Lei Y, Sheng JH, Jin XR, Liu XB, Zheng XY, Xu XH. Study on the efficacy of early treatment with pirfenidone on the lung function of patients with idiopathic pulmonary fibrosis. World J Clin Cases 2024; 12(22): 4913-4923 [PMID: 39109030 DOI: 10.12998/wjcc.v12.i22.4913]
Corresponding Author of This Article
Xiao-Hua Xu, MM, Researcher, Department of Pulmonary and Critical Care Medicine, The Quzhou Affiliate Hospital of Wenzhou Medical University, No. 100 Minjiang Avenue, Quzhou 324000, Zhejiang Province, China. xxh406302383@163.com
Research Domain of This Article
Respiratory System
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
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World J Clin Cases. Aug 6, 2024; 12(22): 4913-4923 Published online Aug 6, 2024. doi: 10.12998/wjcc.v12.i22.4913
Table 1 Comparison of the total effective rate of clinical treatment among the three groups
Group
Number of cases
Markedly effective
Effective
Invalid
Total effective rate
Observation group
60
28
30
2
96.67
Later treatment group
55
26
23
6
89.09
Control group
53
25
20
8
84.91
χ²
5.279
P value
0.509
Table 2 Incidence of adverse reactions (nausea, vomiting, anorexia) compared among the three groups of patients
Group
Number of cases
Nausea
Vomiting
Anorexia
Frequency of adverse reactions
Observation group
60
1
1
0
3.33
Later treatment group
55
2
1
2
9.09
Control group
53
3
3
3
16.98
χ²
5.864
P value
0.021
Table 3 Comparison of symptom scores among the three groups of patients
Group
Number of cases
Shortness of breath
Fatigue
Cough
Spontaneous perspiration
Observation group
60
0.54 ± 0.18
0.61 ± 0.21
0.62 ± 0.23
1.12 ± 0.43
Later treatment group
55
1.56 ± 0.21
1.66 ± 0.32
1.85 ± 0.11
1.84 ± 0.12
Control group
53
1.94 ± 0.52
2.45 ± 0.63
2.83 ± 0.92
2.05 ± 0.53
F value
289.83
278.74
215.92
91.95
P value
0.000
0.000
0.000
0.000
Table 4 Comparison of the levels of pulmonary function indicators among the three groups
Group
Number of cases
Forced expiratory volume in 1 s in L
Forced vital capacity in L
Ratio of forced expiratory volume in one second to forced vital capacity
Observation group
60
3.56 ± 0.32
4.88 ± 0.44
79.39 ± 7.61
Later treatment group
55
3.14 ± 0.22
4.75 ± 0.13
70.36 ± 4.57
Control group
53
2.93 ± 0.21
4.15 ± 0.35
68.13 ± 6.41
F value
115.50
93.79
56.00
P value
0.000
0.000
0.000
Table 5 Comparison of inflammatory factor indicators among the two groups of patients
Group
Number of cases
C-reactive protein in mg/L
Interleukin-2 in ng/L
Interleukin-8 in ng/L
Observation group
60
9.11 ± 0.81
13.47 ± 1.02
20.11 ± 1.38
Later treatment group
55
11.21 ± 0.31
18.63 ± 0.99
26.31 ± 1.43
Control group
53
12.78 ± 1.12
19.57 ± 1.63
28.25 ± 2.51
F value
267.26
267.26
263.35
P value
0.000
0.000
0.000
Table 6 Comparison of the 6-min walking distance between the two groups of patients before and after therapy
Group
Number of cases
Before treatment
After treatment
Observation group
60
397.77 ± 30.22
420.69 ± 20.31
Later treatment group
55
398.21 ± 30.16
410.35 ± 21.67
Control group
53
398.61 ± 30.21
406.66 ± 23.33
F value
0.34
7.44
P value
0.711
0.001
Citation: Lei Y, Sheng JH, Jin XR, Liu XB, Zheng XY, Xu XH. Study on the efficacy of early treatment with pirfenidone on the lung function of patients with idiopathic pulmonary fibrosis. World J Clin Cases 2024; 12(22): 4913-4923