地奈德联合异丙托溴铵治疗COPD的效果及对血清炎症因子和免疫功能的影响
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作者 邓世华 姚芳斌 《中国医学创新》 2025年第12期64-68,共5页
目的:分析布地奈德联合异丙托溴铵治疗慢性阻塞性肺疾病(COPD)的效果及对患者血清炎症因子和免疫功能的影响。方法:选择2023年6月—2024年6月抚州市第一人民医院收治的68例COPD患者。按随机数字表法分为两组,各34例。两组均给予常规治疗... 目的:分析布地奈德联合异丙托溴铵治疗慢性阻塞性肺疾病(COPD)的效果及对患者血清炎症因子和免疫功能的影响。方法:选择2023年6月—2024年6月抚州市第一人民医院收治的68例COPD患者。按随机数字表法分为两组,各34例。两组均给予常规治疗(如氧疗、支气管扩张剂等),在此基础上对照组用雾化吸入异丙托溴铵治疗,治疗组在对照组基础上加用布地奈德。对比两组临床疗效、治疗前后肺功能指标[第1秒用力呼气容积(FEV1)、用力肺活量(FVC)、呼气流量峰值(PEF)]、血清炎症因子[C反应蛋白(CRP)、白细胞介素-6(IL-6)、白细胞介素-8(IL-8)]、免疫功能指标(CD3^(+)、CD4^(+)、CD8^(+)和CD4^(+)/CD8^(+))及不良反应发生率。结果:治疗组总有效率显著较对照组高(P<0.05);治疗后,治疗组肺功能指标水平均较对照组高,CRP、IL-6、IL-8水平均较对照组低(P<0.05);治疗后,治疗组CD3^(+)、CD4^(+)、CD4^(+)/CD8^(+)均较对照组高,CD8^(+)较对照组低(P<0.05);两组治疗期间均无不良反应发生。结论:布地奈德联合异丙托溴铵治疗COPD的效果较为显著,可有效抗炎调控,显著降低患者血清炎症因子水平,减轻气道炎症高反应,改善患者肺功能,促进机体免疫调节,能够为COPD的治疗提供临床指导与依据,且联合用药安全性较高。 展开更多
关键词 慢性阻塞性肺疾病 布地奈德 异丙托溴铵 雾化吸入 炎症因子 免疫功能
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支撑喉镜下声带息肉切除术联合布地奈德、金喉健喷雾剂雾化吸入治疗声带息肉的临床效果
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作者 王永明 《中国社区医师》 2025年第17期5-7,共3页
目的:探讨支撑喉镜下声带息肉切除术联合布地奈德、金喉健喷雾剂雾化吸入治疗声带息肉的临床效果。方法:选取2022年1月—2024年6月于苏州大学附属常州老年病医院接受支撑喉镜下声带息肉切除术治疗的声带息肉患者80例作为观察对象,按照... 目的:探讨支撑喉镜下声带息肉切除术联合布地奈德、金喉健喷雾剂雾化吸入治疗声带息肉的临床效果。方法:选取2022年1月—2024年6月于苏州大学附属常州老年病医院接受支撑喉镜下声带息肉切除术治疗的声带息肉患者80例作为观察对象,按照随机数字表法分为两组,各40例。对照组给予支撑喉镜下声带息肉切除术联合布地奈德吸入治疗,观察组给予支撑喉镜下声带息肉切除术联合布地奈德、金喉健喷雾剂雾化吸入治疗。对比两组治疗效果。结果:观察组治疗总有效率高于对照组(P=0.043)。治疗5 d后,两组肿瘤坏死因子-α、白细胞介素-6水平比治疗前低(P<0.05),且观察组比对照组低(P<0.001)。两组不良反应总发生率比较,差异无统计学意义(P>0.05)。结论:支撑喉镜下声带息肉切除术联合布地奈德、金喉健喷雾剂雾化吸入治疗声带息肉的临床效果优于对照组方案,可以减轻术后炎症,促进声带功能恢复,且安全性较高。 展开更多
