Fish A
Service de Médecine interne, Hôpital de Villeneuve Saint-Georges.
Allerg Immunol (Paris). 1988 Nov;20(9):348-54.
This comparative multicentric randomized study was carried out by 36 town allergists, during 2 months out of pollen season, following the double blind rigorous methodology. It concerns 109 patients, about 30 years old, and suffering from allergic and aperiodic rhinitis, since 6 to 7 years on an average. After a period of 2 months the treatment was considered to be sufficiently effective in 77.7% of the patients treated with Astemizole; and in 65.2% of those treated with Terfenadine. We remark, as much in the study about the global efficacy as in the symptom by symptom study, a superiority of the Astemizole on the Terfenadine. This difference in effectiveness repeatedly reaches a significant level, at the time of the daily evaluation of symptoms. The action time is equivalent in both groups. The observed lateral effects are minor, and they differ between both groups, neither in frequency nor in nature. The new HI anti-histaminics are characterized by the absence of sedative effect and by their good tolerance. This study demonstrates their effectiveness and their action rapidity, in a chronic pathology that is specially constraining for the patient.
这项多中心比较随机研究由36位城镇过敏症专科医生在花粉季节之外的2个月期间按照严格的双盲方法开展。研究涉及109名患者,平均年龄约30岁,患过敏性和非周期性鼻炎平均已有6至7年。2个月后,在使用阿司咪唑治疗的患者中,77.7%的患者治疗效果被认为足够有效;在使用特非那定治疗的患者中,这一比例为65.2%。我们注意到,在关于总体疗效的研究以及逐症状研究中,阿司咪唑均比特非那定更具优势。在每日症状评估时,这种疗效差异多次达到显著水平。两组的起效时间相当。观察到的副作用较小,且两组在频率和性质上均无差异。新型H1抗组胺药的特点是无镇静作用且耐受性良好。这项研究证明了它们在一种对患者特别困扰的慢性病症中的有效性和作用迅速性。