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[使用哮喘健康问卷和哮喘控制测试评估奥马珠单抗对重度哮喘患者的疗效]

[Efficacy of omalizumab in patients with severe asthma using the asthma health questionnaire and asthma control test].

作者信息

Saji Junko, Arai Motonaka, Yamamoto Takahito, Mineshita Masamichi, Miyazawa Teruomi

机构信息

Division of Respiratory Diseases, Department of Internal Medicine, Kawasaki Municipal Tama Hospital.

Division of Respiratory and Infectious Diseases, Department of Internal Medicine, St. Marianna University School of Medicine.

出版信息

Arerugi. 2014 Dec;63(10):1338-47.

Abstract

BACKGROUND

The efficacy of anti-IgE antibody, omalizumab, was studied in patients with severe bronchial asthma. There have been reports stating that although omalizumab could not improve objective results, it has shown improvements in subjective symptoms of patients. The aim of this study is to evaluate the efficacy of omalizumab in severe bronchial asthma.

METHODS

Thirteen patients were enrolled. Omalizumab was administered subcutaneously every 2 or 4 weeks based on serum IgE level and body weight of each patient. Pulmonary function tests, Asthma Control Test (ACT), Asthma Health Questionnaire-JAPAN (AHQ-JAPAN), number of emergency visits and dosage of methylprednisolone during a 16-week period were compared to the previous year. We examined the correlations between respiratory function, and ACT and AHQ-JAPAN.

RESULTS

Treatment with omalizumab did not improve lung function. AHQ and ACT over the 16-week period significantly improved compared to baseline (p<0.01). The number of emergency visit and doses of methylprednisolone were significantly reduced compared to the previous year (p<0.01).

CONCLUSION

Although treatment with omalizumab could not improve lung function, AHQ and ACT during the 16-week study period had significantly improved compared to baseline. Omalizumab significantly reduced the number of emergency visits and dosages of methylprednisolone.

摘要

背景

在重度支气管哮喘患者中研究了抗IgE抗体奥马珠单抗的疗效。有报告称,尽管奥马珠单抗不能改善客观结果,但已显示出患者主观症状有所改善。本研究的目的是评估奥马珠单抗在重度支气管哮喘中的疗效。

方法

招募了13名患者。根据每位患者的血清IgE水平和体重,每2或4周皮下注射一次奥马珠单抗。将16周期间的肺功能测试、哮喘控制测试(ACT)、哮喘健康问卷-日本版(AHQ-JAPAN)、急诊就诊次数和甲泼尼龙用量与上一年进行比较。我们研究了呼吸功能与ACT和AHQ-JAPAN之间的相关性。

结果

奥马珠单抗治疗未改善肺功能。与基线相比,16周期间的AHQ和ACT显著改善(p<0.01)。与上一年相比,急诊就诊次数和甲泼尼龙用量显著减少(p<0.01)。

结论

尽管奥马珠单抗治疗未能改善肺功能,但在16周的研究期间,与基线相比,AHQ和ACT有显著改善。奥马珠单抗显著减少了急诊就诊次数和甲泼尼龙用量。

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