关键词 支撑喉镜 声带息肉切除术 布地奈德 金喉健喷雾剂 雾化吸入 声带息肉
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雾化吸入联合口腔管理预防ICU患者呼吸机相关肺炎的临床效果
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作者 蒋燕 金丽萍 +1 位作者 季云 潘旭梅 《河北医药》 2025年第2期283-286,共4页
目的探讨雾化吸入联合口腔管理预防ICU患者呼吸机相关肺炎(VAP)的临床效果。方法选取2019年5月至2022年2月宜兴市人民医院ICU内接受机械通气治疗的120例重症患者为研究对象,根据数字随机法分为研究组和对照组,每组60例。对照组采用常规... 目的探讨雾化吸入联合口腔管理预防ICU患者呼吸机相关肺炎(VAP)的临床效果。方法选取2019年5月至2022年2月宜兴市人民医院ICU内接受机械通气治疗的120例重症患者为研究对象,根据数字随机法分为研究组和对照组,每组60例。对照组采用常规干预,研究组在此基础上采用雾化吸入联合口腔管理。比较2组患者的VAP发生率、气管切开率、机械通气时间、住ICU时间、住院时间、口腔异味评分、生活质量及护理满意度评分。结果研究组VAP发生率、气管切开率及机械通气时间分别为8.33%、21.67%和(8.42±3.95)d,对照组VAP发生率、气管切开率及机械通气时间分别为23.33%、43.33%和(12.73±4.54)d,研究组患者VAP发生率、气管切开率及机械通气时间低于对照组(P<0.05)。干预前,研究组的口腔异味评分为(3.87±1.37)分,对照组的口腔异味评分为(3.80±1.36)分;干预后,研究组口腔异味评分为(1.92±1.09)分,对照组口腔异味评分为(2.65±1.23)分,2组口腔异味评分均低于干预前,且研究组高于对照组(P<0.05)。研究组住ICU时间、住院时间分别为(10.22±1.86)d和(15.63±2.43)d;对照组住ICU时间、住院时间分别为(14.05±3.37)d和(18.87±2.36)d,研究组住ICU时间、住院时间低于对照组(P<0.05)。研究组护理满意度评分为(71.87±10.18)分,对照组护理满意度评分为(64.57±9.30)分,研究组护理满意度评分高于对照组(P<0.05)。干预后,2组生活质量评分高于干预前,其中研究组高于对照组(P<0.05)。结论对ICU中接受机械呼吸治疗患者实施雾化吸入联合口腔管理,可有效降低其VAP发生率及气管切开率,缩短其呼吸机使用时间及整体治疗时间,有利于提高患者的生活质量和对护理的满意度。 展开更多
关键词 ICU 呼吸肌相关肺炎 雾化吸入 口腔干预 机械通气
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黄芩苷脂质体雾化吸入对急性呼吸窘迫综合征小鼠肺损伤的保护作用及机制 被引量:2
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作者 赵威彧 王洪新 +2 位作者 杨冰 张秋阳 朱彧 《药物评价研究》 北大核心 2025年第4期856-865,共10页
