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溴沙特罗:一项比较溴沙特罗与沙丁胺醇的双盲临床试验。

Broxaterol: a double-blind clinical trial comparing broxaterol and salbutamol.

作者信息

Rampulla C, Corsico R, Majani U, Lodola E

出版信息

Respiration. 1985;47(4):299-302. doi: 10.1159/000194786.

Abstract

10 patients with reversible bronchospasm received by the oral route in a double-blind fashion broxaterol, Z. 1170, 0.250 and 0.500 mg in comparison with salbutamol 4 mg as base and a placebo. Measurements of FEV1, heart rate and arterial pressure were performed before and 0.5, 1, 2, 4, 6 h after each treatment. Z. 1170 was followed by increases in FEV1 over the baseline and the placebo values that were significant up to the 4th hour with the 0.500 mg dose, up to the 2nd hour with the 0.250 mg dose. The difference between the effects of the two dose levels of Z. 1170 was significant, and the effect of the 0.500 mg dose was not significantly different from that of salbutamol 4 mg. The maximum increments in FEV1 following Z. 1170 averaged 15.8% for the 0.250 mg dose, 24.3% for 0.500 mg dose, and they were recorded at the 2nd hour. At this time point the mean increment in FEV1 following salbutamol was 18.0%. The maximum increments in FEV1 with salbutamol averaged 18.7% and were recorded at the 1st hour. At this time the mean increments for Z. 1170 0.250 and 0.500 mg were 13.8 and 20.0%, respectively. Heart rate and arterial pressure did not show any changes of clinical significance.

摘要

10例可逆性支气管痉挛患者以双盲方式口服了溴沙特罗(Z. 1170),剂量分别为0.250毫克和0.500毫克,同时服用了4毫克碱形式的沙丁胺醇和一种安慰剂。在每次治疗前以及治疗后0.5、1、2、4、6小时测量了第一秒用力呼气容积(FEV1)、心率和动脉压。服用Z. 1170后,FEV1相对于基线值和安慰剂值均有所增加,0.500毫克剂量时直至第4小时、0.250毫克剂量时直至第2小时均具有显著差异。Z. 1170两种剂量水平的效果之间存在显著差异,0.500毫克剂量的效果与4毫克沙丁胺醇的效果无显著差异。服用Z. 1170后FEV1的最大增加值,0.250毫克剂量平均为15.8%,0.500毫克剂量平均为24.3%,均在第2小时记录到。在该时间点,服用沙丁胺醇后FEV1的平均增加值为18.0%。服用沙丁胺醇后FEV1的最大增加值平均为18.7%,在第1小时记录到。此时,0.250毫克和0.500毫克Z. 1170的平均增加值分别为13.8%和20.0%。心率和动脉压未显示出任何具有临床意义的变化。

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