The invention relates to the field of biological
medicine, in particular to a pyruvate-based
respiratory system medicine synergist as well as a preparation method and application thereof. The synergist is a modified
betulin derivative, and the preparation method comprises the following steps: adding
betulin and
triphenylphosphine into a
solvent, uniformly stirring, and adding
ammonia water for reaction to prepare aminated
betulin; the preparation method comprises the following steps: adding (7-chloroimidazo [1, 2-A]
pyridine-2-)
methanol and
phosphorus oxychloride into a
solvent, carrying out heating reaction, and after the reaction is completed, carrying out post-treatment on a reaction solution to obtain an intermediate 1; adding aminated betulin, the intermediate 1 and
magnesium sulfate into a
solvent for reaction, and performing post-treatment on the reaction liquid after the reaction to obtain an intermediate 2; and adding 1-cyclopropyl-1, 3-dihydroimidazo [4, 5-C]
pyridine-2-
ketone, NaH and the intermediate 2 into a solvent, carrying out a stirring reaction, and carrying out post-treatment on the reaction liquid to obtain the 1, 3-dihydroimidazo [4, 5-C]
pyridine-2-
ketone. The modified betulin derivative disclosed by the invention is matched with pyruvate for use, so that the
treatment effect of the pyruvate is remarkably enhanced.