目的 考察黄芩苷脂质体雾化吸入对急性呼吸窘迫综合征(ARDS)小鼠肺损伤的保护作用,并探讨其机制。方法薄膜水化法制备黄芩苷脂质体,并检测包封率、载药量、粒径、Zeta电位、分散指数、累积释放率。BALB/c小鼠随机分为对照组、模型组、... 目的 考察黄芩苷脂质体雾化吸入对急性呼吸窘迫综合征(ARDS)小鼠肺损伤的保护作用,并探讨其机制。方法薄膜水化法制备黄芩苷脂质体,并检测包封率、载药量、粒径、Zeta电位、分散指数、累积释放率。BALB/c小鼠随机分为对照组、模型组、黄芩苷溶液(100 mg·kg^(-1),0.9%氯化钠溶液配制)组和黄芩苷脂质体低、高剂量(50、100 mg·kg^(-1))组,小鼠连续3 d雾化吸入黄芩苷脂质体及黄芩苷溶液,每天1次,末次给药1 h后除对照组外各组均鼻内滴注脂多糖(LPS)构建ARDS模型。造模6 h后,取肺脏检测质量湿干比(W/D),采用苏木素-伊红(HE)和Masson染色观察肺组织病理变化,ELISA法观察支气管肺泡灌洗液(BALF)中白细胞介素-6(IL-6)、CC趋化因子配体2(CCL2)、肿瘤坏死因子-α(TNF-α)、转化生长因子-β1(TGF-β1)水平以及肺组织中丙二醛(MDA)、超氧化物歧化酶(SOD)、谷胱甘肽(GSH)水平,实时荧光定量PCR(qRT-PCR)法检测肺组织IL-6、TGF-β1、TNF-α和CCL2 m RNA表达,16S rRNA测序法观察支气管BALF菌群微生态的变化。将人正常肺上皮BEAS-2B细胞分为对照组、模型组、黄芩苷(200μg·mL^(-1))和黄芩苷脂质体低、高质量浓度(100、200μg·mL^(-1))组,除对照组外,均经LPS(250 ng·mL^(-1))刺激造模,造模的同时给药,共培养72 h后,采用ELISA试剂盒检测细胞中活性氧(ROS)、线粒体膜电位(MMP)和线粒体超氧化物水平。结果 黄芩苷脂质体包封率为91.7%,载药量为25.5%,粒径为(212.300±0.424)nm,Zeta电位为(-22.4±0.9)m V,分散指数为0.517±0.052;体外释放曲线显示,黄芩苷脂质体体外释放速度显著低于黄芩苷溶液(P<0.05)。与模型组比较,黄芩苷脂质体雾化吸入可缓解LPS造成的小鼠肺组织损伤,显著降低肺W/D(P<0.05),显著降低BALF和肺组织中IL-6、TGF-β1、CCL2、TNF-α水平(P<0.05),显著升高肺组织GSH、SOD水平(P<0.05),显著降低肺组织MDA水平(P<0.05),升高菌群厚壁菌门/拟杆菌门和菌群α多样性(P<0.05)。与模型组比较,黄芩苷脂质体可显著缓解由LPS诱导的BEAS-2B细胞活性氧(ROS)过度表达、线粒体超氧化物水平上调以及MMP下调(P<0.05)。且黄芩苷脂质体的上述改善作用均优于黄芩苷溶液。结论 黄芩苷脂质体雾化吸入对LPS诱导的肺损伤具有保护作用,机制与减轻细胞因子分泌过量引起的氧化损伤、线粒体功能障碍和肺部菌群失衡有关,脂质体包裹可提高黄芩苷药效。 展开更多
关键词 黄芩苷 脂质体 雾化吸入 急性呼吸窘迫综合征 炎症 肺泡灌洗液菌群
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清咽利喉雾化液雾化吸入给药的安全性和药效研究
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作者 宋玲 高云航 +6 位作者 李晗 陈腾飞 侯红平 彭博 陈韡亚 叶祖光 张广平 《中医药导报》 2025年第3期10-17,共8页
目的:通过对清咽利喉雾化液进行安全性评价和药效学研究,评估清咽利喉雾化液吸入给药的可行性。方法:参照《药物刺激性、过敏性和溶血性研究技术指导原则》,通过病理检查及肺泡灌洗液白细胞计数来观察清咽利喉雾化液吸入给药对大鼠呼吸... 目的:通过对清咽利喉雾化液进行安全性评价和药效学研究,评估清咽利喉雾化液吸入给药的可行性。方法:参照《药物刺激性、过敏性和溶血性研究技术指导原则》,通过病理检查及肺泡灌洗液白细胞计数来观察清咽利喉雾化液吸入给药对大鼠呼吸道黏膜的刺激性反应。