匹多莫德联合孟鲁司特钠对阻塞性睡眠呼吸暂停低通气综合征患儿认知功能的影响

Effect of Pidotimod combined with montelukast sodium on cognitive function in children with obstructive sleep apnea hypopnea syndrome

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(1)
作者
作者单位

许昌市中心医院儿科一病区 ;

摘要
分析阻塞性睡眠呼吸暂停低通气综合征患儿应用匹多莫德联合孟鲁司特钠治疗后效果及认知功能变化。方法 将我院2017年1月至2018年6月期间收治的83例阻塞性睡眠呼吸暂停低通气综合征患儿,依据随机平行对照法分为对照组41例及观察组42例,对照组给予孟鲁司特钠口服治疗,观察组增加匹多莫德联合治疗,对比两组患者治疗后炎性因子水平、免疫功能、临床相关指标水平变化、焦虑抑郁情绪改变、认知功能及安全性。结果 观察组治疗后IL-6、AHI、TNF-α、A/N、hs-CRP、CD8+水平、最长呼吸暂停时间、呼吸暂停次数、SCSA、CDI评分低于对照组,CD3+、CD4+、CD4+/CD8+ 水平、最低氧饱和度、LOTCA评分高于对照组(P<0.05);不良反应发生率高于对照组(P>0.05)。结论 匹多莫德联合孟鲁司特钠能够有效抑制儿童阻塞性睡眠呼吸暂停低通气综合征炎性反应,提升免疫功能,改善患儿症状,消除焦虑抑郁情绪,恢复认知功能,安全性高。
Abstract
Objective To analyze the effects of cognitive and functional changes on patients with obstructive sleep apnea hypopnea syndrome after treatment with pidotimod plus montelukast sodium. Methods Eighty-three children with obstructive sleep apnea hypopnea syndrome admitted to our hospital from January 2017 to June 2018 were randomly divided into control group (n=41) and observation group (n=42). Oral administration of montelukast sodium, the observation group increased the combination of Pidotimod treatment, comparing the levels of inflammatory factors, immune function, clinically relevant indicators, anxiety and depression, cognitive function and safety after treatment. Results The levels of IL-6, AHI, TNF-α, A/N, hs-CRP, CD8+, longest apnea time, apnea, SCSA and CDI scores in the observation group were lower than those in the control group, CD3+, CD4+, CD4+. The level of /CD8+, minimum oxygen saturation and LOTCA were higher than those of the control group (P<0.05); the incidence of adverse reactions was higher than that of the control group (P>0.05). Conclusion Pidotimod combined with montelukast sodium can effectively inhibit the inflammatory response of children with obstructive sleep apnea hypopnea syndrome, improve immune function, improve symptoms of children, eliminate anxiety and depression, restore cognitive function, and have high safety. .
关键词
炎性因子;免疫功能;焦虑;抑郁;认知功能
KeyWord
inflammatory factors; immune function; anxiety; depression; cognitive function
基金项目
页码 141-143
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屈昕*. 匹多莫德联合孟鲁司特钠对阻塞性睡眠呼吸暂停低通气综合征患儿认知功能的影响 [J]. 国际精神病学杂志. 2020; 47; (1). 141 - 143.

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