Melloni B, Germouty J
Service de Pathologie Respiratoire, CHU, Limoges.
Rev Mal Respir. 1992;9(5):503-7.
The muco-ciliary apparatus has an essential role in the cleansing of the tracheo-bronchial tree of particulate matter. Disturbances linked to muco-ciliary function are well known in respiratory pathology and in cases of chronic bronchitis and asthma and lead to a reduced capacity for cleansing. In addition there are numerous pharmacological agents including sympathomimetics which are capable of altering the ciliary activity and the rheological properties of mucous. The role of Formoterol, administered as an aerosol has been assessed in vivo in 10 bronchitic patients who were in a stable state. After 6 days of treatment using the Formoterol aerosol the muco-ciliary clearance had significantly increased to 46% and was a real gain when compared to the muco-ciliary clearance measured on placebo. This gain was linked to a better function of the muco-ciliary carpet and not due to the bronchodilatation which was induced by Formoterol, because the penetration index did not change. At the same time the airway resistance was slightly reduced in a none significant fashion.
黏液纤毛装置在清洁气管支气管树中的颗粒物方面起着至关重要的作用。与黏液纤毛功能相关的紊乱在呼吸病理学以及慢性支气管炎和哮喘病例中是众所周知的,并且会导致清洁能力下降。此外,有许多药物制剂,包括拟交感神经药,能够改变纤毛活动和黏液的流变学特性。已对10名病情稳定的支气管炎患者进行了雾化吸入福莫特罗的体内评估。使用福莫特罗气雾剂治疗6天后,黏液纤毛清除率显著提高至46%,与安慰剂组测得的黏液纤毛清除率相比,这是一个实际的改善。这种改善与黏液纤毛毯功能的改善有关,而不是由于福莫特罗引起的支气管扩张,因为渗透指数没有变化。与此同时,气道阻力略有降低,但不显著。