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[生物刺激素预防慢性支气管病患者重复感染的双盲研究]

[Double-blind study of Biostim in the prevention of superinfection in patients with chronic bronchopathy].

作者信息

Anthoine D, Blaive B, Cabanieu G, Chretien J, Danrigal A, Ducreuzet C, Dusser D, Leophonte P, Migueres J, Muir J F

出版信息

Rev Pneumol Clin. 1985;41(3):213-7.

PMID:3901218
Abstract

In a multicenter trial conducted with patients suffering from chronic bronchopathy, Biostim, an immunomodulating compound of biological origin has been studied using the double-blind placebo-controlled method for prevention of respiratory tract infections. One hundred and ten patients from 10 french pneumology health centers entered the study. The treatment was administered at random in three sequences of 8 days a month for 3 months (2 mg/day the first month, 1 mg/day the second and third months). Patients were separated into 2 groups regarding severity of the disease: group I (non complicated chronic bronchitis); group II (obstructive chronic bronchitis with or without respiratory failure). Patients were examined during 6 months with a monthly appraisal of number, duration and treatment clinically defined infectious episodes. The study of propensity to infections with respect to severity of the disease in patients given placebo showed a significantly lower number of infectious episodes in group I when compared to group II. In the group I (patients suffering from simple chronic bronchitis), no significant difference could be noted between placebo and Biostim but, at all events, the low frequency of episodes makes it difficult to evidence a protective effect in such a group. In contrast, with patients presenting a high infectious risk (group II), one can observe in Biostim treated patients compared with placebo group a significant decrease of infectious episodes and a larger number of patients standing free of episodes throughout the whole period of trial. Tolerance to Biostim has revealed itself satisfactory.

摘要

在一项针对慢性支气管病患者开展的多中心试验中,使用双盲安慰剂对照法对一种生物源免疫调节化合物Biostim预防呼吸道感染的效果进行了研究。来自法国10个肺病健康中心的110名患者参与了该研究。治疗以随机方式进行,每月给药8天,共3个月(第一个月2毫克/天,第二个月和第三个月1毫克/天)。根据疾病严重程度将患者分为2组:第一组(非复杂性慢性支气管炎);第二组(伴有或不伴有呼吸衰竭的阻塞性慢性支气管炎)。在6个月内对患者进行检查,每月评估临床上定义的感染发作次数、持续时间和治疗情况。对接受安慰剂治疗患者的感染倾向与疾病严重程度的研究表明,与第二组相比,第一组的感染发作次数显著减少。在第一组(患有单纯慢性支气管炎的患者)中,安慰剂和Biostim之间未观察到显著差异,但无论如何,发作频率较低使得难以在此类患者群体中证明其保护作用。相比之下,对于具有高感染风险的患者(第二组),与安慰剂组相比,在接受Biostim治疗的患者中可观察到感染发作次数显著减少,并且在整个试验期间有更多患者未出现发作。对Biostim的耐受性表现令人满意。

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