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新型口服β₂受体激动剂(溴沙特罗)对支气管哮喘的早期支气管扩张作用

Early bronchodilating effect of a new oral beta-2-receptor agonist (broxaterol) in bronchial asthma.

作者信息

Chetta A, Garavaldi G, Cuomo A, Gurrieri G, Olivieri D

机构信息

Istituto di Clinica delle Malattie dell'Apparato Respiratorio dell'Università di Parma, Italia.

出版信息

Respiration. 1988;53(4):220-4. doi: 10.1159/000195423.

Abstract

In order to determine the bronchodilating activity and safety of two beta-2-receptor agonists, broxaterol and procaterol, compared with a placebo, 12 patients with reversible airway obstruction were tested in a double-blind cross-over study. The drugs were administered orally and the dosage of broxaterol was 0.5 mg, that of procaterol 0.05 mg. Measurements of forced expiratory volume in 1 s (FEV1), heart rate and blood pressure were performed before and 30, 60, 120, 240, 360, and 480 min after each treatment. Both drugs produced bronchodilation but broxaterol was statistically 30 min faster in producing this effect than procaterol (p less than 0.05). Moreover this effect for both drugs persisted significantly for up to 480 min compared with the effect of the placebo (p less than 0.005). There were no significant side effects with either drug. Heart rate and blood pressure did not show any changes in clinical significance for broxaterol or procaterol. In our study, broxaterol showed a faster bronchodilating effect than procaterol, and tolerance was the same for both drugs.

摘要

为了确定两种β2受体激动剂溴沙特罗和丙卡特罗与安慰剂相比的支气管扩张活性和安全性,在一项双盲交叉研究中对12例可逆性气道阻塞患者进行了测试。药物通过口服给药,溴沙特罗的剂量为0.5毫克,丙卡特罗的剂量为0.05毫克。在每次治疗前以及治疗后30、60、120、240、360和480分钟测量1秒用力呼气量(FEV1)、心率和血压。两种药物均产生支气管扩张作用,但溴沙特罗产生这种作用的速度在统计学上比丙卡特罗快30分钟(p<0.05)。此外,与安慰剂的作用相比,两种药物的这种作用在长达480分钟内均持续显著(p<0.005)。两种药物均无明显副作用。溴沙特罗或丙卡特罗的心率和血压在临床上均未显示出任何有意义的变化。在我们的研究中,溴沙特罗显示出比丙卡特罗更快的支气管扩张作用,并且两种药物的耐受性相同。

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