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患者对三种用于变应性鼻炎的鼻内皮质类固醇的偏好和感官感知。

Patient preference and sensory perception of three intranasal corticosteroids for allergic rhinitis.

机构信息

Department of Otolaryngology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

出版信息

Clin Drug Investig. 2003;23(1):39-44. doi: 10.2165/00044011-200323010-00005.

Abstract

OBJECTIVE

To evaluate the medication preference, sensory perceptions and compliance of allergic rhinitis patients after a single administration of three intranasal corticosteroids.

STUDY DESIGN AND SUBJECTS

In this double-blind, comparative, crossover study, 364 patients were randomised to receive fluticasone propionate (FP), mometasone furoate (MF) and triamcinolone acetonide (TAA) nasal sprays. Patients completed a preference questionnaire including a product preference and compliance evaluation after administration to determine the acceptability of each product.

RESULTS

The results indicate that TAA was judged more comfortable (p = 0.0406), had less odour (p < 0.0001) and had a significantly greater overall liking (p = 0.0008) compared with FP and MF. The nasal spray 'most preferred to be prescribed' was TAA (38.2%), followed by FP (36.8%) and MF (24.9%). Furthermore, 82.3% of the patients indicated that they would 'definitely comply' with a doctor's prescription for TAA, compared with 39.6% for FP and 20.5% for MF.

CONCLUSION

The results of this study indicate that TAA is the most favourable nasal spray in terms of preference and sensory perceptions for patients with perennial or seasonal allergic rhinitis.

摘要

目的

评估 3 种鼻腔皮质类固醇单次给药后过敏性鼻炎患者的药物选择偏好、感官认知和顺应性。

研究设计和对象

在这项双盲、比较、交叉研究中,364 名患者被随机分配接受丙酸氟替卡松(FP)、糠酸莫米松(MF)和曲安奈德(TAA)鼻喷雾剂。患者在给药后完成偏好问卷,包括产品偏好和顺应性评估,以确定每种产品的可接受性。

结果

结果表明,与 FP 和 MF 相比,TAA 被认为更舒适(p = 0.0406)、气味更小(p < 0.0001)且总体好感度显著更高(p = 0.0008)。最受患者期望处方的鼻腔喷雾剂是 TAA(38.2%),其次是 FP(36.8%)和 MF(24.9%)。此外,82.3%的患者表示他们肯定会遵守医生开的 TAA 处方,而 FP 的这一比例为 39.6%,MF 为 20.5%。

结论

这项研究的结果表明,TAA 是治疗常年性或季节性过敏性鼻炎患者最受欢迎的鼻腔喷雾,在患者的偏好和感官认知方面具有优势。

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