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血清茶碱浓度与运动诱发性支气管痉挛抑制作用的关系及与色甘酸的比较。

Relationship of serum theophylline concentration to inhibition of exercise-induced bronchospasm and comparison with cromolyn.

作者信息

Pollock J, Kiechel F, Cooper D, Weinberger M

出版信息

Pediatrics. 1977 Dec;60(6):840-4.

PMID:414196
Abstract

Exercise-induced bronchospasm was induced by treadmill running in 12 children on two days preceding either inhaled cromolyn sodium (Intal) or oral theophylline (Slo-Phyllin tablets), 7.5 mg/kg, administered in a double-blind manner. A second exercise period identical to the first followed two hours later; the medication administration had been timed so that the second exercise stress followed two hours after theophylline administration and 15 minutes following cromolyn administration. The patients subsequently were exercised twice more at two-hour intervals on both days. Blood was drawn from serum theophylline measurement immediately after each of the exercise periods. There was little demonstrable exercise-induced bronchospasm resulting from the first postmedication exercise period following theophylline administration. The two subsequent exercise periods were associated with some return of postexercise bronchospasm. The degree of inhibition of exercise-induced bronchospasm correlated with serum theophylline levels that averaged 16, 13, and 10 microgram/ml at two, four and six hours after the theophylline dose (mean Spearman rank correlation coefficient = .71, P less than .01). The effect of cromolyn in suppression exercise-induced bronchospasm that matched or excelled that seen with theophylline.

摘要

在12名儿童中,于吸入色甘酸钠(因他利)或口服氨茶碱(舒弗美片),剂量为7.5毫克/千克,采用双盲方式给药的前两天,通过跑步机跑步诱发运动诱发性支气管痉挛。两小时后进行与第一次相同的第二个运动时段;药物给药时间安排为,第二次运动应激在氨茶碱给药两小时后且在色甘酸钠给药15分钟后进行。随后患者在这两天以两小时的间隔又进行了两次运动。在每个运动时段结束后立即抽取血液用于测定血清氨茶碱水平。氨茶碱给药后的第一个用药后运动时段几乎没有明显的运动诱发性支气管痉挛。随后的两个运动时段出现了运动后支气管痉挛的某种程度的复发。运动诱发性支气管痉挛的抑制程度与氨茶碱给药后两小时、四小时和六小时血清氨茶碱水平相关,平均分别为16、13和10微克/毫升(平均斯皮尔曼等级相关系数 = 0.71,P小于0.01)。色甘酸钠在抑制运动诱发性支气管痉挛方面的效果与氨茶碱相当或更优。

相似文献

1
Relationship of serum theophylline concentration to inhibition of exercise-induced bronchospasm and comparison with cromolyn.血清茶碱浓度与运动诱发性支气管痉挛抑制作用的关系及与色甘酸的比较。
Pediatrics. 1977 Dec;60(6):840-4.
2
Double-blind, cross-over study of cromolyn sodium inhibition of exercise-induced bronchospasm in adults.色甘酸钠对成人运动诱发性支气管痉挛抑制作用的双盲交叉研究。
Ann Allergy. 1976 Sep;37(3):153-63.
3
Acute and chronic theophylline therapy in exercise-induced bronchospasm.
Pediatrics. 1977 Dec;60(6):845-9.
4
Exercise, induced bronchospasm in asthmatic children as a dose-response model for theophylline.运动诱发哮喘儿童支气管痉挛作为茶碱的剂量反应模型。
Int J Clin Pharmacol Biopharm. 1978 Jun;16(6):245-8.
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A comparison of inhaled albuterol and cromolyn in the prophylaxis of exercise-induced bronchospasm.吸入用沙丁胺醇与色甘酸钠预防运动诱发性支气管痉挛的比较。
Ann Allergy. 1987 Aug;59(2):107-9.
6
Effectiveness of terbutaline and theophylline alone and in combination in exercise-induced bronchospasm.
Pediatrics. 1981 Apr;67(4):508-13.
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Bronchodilating effect of cromolyn sodium in asthmatic patients at rest and following exercise.色甘酸钠对哮喘患者静息及运动后的支气管扩张作用。
Ann Allergy. 1984 Aug;53(2):186-8.
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The effect of cromolyn sodium on exercise-induced bronchospasm using a free running system.使用自由运动系统研究色甘酸钠对运动诱发性支气管痉挛的影响。
Pediatrics. 1975 Nov;56(5 pt-2 suppl):923-6.
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The effect of "cromolyn sodium" on the exercise induced bronchospasm of asthmatic children.色甘酸钠对哮喘儿童运动诱发性支气管痉挛的作用。
Turk J Pediatr. 1975 Jan-Apr;17(1-2):29-34.
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Combination drug therapy in children with exercise-induced bronchospasm.运动诱发性支气管痉挛患儿的联合药物治疗
Ann Allergy. 1984 Nov;53(5):395-400.

引用本文的文献

1
Dosage guidelines for slow-release aminophylline in childhood asthma.儿童哮喘缓释氨茶碱的剂量指南。
Br J Clin Pharmacol. 1980 May;9(5):526-7. doi: 10.1111/j.1365-2125.1980.tb05855.x.
2
Trial of cromoglycate and slow-release aminophylline in perennial childhood asthma.色甘酸和缓释氨茶碱治疗儿童常年性哮喘的试验。
Br Med J (Clin Res Ed). 1981 Jun 6;282(6279):1874-5. doi: 10.1136/bmj.282.6279.1874-d.
3
Inhibition of the bronchial response to respiratory heat exchange by increasing doses of terbutaline sulphate.硫酸特布他林剂量增加对支气管对呼吸热交换反应的抑制作用。
Thorax. 1982 Dec;37(12):913-7. doi: 10.1136/thx.37.12.913.
4
Diffusion and flow transfer of theophylline across the blood-brain barrier: pharmacokinetic analysis.茶碱通过血脑屏障的扩散与流动转运:药代动力学分析
J Pharmacokinet Biopharm. 1983 Jun;11(3):273-87. doi: 10.1007/BF01061868.
5
A clinical and pharmacokinetic basis for the selection and use of slow release theophylline products.缓释型茶碱产品选用的临床及药代动力学依据
Clin Pharmacokinet. 1984 Mar-Apr;9(2):95-135. doi: 10.2165/00003088-198409020-00001.
6
Exercise-induced asthma.运动诱发性哮喘
Clin Rev Allergy. 1983 Mar;1(1):19-37. doi: 10.1007/BF02991315.
7
Current state of theophylline in asthma.哮喘治疗中茶碱的现状
Arch Dis Child. 1986 Nov;61(11):1046-8. doi: 10.1136/adc.61.11.1046.
8
Duration of protection of calcium channel blockers against exercise-induced bronchospasm: comparison of oral diltiazem and inhaled gallopamil.
Eur J Clin Pharmacol. 1988;34(6):555-9. doi: 10.1007/BF00615217.
9
Exercise and the asthmatic.运动与哮喘患者
Sports Med. 1985 Jul-Aug;2(4):254-66. doi: 10.2165/00007256-198502040-00003.
10
Sustained release theophylline preparations. Practical recommendations for prescribing and therapeutic drug monitoring.缓释茶碱制剂。处方开具及治疗药物监测的实用建议。
Drugs. 1988 Jun;35(6):711-26. doi: 10.2165/00003495-198835060-00006.