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糠酸莫米松鼻喷雾剂联合孟鲁司特钠治疗阻塞性睡眠呼吸暂停低通气综合征疗效及对血浆Orexin-A水平的影响

滕以书 冼志雄 韩赛红 潘宏光 黎才卫 梁振江

中国药业2017,Vol.26Issue(10):41-44,4.
中国药业2017,Vol.26Issue(10):41-44,4.DOI:10.3969/j.issn.1006-4931.2017.10.011

糠酸莫米松鼻喷雾剂联合孟鲁司特钠治疗阻塞性睡眠呼吸暂停低通气综合征疗效及对血浆Orexin-A水平的影响

Clinical Efficacy of Mometasone Furoate Aqueous Nasal Spray Combined with Montelukast Sodium in Treating OSAHS and Its Effect on Plasma Orexin-A Level

滕以书 1冼志雄 1韩赛红 1潘宏光 1黎才卫 1梁振江1

作者信息

  • 1. 广东省深圳市儿童医院耳鼻咽喉科,广东深圳 518026
  • 折叠

摘要

Abstract

Objective To investigate the clinical efficacy of Mometasone Furoate Aqueous Nasal Spray combined with Montelukast Sodi-um in treating obstructive sleep apnea hypopnea syndrome(OSAHS) and its effect on plasma Orexin-A level. Methods Totally 156 patients with OSAHS diagnosed by polysomnography(PSG)were selected as the experimental group,45 normal children were selected as the control group. The Orexin-A levels of the two groups were measured before treatment. The experimental group was treated with Mometasone Furoate Aqueous Nasal Spray combined with Montelukast Sodium for 3 months,after treatment,the plasma Orexin-A level was measured by radioimmunoassay,the AHI and minimum LSaO2 were recorded by PSG. Results Before treatment,The Orexin-A lev-els of the experimental group was significantly higher than that of the control group,but it decreased obviously after treatment(P < 0. 05). After treatment ,the level of LSaO 2 in the experimental group was significantly higher than that before treatment (P < 0. 05 ). Plasma Orexin-A level was negatively correlated with LSaO2 in children patients with OSAHS,and positively correlated with AHI. Conclusion Mometasone Furoate Aqueous Nasal Spray combined with Montelukast Sodium for treating OSAHS has good effect,it can reduce the plasma Orexin-A level and raise the LSaO2 level in the children patients. The Orexin-A level was negatively correlated with LSaO2 in children patients with OSAHS,and positively correlated with AHI,which could be used as an indicator of the severity of children patients with OSAHS.

关键词

糠酸莫米松/孟鲁司特钠/阻塞性睡眠呼吸暂停低通气综合征/Orexin-A/小儿

Key words

Mometasone Furoate Aqueous Nasal Spray/Montelukast Sodium/obstructive sleep apnea hypopnea syndrome/Orexin-A/children

分类

医药卫生

引用本文复制引用

滕以书,冼志雄,韩赛红,潘宏光,黎才卫,梁振江..糠酸莫米松鼻喷雾剂联合孟鲁司特钠治疗阻塞性睡眠呼吸暂停低通气综合征疗效及对血浆Orexin-A水平的影响[J].中国药业,2017,26(10):41-44,4.

基金项目

深圳市科技计划项目[ JCYJ20140416141331540 ]. ()

中国药业

OACSTPCD

1006-4931

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