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色甘酸钠在成人支气管哮喘治疗中的新作用。

The new role of disodium cromoglycate in the treatment of adults with bronchial asthma.

作者信息

Miyatake Akihiko, Fujita Mari, Nagasaka Yukio, Fujita Kimie, Tamari Mayumi, Watanabe Dai, Nakano Naoko, Hidari Kazuya I P J, Suzuki Yasuo

机构信息

Miyatake Asthma Clinic, Osaka, Japan.

出版信息

Allergol Int. 2007 Sep;56(3):231-9. doi: 10.2332/allergolint.O-06-444. Epub 2007 Jun 1.

DOI:10.2332/allergolint.O-06-444
PMID:17519581
Abstract

BACKGROUND

Viral infection of the respiratory tract in patients with asthma is one of the most frequent causes of exacerbation of asthmatic symptoms. Disodium cromoglycate (DSCG) is a commonly used anti-asthmatic medicine with many beneficial biochemical and physiological effects. The purpose of this study was to investigate the efficacy of DSCG against colds when used in clinical practice.

METHODS

A questionnaire survey to determine the efficacy of DSCG was undertaken in 220 adult patients with asthma (81 male, 139 female; mean age: 54.1 +/- 13.7 years and 60.1 +/- 12.7 years, respectively) from April to September 2004 at the Miyatake Asthma Clinic.

RESULTS

The duration of DSCG inhalation therapy was not less than 5 years in more than half of the patients. The mean daily DSCG dose at the time of the questionnaire survey was 40mg/day in over 50% of all patients. After DSCG was added to inhaled corticosteroid (ICS) combination therapy, 56.4% of the patients rated their condition as "improved", and 66.4% of the patients felt that the frequency of colds they had caught had decreased while DSCG was added to ICS.

CONCLUSIONS

DSCG inhalation therapy is a useful additional treatment following ICS to alleviate asthma symptoms, and to prevent colds in adult patients with asthma.

摘要

背景

哮喘患者呼吸道的病毒感染是哮喘症状加重的最常见原因之一。色甘酸钠(DSCG)是一种常用的抗哮喘药物,具有许多有益的生化和生理作用。本研究的目的是调查DSCG在临床实践中用于预防感冒的疗效。

方法

2004年4月至9月,在宫武哮喘诊所对220例成年哮喘患者(男性81例,女性139例;平均年龄分别为54.1±13.7岁和60.1±12.7岁)进行了一项问卷调查,以确定DSCG的疗效。

结果

超过一半的患者DSCG吸入治疗时间不少于5年。在所有患者中,超过50%的患者在问卷调查时DSCG的平均每日剂量为40mg/天。在吸入性糖皮质激素(ICS)联合治疗中加入DSCG后,56.4%的患者将其病情评为“改善”,66.4%的患者感觉在ICS中加入DSCG后感冒次数减少。

结论

DSCG吸入治疗是在ICS之后一种有用的辅助治疗方法,可缓解哮喘症状,并预防成年哮喘患者感冒。

相似文献

1
The new role of disodium cromoglycate in the treatment of adults with bronchial asthma.色甘酸钠在成人支气管哮喘治疗中的新作用。
Allergol Int. 2007 Sep;56(3):231-9. doi: 10.2332/allergolint.O-06-444. Epub 2007 Jun 1.
2
Effectiveness of budesonide nebulising suspension compared to disodium cromoglycate in early childhood asthma.布地奈德雾化混悬液与色甘酸钠相比在幼儿哮喘中的疗效。
Curr Med Res Opin. 2006 Feb;22(2):367-73. doi: 10.1185/030079906X89739.
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Prevention of exercise-induced asthma by a fixed combination of disodium cromoglycate plus reproterol compared with montelukast in young patients.在年轻患者中,色甘酸二钠加瑞普特罗固定组合与孟鲁司特相比对运动诱发性哮喘的预防作用
Arzneimittelforschung. 2008;58(6):303-9. doi: 10.1055/s-0031-1296511.
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Inhaled steroids compared with disodium cromoglycate in preschool children with episodic viral wheeze.吸入性类固醇与色甘酸钠治疗学龄前儿童间歇性病毒喘息的比较
Pediatr Pulmonol. 1998 Jun;25(6):361-6. doi: 10.1002/(sici)1099-0496(199806)25:6<361::aid-ppul1>3.0.co;2-k.
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Change in osmolarity of disodium cromoglycate solution and protection against exercise-induced bronchospasm in children with asthma.色甘酸钠溶液渗透压的变化及对哮喘儿童运动诱发支气管痉挛的预防作用
Eur Respir J. 1996 Sep;9(9):1891-5. doi: 10.1183/09031936.96.09091891.
6
Clinical practice with regard to management of the adult asthmatic with cromoglycate.色甘酸盐用于成人哮喘管理的临床实践
Schweiz Med Wochenschr. 1980 Feb 9;110(6):181-3.
7
[Protection from exertion-induced bronchial asthma with disodium cromoglycate (DSCG) (cromolyn, lomudal, intal) and with ketotifen (zaditen). Doubly crossed double-blind study ].[色甘酸二钠(DSCG)(色甘酸钠、罗默多、因他)和酮替芬(扎迪特)对运动诱发支气管哮喘的预防作用。双交叉双盲研究]
Schweiz Med Wochenschr. 1979 Jun 9;109(23):881-4.
8
Prolonged use of disodium cromoglycate in children and young persons--ten years experience.色甘酸钠在儿童和青少年中的长期使用——十年经验
Schweiz Med Wochenschr. 1980 Feb 9;110(6):183-4.
9
Isotonic nebulized disodium cromoglycate provides better protection against methacholine- and exercise-induced bronchoconstriction.等渗雾化吸入色甘酸钠对乙酰甲胆碱和运动诱发的支气管收缩有更好的保护作用。
Am Rev Respir Dis. 1988 Jun;137(6):1309-11. doi: 10.1164/ajrccm/137.6.1309.
10
Treatment of bronchial asthma with disodium cromoglycate. Special indications.
Med Interne. 1981 Apr-Jun;19(2):185-9.

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