通过对过敏反应症状的观察来探究其对豚鼠的过敏反应。体内实验方面,将清咽利喉雾化液分为低(雾化5 min)、中(雾化10 min)、高(雾化20 min)3个剂量,采用浓氨水引咳法研究清咽利喉雾化液吸入对咳嗽小鼠的止咳作用,应用酚红排泌法研究其对酚红排泌模型小鼠的祛痰作用。体外实验方面,将清咽利喉雾化液分为低(0.10%)、中(0.25%)、高(0.50%)3个剂量,采用BioTekCytaion5高内涵成像仪,通过三染法观察不同浓度的清咽利喉雾化液对香烟烟雾提取液(CSE)诱导的BEAS-2B细胞和细菌内毒素(LPS)诱导的MH-S细胞的细胞膜和线粒体损伤的保护作用。采用CSE诱导BEAS-2B细胞损伤,采用LPS诱导MH-S细胞损伤,观察清咽利喉雾化液对BEAS-2B细胞损伤及MH-S细胞损伤的保护作用。采用H2O2诱导MH-S细胞氧化应激,探讨清咽利喉雾化液对MH-S细胞氧化应激的影响。结果:清咽利喉雾化液吸入给药对大鼠鼻黏膜和口腔黏膜均无明显的刺激性,亦未出现豚鼠全身过敏反应。小鼠咳嗽实验中,阳性对照组小鼠咳嗽潜伏期长于模型对照组(P<0.01或P<0.05),阳性对照组和清咽利喉雾化液高剂量组小鼠咳嗽次数少于模型对照组(P<0.05);酚红排泌实验中,阳性对照组、清咽利喉雾化液高剂量组、清咽利喉雾化液中剂量组小鼠酚红排泌均高于模型对照组(P<0.01)。体外实验中,清咽利喉雾化液低、中、高剂量组对CSE诱导的BEAS-2B细胞和LPS诱导的MH-S细胞的损伤都有保护作用;清咽利喉雾化液高剂量组能降低CSE诱导的BEAS-2B细胞和LPS诱导的MH-S细胞的IL-1β和TNF-α的含量;清咽利喉雾化液低、中、高剂量组对H2O2诱导的MH-S细胞氧化应激有改善作用,其中清咽利喉雾化液高剂量组能升高H2O2诱导的MH-S细胞的SOD水平。结论:清咽利喉雾化液吸入给药未对大鼠口腔黏膜、咽喉部组织及呼吸系统造成明显的刺激作用,豚鼠未产生全身过敏反应。清咽利喉雾化液吸入给药具有一定止咳祛痰功效。清咽利喉雾化液对CSE导致的BESA-2B细胞损伤、LPS诱导的MH-S细胞损伤以及H2O2诱导的MH-S细胞氧化应激均有一定的改善作用。 展开更多
关键词 清咽利喉雾化液 雾化吸入 安全性 镇咳祛痰 细胞损伤保护 小鼠 豚鼠
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雾化吸入多黏菌素B治疗血液重症患者多重耐药革兰阴性菌肺炎的临床疗效分析
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作者 魏求哲 卢聪 +4 位作者 谢沁颖 江慧雯 吴耀辉 胡俊斌 曹谢娜 《临床血液学杂志》 2025年第1期14-19,30,共7页
目的:回顾性分析多重耐药(MDR)革兰阴性菌(GNB)感染重症肺炎的血液病患者加用多黏菌素B雾化治疗患者的临床资料。方法:收集华中科技大学同济医学院附属协和医院血液重症病房(HCU)2022年12月—2023年7月收治的48例MDR-GNB感染的重症肺炎... 目的:回顾性分析多重耐药(MDR)革兰阴性菌(GNB)感染重症肺炎的血液病患者加用多黏菌素B雾化治疗患者的临床资料。方法:收集华中科技大学同济医学院附属协和医院血液重症病房(HCU)2022年12月—2023年7月收治的48例MDR-GNB感染的重症肺炎的血液病患者资料。依据多黏菌素优化应用国际共识指南雾化吸入治疗(25 mg,12 h 1次,振动筛孔雾化吸入),观察患者使用疗程结束后的有效率、治疗前后感染指标C反应蛋白(CRP)及血清降钙素原(PCT)水平的变化。