Chen A C, Tsai F J, Tsai J J P, Lin C C, Lee C C, Kao A
Department of Pediatrics, China Medical University Hospital, Taichung, Taiwan.
Lung. 2003;181(3):149-55. doi: 10.1007/s00408-003-1016-z.
This study evaluated the effects of fluticasone propionate inhalation therapy for the distribution pattern of Tc-99m DTPA radioaerosols in 10 children with asthma. The homogeneous degree of depositing Tc-99m DTPA radioaerosol was evaluated using a modified standard score system over the bilateral lungs. The baseline scores were calculated from Tc-99m DTPA radioaerosol inhalation lung scintigraphy before inhalation therapy (100 microg fluticasone propionate two times daily for one week), and the scores were recalculated after inhalation therapy to evaluate the effects of one-week of fluticasone propionate inhalation therapy for Tc-99m DTPA radioaerosol distribution patterns. After one week of fluticasone propionate inhalation therapy, the scores were decreased in all of the 10 children, which may mean that the bronchial constriction degree due to asthma is decreased. In addition, there was a significantly statistical difference in the scores before and after one-week fluticasone propionate inhalation therapy (p < 0.05). In conclusion, one-week fluticasone propionate inhalation therapy could significantly improve the bronchial constriction due to asthma in children based on the evidence of Tc-99m DTPA radioaerosol inhalation lung scintigraphic findings.
本研究评估了丙酸氟替卡松吸入疗法对10例哮喘患儿中锝-99m二乙三胺五醋酸(Tc-99m DTPA)放射性气溶胶分布模式的影响。使用改良的标准评分系统评估双侧肺内Tc-99m DTPA放射性气溶胶沉积的均匀程度。基线分数通过吸入疗法(每日两次,每次100微克丙酸氟替卡松,共一周)前的Tc-99m DTPA放射性气溶胶吸入肺闪烁显像计算得出,吸入疗法后重新计算分数,以评估一周丙酸氟替卡松吸入疗法对Tc-99m DTPA放射性气溶胶分布模式的影响。在一周的丙酸氟替卡松吸入疗法后,所有10例患儿的分数均降低,这可能意味着哮喘所致的支气管狭窄程度降低。此外,一周丙酸氟替卡松吸入疗法前后的分数存在显著统计学差异(p<0.05)。总之,基于Tc-99m DTPA放射性气溶胶吸入肺闪烁显像结果的证据,一周丙酸氟替卡松吸入疗法可显著改善儿童哮喘所致的支气管狭窄。