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采用随机、单盲、安慰剂及正常对照的方法,观察了48例慢性支气管炎(慢支)急性发作期患者痰及血中6-酮-前列腺素F1a(6-keto-PGF1a)、血栓素B2(TXB2)含量的变化以及它们与疾量,痰干/湿比,肺活量实测值占预计值百分比(VC%),1秒用力肺活量占用力肺活量百分比(FEV1%)的相关性。并观察了消炎痛对它们的影响。结果表明:慢支患者痰及血中6-keto-PGF1u及TXB2均高于正常对照组(P<0.01)。痰及血中6—keto-PGF1a和TXB2与痰量和疾干/湿比里正相关(P<0.01);与VC%和FEV1%呈负相关(P<0.05,P<0.01)。与安慰剂组相比消炎痛雾化吸入可明显降低慢支患者的痰量,痰粘度和血沉(P<0.01);明显提高VC%和FEV1%(P值分别小于0.05,P<0.01);明显缩短病程(P<0.05)。
A randomized, single-blind, placebo-controlled and placebo-controlled study was conducted in 48 sputum and 6-keto-prostaglandin F1a (6-keto-PGF1a), thromboxane B2 (TXB2) content and their correlation with disease volume, sputum wet / dry ratio, measured value of vital capacity (VC%) and forced vital capacity of one second (FEV1%). And observed the impact of indomethacin on them. The results showed that 6-keto-PGF1u and TXB2 in sputum and blood of patients with chronic bronchitis were higher than those in normal control group (P <0.01). Phlegm and blood 6-keto-PGF1a and TXB2 were positively correlated with sputum volume and dry / wet ratio (P <0.01), negatively correlated with VC% and FEV1% (P <0.05, P <0 .01). Compared with the placebo group, inhalation of indomethacin could significantly reduce sputum volume, sputum viscosity and erythrocyte sedimentation rate in patients with chronic bronchitis (P <0.01), significantly increase VC% and FEV1% (P values were less than 0.05, P <0.01). The course of disease was significantly shortened (P <0.05).