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用曲安奈德气雾剂治疗儿童哮喘。

Treatment of asthma in children with triamcinolone acetonide aerosol.

作者信息

Sly R M, Imseis M, Frazer M, Joseph F

出版信息

J Allergy Clin Immunol. 1978 Aug;62(2):76-82. doi: 10.1016/0091-6749(78)90082-9.

Abstract

Triamcinolone acetonide aerosol, 100 microgram qid, was administered for 8 wk to 5 steroid-dependent asthmatic children and 10 who had not previously required continual corticosteroid treatment. Symptomatic control and pulmonary function improved in all 15 children despite discontinuation of oral corticosteroids in 3 of the steroid-dependent children. Determination of morning plasma cortisol concentrations disclosed no evidence of substantial adrenal suppression. Satisfactory symptomatic control has subsequently been maintained for 6 to 32 mo with doses of 100 microgram bid to 300 microgram qid without more extreme changes in plasma cortisol concentrations than were observed during the first 8 wk.

摘要

对5名依赖类固醇的哮喘儿童和10名以前不需要持续使用皮质类固醇治疗的儿童,给予曲安奈德气雾剂,每次100微克,每日4次,治疗8周。尽管3名依赖类固醇的儿童停用了口服皮质类固醇,但所有15名儿童的症状控制和肺功能均有改善。测定晨血浆皮质醇浓度未发现明显肾上腺抑制的证据。随后,以每次100微克,每日2次至每次300微克,每日4次的剂量维持了6至32个月的满意症状控制,血浆皮质醇浓度的变化并不比最初8周期间观察到的更剧烈。

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