结果:48例患者痰/血培养或病原微生物二代测序结果显示:耐碳青霉烯阴沟肠杆菌/大肠埃希菌13例,鲍曼不动杆菌8例,铜绿假单胞菌6例,肺炎克雷伯菌4例,嗜麦芽窄食单胞菌4例,其他为少见病原菌或者疑似MDR感染患者;其中合并新型冠状病毒感染患者10例。动态分析治疗过程中感染指标CRP和血清PCT水平的变化:治疗后3 d CRP水平较治疗前开始下降[(94.06±71.30)mg/L vs(70.55±58.04)mg/L],治疗后7 d[(94.06±71.30)mg/L vs(46.40±40.93)mg/L,P<0.01]以及治疗后14 d[(94.06±71.30)mg/Lvs(47.93±51.08)mg/L,P<0.01]显著下降,差异有统计学意义。PCT水平在治疗后7 d也开始出现明显下降[(5.15±12.14)μg/Lvs(3.76±5.00)μg/L],与CRP变化一致。治疗前后,患者凝血功能、胆红素以及肌酐水平无明显变化,无肝肾功能损害(P>0.05)。结论:血液重症患者常合并重度免疫缺陷,治疗MDR-GNB感染的肺炎使用多黏菌素B联合其他抗生素治疗有效,感染指标在治疗14 d内呈动态下降趋势,可以提高挽救性治疗合并新型冠状病毒感染重症患者的疗效。 展开更多
关键词 多黏菌素B 雾化吸入 多重耐药革兰阴性菌肺炎 血液重症患者 临床疗效
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小儿支气管肺炎给予压缩雾化吸入布地奈德混悬液联合异丙托溴铵吸入溶液的疗效及安全性分析
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作者 张德恩 王青霞 +1 位作者 马素娟 卢亚玲 《四川生理科学杂志》 2025年第11期2558-2560,共3页
目的:探究两种不同吸入方案用于小儿支气管肺炎治疗的临床效果。方法:将2022年10月-2024月10月本院收治156例支气管肺炎儿童开展分析,抽签法分为两组,对照组使用布地奈德混悬液治疗,观察组则联合使用异丙托溴铵吸入溶液,对比两组患儿的... 目的:探究两种不同吸入方案用于小儿支气管肺炎治疗的临床效果。方法:将2022年10月-2024月10月本院收治156例支气管肺炎儿童开展分析,抽签法分为两组,对照组使用布地奈德混悬液治疗,观察组则联合使用异丙托溴铵吸入溶液,对比两组患儿的临床症状改善时间、治疗效果、炎性以及不良反应发生率等指标。结果:观察组症状改善时间缩短,治疗效果高于对照组,观察组患儿炎性因子降低(P<0.05);且两组发生不良反应情况相近(P>0.05)。结论:小儿支气管肺炎采用压缩雾化吸入布地奈德混悬液联合异丙托溴铵吸入溶液治疗,可有效改善临床症状,且安全性较高,不良反应少。 展开更多
关键词 小儿支气管肺炎 压缩雾化吸入 布地奈德混悬液 异丙托溴铵吸入溶液
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吸入给药治疗儿童呼吸系统疾病处方分析
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作者 曹玉合 余进松 +1 位作者 虎文涛 米洁 《儿科药学杂志》 2025年第1期26-30,共5页
