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用二丙酸倍氯米松替代口服皮质类固醇后肾上腺功能的恢复。

Recovery of adrenal function after substitution of beclomethasone dipropionate for oral corticosteroids.

作者信息

Maberly D J, Gibson G J, Butler A G

出版信息

Br Med J. 1973 Mar 31;1(5856):778-9. doi: 10.1136/bmj.1.5856.778.

Abstract

Of 16 steroid-dependent asthmatic patients oral treatment has been discontinued in six and reduced in four after the introduction of beclomethasone dipropionate. Substitution of inhaled beclomethasone for oral steroids was unsuccessful in the remaining six patients. Serial adrenal function studies in the patients whose oral treatment was discontinued showed progressive recovery, and five out of six had a normal response to tetracosactrin stimulation after two months.

摘要

在16例依赖类固醇的哮喘患者中,引入二丙酸倍氯米松后,6例患者停止了口服治疗,4例患者减少了口服剂量。在其余6例患者中,用吸入性倍氯米松替代口服类固醇未成功。对停止口服治疗的患者进行的系列肾上腺功能研究显示,肾上腺功能逐渐恢复,6例中有5例在两个月后对二十四肽促皮质素刺激有正常反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/820e/1588913/d17a033ea924/brmedj01549-0034-a.jpg

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