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[丙酸倍氯米松吸入疗法对哮喘患者非特异性支气管高反应性的影响]

[Effect of inhalation therapy with beclomethasone dipropionate on unspecific bronchial hyperreactivity in patients with asthma].

作者信息

Jahnz-Rózyk K, Frank-Piskorska A, Kozak E

机构信息

II Kliniki Instytutu Medycyny Wewnetrznej Centralnego Szpitala Klinicznego WAM, Warszawie.

出版信息

Pol Tyg Lek. 1991;46(22-23):403-5.

PMID:1669074
Abstract

An effect of beclomethasone dipropionate (Beclocort-Polfa) was investigated in the group of 24 patients with atopic and non-atopic bronchial asthma who have shown unspecific bronchial hyperreactivity to histamine during the periods of remission. The drug was administered in the form of aerosol in a daily dose of 1.0 mg for 4 weeks. Provocative histamine dose was established with Bronchoscreen device (Jaeger) thrice:prior to the treatment, after 1 week of placebo therapy, and after 1 month of beclomethasone administration. Statistically significant increase in histamine dose for provocation of bronchospasm (p < 0.01) being nearly twice higher than the baseline value has been noted in patients treated with beclomethasone dipropionate aerosol. It advocates such a treatment in unspecific bronchial hyperreactivity independently of the type of the bronchial asthma.

摘要

对24例特应性和非特应性支气管哮喘患者进行了研究,这些患者在缓解期对组胺表现出非特异性支气管高反应性。研究了丙酸倍氯米松(Beclocort-Polfa)的效果。药物以气雾剂形式给药,每日剂量为1.0毫克,持续4周。使用Bronchoscreen设备(耶格公司)三次确定激发组胺剂量:治疗前、安慰剂治疗1周后以及丙酸倍氯米松给药1个月后。在用丙酸倍氯米松气雾剂治疗的患者中,已观察到诱发支气管痉挛的组胺剂量有统计学意义的增加(p < 0.01),几乎比基线值高出两倍。这表明无论支气管哮喘的类型如何,对于非特异性支气管高反应性都应采用这种治疗方法。

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