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| Efficacy of Bisoprolol Combined with Fordostein in the Treatment of COPD and the Effect on Serum CC16 sE-SLT and SAA |
| LIU Wei, ZHANG Yi |
| The Third Hospital of Xinjiang, Xinjiang Urumqi Wulumuqi 830000, China |
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Abstract Objective: To study the efficacy of Bisoprolol Combined with Fordostein in the treatment of COPD and its effect on serum human clara cell protein (CC16), soluble E-selectin (sE-SLT) and serum amyloid A (SAA). Methods: 81 patients of COPD who received therapy from March 2017 to March 2018 in our hospital were selected as research objects. According to random number table,those patients were divided into observation group (41 cases) and control group (39 cases) by random number table, Routine treatment was given in both groups,The patients in the observation group were treated with bisoprolol combined with fordostein, fordostein 0.4g, three times a day.Patients in the control group were treated with Bisoprolol. The course of treatment was 3 months in both groups. Then Serum CC16, sE-SLT, SAA, efficacy and adverse reactions were compared between the two groups. Results: The total effective rate of the observation group was 92.85% (3/42). The total effective rate of the control group was 66.66% (13/39). The difference has statistical significance(P＜0.05). CC16 in the observation group and the control group were (0.50±0.02)and (0.85±0.05), respectively. sE-SLT in the observation group and the control group were(17.67±2.78)and(22.08±4.54), respectively. SAA in the observation group and the control group were(34.84±2.37)and(46.09±4.46), respectively, The difference has statistical significance(P＜0.05). During the treatment, there were 1 case of wheezing, 1 case of dizziness and 1 case of fatigue in the observation group.There were 2 cases of wheezing, 3 cases of dizziness and 2 cases of fatigue in the control group. The total incidence of adverse reactions in the two groups was 7.14% (3/42) and 17.94% (7/39), respectively. There was no significant difference between the two groups(P＞0.05). Conclusion: Bisoprolol combined with Fordostein is effective in the treatment of COPD. It can improve clinical symptoms, cardiopulmonary function, bronchiectasis, reduce serum levels of CC16, sE-SLT and SAA, with fewer adverse reactions, and is safe and reliable.
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2019, Vol. 25 
