Tabas A, Rodríguez A, Lobera T, Diéguez I, Oehling A
Allergol Immunopathol (Madr). 1985 Nov-Dec;13(6):493-500.
We decided in this work to evaluate the prophylactic value of carbuterol in exercise-induced asthma (EIA), comparing this drug to salbutamol and DSCG in order to describe its usefulness in exercise-induced asthma, while employing the closing-pressure method for the early detection of airway constriction. The study involved 44 bronchial asthmatics with prior histories of EIA. Only 10 patients had noticeable symptoms after exercise. All patients were asymptomatic and without any medication for at least one week prior to the commencement of the study. A continuous running treadmill was chosen for the exercise test, and a 10 minute time-period with a maximum heart rate of 180 beats/min. was the limit. Measurements of the FEV1, PEF and Raw were also done. Drug therapy was carried out by administering 10.5 mg of carbuterol, or 4 mg of salbutamol orally, 1.5 hours, before the exercise, or a 20 mg DSCG capsule, 30 minutes also prior to exercise. We concluded that: DSCG is the drug of choice in the control of EIA, while salbutamol results were somewhat less effective. Orally administered carbuterol did not provide any protection effect as expected. Raw measurements enter as a new parameter for consideration in this type of disease, being entirely compatible with FEV1 and PEF values during assessment.
在这项研究中,我们决定评估卡布特罗对运动诱发性哮喘(EIA)的预防作用,将该药物与沙丁胺醇和色甘酸二钠(DSCG)进行比较,以描述其在运动诱发性哮喘中的效用,同时采用闭合压法来早期检测气道收缩。该研究纳入了44例有EIA既往史的支气管哮喘患者。运动后只有10例患者出现明显症状。所有患者在研究开始前至少一周无症状且未服用任何药物。运动试验选用连续运行的跑步机,以10分钟为时限,最高心率为180次/分钟。同时还测量了第一秒用力呼气容积(FEV1)、呼气峰流速(PEF)和气道阻力(Raw)。药物治疗是在运动前1.5小时口服10.5毫克卡布特罗或4毫克沙丁胺醇,或在运动前30分钟口服20毫克DSCG胶囊。我们得出结论:DSCG是控制EIA的首选药物,而沙丁胺醇的效果稍差。口服卡布特罗未如预期提供任何保护作用。Raw测量值作为这类疾病评估中的一个新参数,在评估过程中与FEV1和PEF值完全相符。