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小剂量罗红霉素对吸烟哮喘患者气道炎症的影响

郑小珍 刘积锋 钟蔚 吴文斌 檀月芳 黄玉仕

重庆医学Issue(28):3357-3359,3.
重庆医学Issue(28):3357-3359,3.DOI:10.3969/j.issn.1671-8348.2013.28.009

小剂量罗红霉素对吸烟哮喘患者气道炎症的影响

Influence of treating with roxithromycin on airway inflammation in patients with asthma who smoke

郑小珍 1刘积锋 1钟蔚 1吴文斌 1檀月芳 1黄玉仕1

作者信息

  • 1. 广西医科大学第十附属医院/钦州市第一人民医院呼吸科,广西钦州535000
  • 折叠

摘要

Abstract

Objective To investigate the influence and effect of treating with low dose roxithromycin on airway inflammation in asthma who have been smoking patients .Methods Forty-six patients with mild to moderate asthma who had been smoking were assigned to group A and group B randomly .The patients in group A received inhaling salmeterol/fluticasone(50/250 μg) ,one puff bid ,2 times/day .The patients in group B treated with oral roxithromycin dispersible tablet 0 .15 g/d combining with inhaling salme-terol/fluticasone(50/250 μg) ,one puff bid ,2 times/day .The patients of two groups had been treated for 4 weeks .The lung func-tion ,cells and interleukin-8(IL-8) in induced sputum of patients in the two groups were measured before and after treatment .Results There was negative correlation between the FEV 1% and the number of eosinophile granulocyte ,neutrophil and the concentration of IL-8 in induced sputum of the patients(P<0 .01) .The number of neutrophil ,eosinophile granulocyte and the level of IL-8 of the patients in group B decreased more than those in the group A after 4 weeks of treatment(P<0 .05) .Furthermore the PEF and FEV1% of the patients in group B were ameliorated significantly than those in group A (P<0 .01) .Conclusion The treatment of roxithromycin combining with salmeterol/fluticasone on patients with asthma who smoke can not only reduce the number of eosino-phile granulocyte ,neutrophil and the level of IL-8 in induced sputum significantly ,but also ameliorate the PEF and FEV1% of them significantly .

关键词

罗红霉素/哮喘/吸烟/炎症/影响

Key words

roxithromycin/asthma/smoke/inflammation/impact

引用本文复制引用

郑小珍,刘积锋,钟蔚,吴文斌,檀月芳,黄玉仕..小剂量罗红霉素对吸烟哮喘患者气道炎症的影响[J].重庆医学,2013,(28):3357-3359,3.

基金项目

广西卫生厅自筹经费科研课题(Z2007355)。 ()

重庆医学

OA北大核心CSCDCSTPCD

1671-8348

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