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哮喘患儿特布他林雾化液的剂量

Dose of terbutaline respirator solution in children with asthma.

作者信息

Ritchie D, Erban A, McLennan L, Landau L I, Phelan P D

出版信息

N Z Med J. 1979 Oct 24;90(646):332-4.

PMID:293544
Abstract

Twenty children, aged 8 to 17 years, with bronchial asthma were each given 0.02ml/kg, 0.03ml/kg and 0.04ml/kg terbutaline respirator solution (10mg/ml), one dose at a time on three separate occasions. Terbutaline by nebuliser produced a bronchodilator response within five minutes which reached near peak levels by 15 minutes. There was a wide variation in response. A dose of 0.02ml/kg produce a mean increase in FEV1 of 55 percent and an increase in MMEFR of 121 percent. Doses of 0.03ml/kg and 0.04ml/kg given to the same children resulted in slightly better, but not statistically significant different responses. The effect lasted for four hours, although the MMEFR was falling at this time. The baseline FEV1 did not affect the bronchodilator response. An inhalation of 0.02ml/kg of terbutaline respirator solution (10mg/ml) will produce an adequate bronchodilator response in most children.

摘要

20名年龄在8至17岁的支气管哮喘患儿,分别给予0.02ml/kg、0.03ml/kg和0.04ml/kg的特布他林雾化溶液(10mg/ml),分三次单独给药,每次一剂。通过雾化器给予特布他林后,5分钟内产生支气管扩张反应,15分钟时达到接近峰值水平。反应存在很大差异。0.02ml/kg的剂量使第一秒用力呼气容积(FEV1)平均增加55%,最大呼气中期流速(MMEFR)增加121%。给予相同患儿0.03ml/kg和0.04ml/kg的剂量产生的反应略好,但无统计学显著差异。这种作用持续4小时,尽管此时MMEFR在下降。基线FEV1不影响支气管扩张反应。吸入0.02ml/kg的特布他林雾化溶液(10mg/ml)对大多数儿童将产生充分的支气管扩张反应。

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