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美喹他嗪与右氯苯那敏治疗常年性鼻炎:一项双盲交叉安慰剂对照研究。

Mequitazine and dexchlorpheniramine in perennial rhinitis. A double-blind cross-over placebo-controlled study.

作者信息

Pukander J S, Karma P H, Penttilä M A, Perälä M E, Ylitalo P, Kataja M J

机构信息

Dept. of Otolaryngology, Tampere University Central Hospital, Finland.

出版信息

Rhinology. 1990 Dec;28(4):249-56.

PMID:2293320
Abstract

The therapeutic effect and adverse reactions of two antihistamines, mequitazine and dexchlorpheniramine were double-blindly compared both to placebo, to each other and to the pre-treatment status in 29 adult patients suffering from perennial rhinitis. Dexchlorpheniramine relieved the rhinitis symptoms significantly (p less than 0.01) better compared to placebo while mequitazine did not differ from placebo. 20 out of 29 patients chose dexchlorpheniramine as their favourite drug. Dexchlorpheniramine reduced all the separate symptoms studied (obstruction, rhinorrhoea, sneezing) significantly, mequitazine relieving merely rhinorrhoea. In anterior rhinoscopy mucosal congestion was reduced both by dexhlorpheniramine (p less than 0.01) and by mequitazine (p less than 0.05) but secretion or lividity showed no difference between the active drugs and placebo. The occurrence of side-effects was not significantly different between the drugs. In controlling perennial rhinitis symptoms mequitazine was markedly inferior to dexchlorpheniramine and only slightly better than placebo.

摘要

对29例常年性鼻炎成年患者,采用双盲法比较了两种抗组胺药——美喹他嗪和右氯苯那敏与安慰剂、两药之间以及与治疗前状态相比的治疗效果和不良反应。与安慰剂相比,右氯苯那敏能显著减轻鼻炎症状(p<0.01),而美喹他嗪与安慰剂无差异。29例患者中有20例选择右氯苯那敏作为他们最喜欢的药物。右氯苯那敏能显著减轻所有研究的单项症状(鼻塞、流涕、打喷嚏),美喹他嗪仅能减轻流涕。在前鼻镜检查中,右氯苯那敏(p<0.01)和美喹他嗪(p<0.05)均可减轻黏膜充血,但活性药物与安慰剂在分泌物或色泽方面无差异。药物之间副作用的发生率无显著差异。在控制常年性鼻炎症状方面,美喹他嗪明显不如右氯苯那敏,仅略优于安慰剂。

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