目的:调查并评价吸入给药应用的合理性,为临床合理用药提供参考。方法:从西安市儿童医院2022年10-12月的门诊处方中,随机抽取用药途径为吸入给药处方1 000张。根据吸入装置的不同分为便携式吸入装置和雾化吸入装置。对处方中患儿年龄、... 目的:调查并评价吸入给药应用的合理性,为临床合理用药提供参考。方法:从西安市儿童医院2022年10-12月的门诊处方中,随机抽取用药途径为吸入给药处方1 000张。根据吸入装置的不同分为便携式吸入装置和雾化吸入装置。对处方中患儿年龄、临床诊断、药品名称、用法用量进行统计,对处方合理性进行点评分析。结果:1 000张处方中,便携式吸入装置处方286张,雾化吸入装置处方714张。吸入疗法主要应用于2~6岁患儿(48.1%),未见用于新生儿;单一使用吸入药的处方203张(20.3%),二联用药处方547张(54.7%),三联用药处方250张(25.0%),提示吸入用药联合用药率为79.7%。使用雾化吸入装置治疗的前3位疾病分别为支气管炎、肺炎和咽喉炎,使用频次最高的药物为吸入用布地奈德混悬剂。使用便携式吸入装置的前3位疾病分别为哮喘、上气道咳嗽综合征和喘息性支气管炎,使用频次最高的药物为丙酸氟替卡松吸入气雾剂。全院不合理处方占13.5%,主要包括遴选药物不适宜(3.2%)、给药剂量不适宜(2.5%)、装置选择不合理(1.5%)、给药途径不适宜(1.2%)等。结论:吸入给药广泛应用于治疗儿童呼吸系统疾病,联合用药普遍,存在一些不合理用药的情况,药师对临床医师做好吸入用药合理使用培训很有必要。 展开更多
关键词 儿童 雾化 呼吸系统疾病 吸入治疗 处方分析
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术前雾化吸入右美托咪定对肺叶切除术患者的影响
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作者 司文丽 张全意 《滨州医学院学报》 2025年第3期243-248,共6页
目的比较术前雾化吸入与静脉注射右美托咪定对单肺通气行肺叶切除术患者的影响。方法选择在静吸复合全麻下行肺叶切除术的患者90例,随机分为对照组、静脉组和雾化组。在麻醉诱导前10 min,对照组雾化吸入5 mL 0.9%氯化钠溶液,静脉组静脉... 目的比较术前雾化吸入与静脉注射右美托咪定对单肺通气行肺叶切除术患者的影响。方法选择在静吸复合全麻下行肺叶切除术的患者90例,随机分为对照组、静脉组和雾化组。在麻醉诱导前10 min,对照组雾化吸入5 mL 0.9%氯化钠溶液,静脉组静脉注射1μg/kg右美托咪定,雾化组雾化给予1μg/kg右美托咪定药液。收集3组患者的性别、年龄、体质量指数(body mass index,BMI),单肺通气开始时(T0)、单肺通气后30 min(T1)、单肺通气后60 min(T2)的有创收缩压(systolic blood pressure,SBP)、舒张压(diastolic blood pressure,DBP)、平均动脉压(mean arterial pressure,MAP)、心率(heart rate,HR)、血红蛋白(hemoglobin,Hb)、气道压力(Ppeak)、气道平台压(Pplat)、氧分压(PO_(2))、静脉血氧分压(PvO_(2))、混合静脉血氧饱和度(SvO_(2))、二氧化碳分压(PCO_(2))、末梢血氧饱和度(SpO_(2))、呼吸频率(respiratory frequency,RR)、潮气量(tidal volume,TV)等指标,并收集三组患者发生的术中不良事件的情况。结果三组间的T0、T1、T2的SBP、DBP、MAP、HR、Ppeak、Pplat、PO_(2)、PvO_(2)、SvO_(2),PCO_(2)、SpO_(2)、RR、TV等比较,差异均具有统计学意义(P<0.05)。雾化组在T0、T1、T2时的SBP、DBP、MAP、Ppeak、Pplat、PO_(2)、PvO_(2)、SvO_(2)、PCO_(2)与静脉组比较,差异均具有统计学意义(P<0.05)。结论术前雾化吸入右美托咪定与静脉注射比较可以明显改善患者的大部分呼吸、循环系统各项功能。 展开更多
