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阿司匹林不耐受与哮喘诱导的耐受性及长期监测。

Aspirin intolerance and asthmal induction of a tolerance and long-term monitoring.

作者信息

Dor P J, Vervloet D, Baldocchi G, Charpin J

出版信息

Clin Allergy. 1985 Jan;15(1):37-42. doi: 10.1111/j.1365-2222.1985.tb02252.x.

DOI:10.1111/j.1365-2222.1985.tb02252.x
PMID:3978776
Abstract

Acetylsalicylic-acid (ASA) intolerance is well recognized as a possible cause for exacerbating asthma. It has been postulated that if this could be overcome, long-term aspirin administration could improve asthma symptoms and enable reduction of the use of other anti-asthmatic drugs. We succeeded in inducing an ASA tolerance in nine corticosteroid-dependent asthmatics, and this tolerance lasted at least 1 month and at most 1 year. Progressive deterioration in lung function was seen, however, in all patients taking ASA for more than 1 month, unless the corticosteroid intake was increased. These results suggest that ASA long-term treatment is of no help to severe corticosteroid-dependent, ASA-sensitive asthmatics. This conclusion differs from other reports on ASA intolerance in asthma.

摘要

乙酰水杨酸(ASA)不耐受是公认的可能导致哮喘加重的原因。据推测,如果能够克服这一问题,长期服用阿司匹林可能会改善哮喘症状,并减少其他抗哮喘药物的使用。我们成功地使9名依赖皮质类固醇的哮喘患者产生了ASA耐受性,这种耐受性至少持续了1个月,最长持续了1年。然而,所有服用ASA超过1个月的患者,除非增加皮质类固醇的摄入量,否则肺功能都会逐渐恶化。这些结果表明,长期使用ASA对严重依赖皮质类固醇、对ASA敏感的哮喘患者并无帮助。这一结论与其他关于哮喘患者ASA不耐受的报告不同。

相似文献

1
Aspirin intolerance and asthmal induction of a tolerance and long-term monitoring.阿司匹林不耐受与哮喘诱导的耐受性及长期监测。
Clin Allergy. 1985 Jan;15(1):37-42. doi: 10.1111/j.1365-2222.1985.tb02252.x.
2
Tolerance to acetylsalicylic acid (ASA) induced in ASA-sensitive asthmatics does not depend on initial adverse reaction.阿司匹林敏感型哮喘患者对阿司匹林(ASA)产生的耐受性并不取决于最初的不良反应。
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Aspirin intolerance: does desensitization alter the course of the disease?阿司匹林不耐受:脱敏治疗是否会改变疾病进程?
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The effect of aspirin during aspirin "desensitisation" on compound 48/80 and histamine-induced skin responses in aspirin-sensitive asthmatics.阿司匹林“脱敏”过程中阿司匹林对阿司匹林敏感型哮喘患者化合物48/80和组胺诱导的皮肤反应的影响。
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Clinical benefits of aspirin desensitization in patients with nonsteroidal anti-inflammatory drug exacerbated respiratory disease are not related to urinary eicosanoid release and are accompanied with decreased urine creatinine.非甾体抗炎药加重的呼吸道疾病患者中阿司匹林脱敏的临床益处与尿类花生酸释放无关,且伴有尿肌酐降低。
Allergy Asthma Proc. 2016 May;37(3):216-24. doi: 10.2500/aap.2016.37.3935.

引用本文的文献

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The mechanisms of aspirin-intolerant asthma and its management.阿司匹林不耐受性哮喘的机制及其管理。
Curr Allergy Asthma Rep. 2002 Mar;2(2):117-25. doi: 10.1007/s11882-002-0006-1.
2
Could NSAIDs have a role as antiasthmatic agents?
Drugs. 1994 Jul;48(1):9-15. doi: 10.2165/00003495-199448010-00002.
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Analgesics, allergy and asthma.镇痛药、过敏与哮喘。
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