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丙酸倍氯米松气雾剂治疗可逆性阻塞性气道疾病。一年治疗的临床评估。

Beclomethasone dipropionate aerosol in reversible obstructive airways disease. A clinical evaluation of one year's treatment.

作者信息

Langaker K E

出版信息

Acta Allergol. 1975 Nov;30(5):306-15. doi: 10.1111/j.1398-9995.1975.tb00207.x.

Abstract

Seven patients with reversible obstructive airways disease, who were unsatisfactorily relieved by conventional bronchodilating drugs, were admitted to a 1-year-long therapeutic trial with beclomethasone dipropionate aerosol, 400 mug a day. After 3 weeks of treatment the mean values of VC, FEV, and PEFR were increased by about 100 per cent of the pretreatmetn values, and the consumption of self-administered bronchodilators was markedly diminished. Throughout the trial the occupationa diability and need for hospitalization were negligible compared with the previous year. Development of tolerance to the drug was not observed during the trial. The adrenocortical function remained unaffected, as judged by the plasma cortisol levels and adrenocortical stimulation tests. Continuously low normal levels of excreted urinary 17-ketogenic-steroids might indicate a very slight adrenal suppression.

摘要

七名患有可逆性阻塞性气道疾病的患者,使用传统支气管扩张药物治疗效果不佳,他们被纳入一项为期一年的丙酸倍氯米松气雾剂治疗试验,每日剂量为400微克。治疗3周后,肺活量(VC)、第一秒用力呼气容积(FEV)和呼气峰值流速(PEFR)的平均值较治疗前增加了约100%,患者自行使用支气管扩张剂的用量显著减少。在整个试验过程中,与上一年相比,职业残疾和住院需求可忽略不计。试验期间未观察到对该药物产生耐受性。根据血浆皮质醇水平和肾上腺皮质刺激试验判断,肾上腺皮质功能未受影响。尿中17-生酮类固醇排泄水平持续略低于正常范围,可能表明肾上腺有非常轻微的抑制。

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