关键词 右美托咪定 雾化吸入 肺叶切除术 单肺通气
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童趣化护理对儿童雾化治疗依从性和恐惧情绪的影响 被引量:1
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作者 龙瑶 《临床医药实践》 2025年第5期397-400,共4页
目的:探讨童趣化护理干预应用于儿童雾化吸入治疗中对提升其依从性并消除恐惧感的作用。方法:选取2023年8月-2024年8月兴义市人民医院收治的80例行雾化治疗的患儿,根据是否实施童趣化护理将患儿分组,实施常规护理的40例患儿为对照组,实... 目的:探讨童趣化护理干预应用于儿童雾化吸入治疗中对提升其依从性并消除恐惧感的作用。方法:选取2023年8月-2024年8月兴义市人民医院收治的80例行雾化治疗的患儿,根据是否实施童趣化护理将患儿分组,实施常规护理的40例患儿为对照组,实施童趣化护理的40例患儿为观察组,比较两组患儿的依从性、心理状态和护理满意度。结果:观察组的依从性高于对照组(P<0.05)。两组干预后焦虑、抑郁和恐惧评分均低于干预前,且观察组低于对照组(P<0.05)。观察组家属的护理满意度高于对照组(P<0.05)。结论:在雾化治疗中配合实施童趣化护理可有效降低患儿的恐惧感,提升患儿依从性和家属的护理满意度。 展开更多
关键词 儿童雾化吸入 童趣化护理 依从性 心理恐惧
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观察阿奇霉素联合布地奈德和特布他林雾化吸入治疗小儿肺炎支原体肺炎的疗效
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作者 才玉朋 王晶 陈美玲 《中国医药指南》 2025年第28期69-71,共3页
目的分析阿奇霉素联合布地奈德与特布他林对小儿肺炎支原体肺炎患儿进行雾化吸入综合性治疗之后的应用价值。方法在大连大学附属中山医院儿科住院治疗的160例肺炎支原体肺炎的患儿于2024年10月至2025年1月期间选取,对所有患儿均采用随... 目的分析阿奇霉素联合布地奈德与特布他林对小儿肺炎支原体肺炎患儿进行雾化吸入综合性治疗之后的应用价值。方法在大连大学附属中山医院儿科住院治疗的160例肺炎支原体肺炎的患儿于2024年10月至2025年1月期间选取,对所有患儿均采用随机数字表法分为每组有患儿80例的对照组与观察组。对照组仅给予单一阿奇霉素治疗,观察组则在阿奇霉素治疗基础上,联合使用布地奈德与特布他林进行雾化吸入治疗。对比组间的临床疗效、各症状改善时间与住院时间、不良反应发生率,及其治疗前后患儿的免疫功能指标、炎症因子指标。结果观察组治疗之后的临床疗效数据比对照组数据更高,各症状改善时间与住院时间数据比对照组数据更短,P<0.05。两组治疗前的免疫功能/炎症因子相关指标数据进行比较,发现差异无统计学意义,P>0.05;观察组的免疫功能相关数据在治疗后,其比对照组高,炎症因子指标数据比对照组数据更低,P<0.05。对比两组:观察组与对照组,其数据指标不良反应的发生率情况,其显示,两组差异无统计学意义(P>0.05)。结论阿奇霉素联合布地奈德与特布他林对小儿肺炎支原体肺炎患儿进行雾化吸入综合性治疗,可取得显著疗效,利于起到抗炎和支气管舒张的作用,缓解患儿的呼吸道症状,缩短其住院治疗时间,提高其免疫功能与改善炎症因子水平,且不会增加患儿的不良反应发生率。 展开更多
关键词 小儿肺炎支原体肺炎 阿奇霉素 布地奈德 特布他林 雾化吸入
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