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Effects of Moxifloxacin Combined Seretide on Serum SAA TGF-β1 Copeptin, and sICAM-1 of AEC OPD |
YU Qing, WANG Jingze |
Chifeng Hospital, Inner Mongolia Chifeng 024000, China |
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Abstract Objective: To study the clinical efficacy of moxifloxacin combined seretide inhalation in acute exacerbation of chronic obstructive pulmonary disease (AECOPD), and its effects on serum amyloid A (SAA), transforming growth factor-β1 (TGF -β1), copeptin, soluble intercellular adhesion factor-1 (sICAM-1). Methods: A total of 102 AECOPD patients were enrolled of our hospital from December 2015 to December 2016. They were randomly divided into control group and experimental group (n = 51). The control group was treated with seretide combined Amoxicillin - clavulanic acid inhalation on the basis of routine treatment. The experimental group was treated with moxifloxacin combined seretide inhalation. To compare the changes of serum SAA, TGF-β1, copeptin and sICAM-1 in two groups, to observe the changes of serum CO2A (PaCO2) and oxygen partial pressure (PaO2), and to detect lung function: (FEV1), vital capacity (FVC) and FEV1 / FVC were used to assess the quality of life and dyspnea of patients with COPD: Medical Research Council Dyspnoea Scale( mMRC), COPD Assessment Test( CAT), and adverse events. Results: After treatment, the effective rate (92.16%) in the experimental group was significantly higher than that in the control group (P <0.05). FEV1, FCV, FEV1 / FCV were improved after treatment, the difference was statistically significant (P <0.05), and the experimental group improved more than the control group (P <0.05). Compared with the control group, the difference was statistically significant (P <0.05). The PaO2 of the two groups was significantly higher than that of the control group (P <0.05)., and the experimental group was significantly lower than the control group (P <0.05), the difference was statistically significant (P <0.05), and the difference was statistically significant (P <0.05). There was no significant difference between the two groups (P> 0.05). Conclusion: The clinical efficacy of moxifloxacin combined seretide inhalation on AECOPD patients can reduce serum SAA, TGF-β1, copeptin, sICAM-1 levels, improve arterial oxygen pressure, quality of life and lung function.
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