Milroy R, Carter R, Carlyle D, Boyd G
Department of Respiratory Medicine, Royal Infirmary, Glasgow.
Br J Clin Pharmacol. 1990 May;29(5):578-80. doi: 10.1111/j.1365-2125.1990.tb03683.x.
This study compared the efficacy of 8 mg controlled release (CR) salbutamol tablets twice daily with standard 4 mg salbutamol tablets four times daily in patients with chronic obstructive airways disease. There was significant bronchodilation in both treatment groups as measured by standard spirometry (P less than 0.05). With the CR preparation there was significantly less wheeze (P less than 0.05) and significantly reduced requirement for rescue bronchodilator (P less than 0.05). Salbutamol levels measured hourly on the final day of each treatment period showed that the drug profile in the CR group was smoother, without the troughs and peaks seen with standard tablets.
本研究比较了每日两次服用8毫克控释(CR)沙丁胺醇片与每日四次服用标准4毫克沙丁胺醇片对慢性阻塞性气道疾病患者的疗效。通过标准肺活量测定法测量,两个治疗组均有显著的支气管扩张(P小于0.05)。使用CR制剂时,喘息明显减少(P小于0.05),急救支气管扩张剂的需求量显著降低(P小于0.05)。在每个治疗期的最后一天每小时测量的沙丁胺醇水平显示,CR组的药物分布更平稳,没有标准片剂出现的波谷和波峰。