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新型定量吸入器IK-6(支气管扩张剂非诺特罗与异丙托溴铵的复方制剂)的临床药理试验(作者译)

[Clinical pharmacological trials of a new metered dose inhaler, IK-6, a combination of the bronchodilators fenoterol and ipratropium bromide (author's transl)].

作者信息

Kaik G, Kaik B, Laggner A

出版信息

Wien Med Wochenschr. 1980 Jun 15;130(11):385-93.

PMID:6449783
Abstract

IK-6, a combination of the sympathomimetic fenoterol (low dose) and the anticholinergic ipratropium bromide (normal dose), was tested single-blind and cross-over in outpatients with intrinsic asthma and in healthy volunteers. In 12 patients IK-6 resulted in a good acute bronchodilatation, the onset was as quick as following fenoterol and the maximum was as good as following ipratropium bromide. In another 12 patients the protective effect against an acetylcholine-induced bronchoconstriction was better after IK-6 than after ipratropium bromide and much better than after salbutamol. In these patients IK-6 caused no unwanted side effects. In 10 healthy volunteers the effect on heart rate was tested after inhalation of 20 puffs of bronchodilators applied by metered dose inhaler. The anticholinergics (ipratropium bromide, oxitropium bromide, dibenzothiepine-derivative) caused no effect. Following fenoterol a marked increase in heart rate could be observed, whereas the combination IK-6 caused only a slight increase.

摘要

IK - 6是拟交感神经药非诺特罗(低剂量)和抗胆碱能药异丙托溴铵(常规剂量)的组合,对特发性哮喘门诊患者和健康志愿者进行了单盲交叉试验。在12例患者中,IK - 6产生了良好的急性支气管扩张作用,起效速度与非诺特罗相同,最大扩张效果与异丙托溴铵相同。在另外12例患者中,IK - 6对乙酰胆碱诱导的支气管收缩的保护作用优于异丙托溴铵,且远优于沙丁胺醇。在这些患者中,IK - 6未引起不良副作用。在10名健康志愿者中,通过定量吸入器吸入20喷支气管扩张剂后测试了对心率的影响。抗胆碱能药(异丙托溴铵、氧托溴铵、二苯并噻庚因衍生物)未产生影响。吸入非诺特罗后可观察到心率显著增加,而IK - 6组合仅引起轻微增加。

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