Carmichael J, Duncan D, Crompton G K
Br Med J. 1978 Sep 2;2(6138):657-8. doi: 10.1136/bmj.2.6138.657.
In a double-blind study beclomethasone dipropionate inhaled as a dry powder in doses of 100 microgram four times daily and 150 microgram four times daily was compared with the conventional aerosol dose of 100 microgram four times daily in 20 outpatients with chronic asthma. Each of the three treatments was given for four weeks. The dry powder in a dose of 150 microgram four times daily had advantages over the other two treatments in terms of FEV1 and the number of exacerbations of asthma during the study. There were no adverse reactions to inhaling dry-powder beclomethasone. It was concluded that this new way of administering the drug was effective in chronic asthma, and should allow most patients with chronic asthma who cannot use conventional pressurised aerosols efficiently to benefit from inhaled corticosteroid treatment.
在一项双盲研究中,将20名慢性哮喘门诊患者每日4次吸入剂量为100微克的二丙酸倍氯米松干粉剂、每日4次吸入剂量为150微克的二丙酸倍氯米松干粉剂,与每日4次吸入常规气雾剂剂量100微克进行比较。三种治疗方法均持续给药四周。在研究期间,每日4次吸入剂量为150微克的干粉剂在第一秒用力呼气量(FEV1)和哮喘发作次数方面比其他两种治疗方法更具优势。吸入二丙酸倍氯米松干粉剂没有不良反应。得出的结论是,这种新的给药方式对慢性哮喘有效,并且应该能使大多数无法有效使用传统加压气雾剂的慢性哮喘患者从吸入性皮质类固醇治疗中获益。