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目的 :观察慢阻肺患者加用孟鲁斯特钠片治疗后肺功能的改善情况及对机体Th1/Treg平衡的影响。方法:以2011~2013年期间来我院就诊的90名慢阻肺患者为研究对象,随机分成实验组和对照组,实验组在对照组治疗方案基础上加用孟鲁斯特钠片,两组患者都在治疗前和治疗3个月后进行肺功能测定和血清细胞炎症因子检测。结果 :治疗后两组患者的肺通气功能都有所改善,治疗后实验组FEV1/FVC明显升高且改善程度优于对照组,血清细胞因子IL-10显著升高,对照组则无明显变化。结论 :在慢性阻塞性肺疾病的临床治疗中加用孟鲁特斯,能有效抑制气道炎症,并能调节介导自身免疫的Th1/Treg失衡状态,从而改善肺通气功能,减少发作。
OBJECTIVE: To observe the improvement of pulmonary function and the influence of Th1 / Treg on the balance of body after treated with montelukast sodium in COPD patients. Methods: Ninety COPD patients from our hospital from 2011 to 2013 were randomly divided into experimental group and control group. The experimental group was treated with montelukast sodium tablets based on the control group Patients in both groups were tested for pulmonary function and serum cytokine levels before treatment and after 3 months of treatment. Results: The pulmonary function of both groups improved after treatment. After treatment, FEV1 / FVC in the experimental group was significantly higher than that in the control group, the serum cytokine IL-10 was significantly increased, but there was no significant change in the control group . CONCLUSION: Addition of Montestes in the clinical treatment of chronic obstructive pulmonary disease can effectively suppress airway inflammation and regulate the imbalance of Th1 / Treg mediated by autoimmunity, thus improving pulmonary ventilation and reducing the incidence.