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健康受试者和哮喘患者中口腔喷雾与吸入非诺特罗气雾剂的比较。

Mouth spraying versus inhalation of fenoterol aerosol in healthy subjects and asthmatic patients.

作者信息

Rodenstein D, Stănescu D C

出版信息

Br J Dis Chest. 1982 Oct;76(4):365-73. doi: 10.1016/0007-0971(82)90072-9.

DOI:10.1016/0007-0971(82)90072-9
PMID:7150496
Abstract

Four hundred micrograms of fenoterol aerosol were administered to 10 healthy subjects and nine asthmatic patients. Fenoterol was either inhaled or sprayed into the mouth carefully avoiding inhalation. Forced vital capacity (FVC), forced expiratory volume in one second (FEV1.0), maximal expiratory flow rates (MEFR), specific airways conductance (sGaw), total lung capacity (TLC), residual volume (RV), and heart rate (HR) were measured before and up to one hour after fenoterol administration. FVC, FEV1.0, MEFR and sGaw increased significantly after inhalation of fenoterol in both asthmatic patients and healthy subjects. The increase was significantly greater in the asthmatic group. After buccal administration of fenoterol FVC, FEV1.0 and sGaw increased significantly in both asthmatic patients and healthy subjects, and there was no significant difference between the two groups. Increased heart rate and side effects were observed only in healthy subjects and only after inhalation. Buccal administration of fenoterol to both asthmatic patients and healthy subjects induced a clearcut bronchodilation (though less than that produced by inhalation), probably by absorption of the drug through the oral mucosa.

摘要

给10名健康受试者和9名哮喘患者使用了400微克非诺特罗气雾剂。非诺特罗要么吸入,要么小心地喷入口腔,避免吸入。在给予非诺特罗之前及之后长达1小时内,测量用力肺活量(FVC)、一秒用力呼气量(FEV1.0)、最大呼气流量(MEFR)、比气道传导率(sGaw)、肺总量(TLC)、残气量(RV)和心率(HR)。哮喘患者和健康受试者吸入非诺特罗后,FVC、FEV1.0、MEFR和sGaw均显著增加。哮喘组的增加幅度明显更大。哮喘患者和健康受试者经口腔给予非诺特罗后,FVC、FEV1.0和sGaw均显著增加,两组之间无显著差异。仅在健康受试者吸入后观察到心率增加和副作用。哮喘患者和健康受试者经口腔给予非诺特罗均引起明显的支气管扩张(尽管小于吸入产生的扩张),可能是药物通过口腔黏膜吸收所致。

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1
Mouth spraying versus inhalation of fenoterol aerosol in healthy subjects and asthmatic patients.健康受试者和哮喘患者中口腔喷雾与吸入非诺特罗气雾剂的比较。
Br J Dis Chest. 1982 Oct;76(4):365-73. doi: 10.1016/0007-0971(82)90072-9.
2
The short-term bronchodilator effects of fenoterol and ipratropium in asthma.非诺特罗与异丙托溴铵对哮喘的短期支气管扩张作用。
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Response of asthmatic patients to fenoterol inhalation: a method of quantifying the airway bronchodilator dose.哮喘患者对非诺特罗吸入的反应:一种量化气道支气管扩张剂剂量的方法。
Clin Pharmacol Ther. 1978 Mar;23(3):338-45. doi: 10.1002/cpt1978233338.
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引用本文的文献

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Comparison between the effects of inhaled isoprenaline and fenoterol on plasma cyclic AMP and heart rate in normal subjects.吸入异丙肾上腺素与非诺特罗对正常受试者血浆环磷腺苷及心率影响的比较。
Br J Clin Pharmacol. 1984 Feb;17(2):165-70. doi: 10.1111/j.1365-2125.1984.tb02332.x.
2
Therapeutic aerosols 2--Drugs available by the inhaled route.治疗性气雾剂2——可通过吸入途径使用的药物。
Thorax. 1984 Jan;39(1):1-7. doi: 10.1136/thx.39.1.1.
3
Pharmacokinetics, efficacy and adverse effects of sublingual salbutamol in patients with asthma.
Eur J Clin Pharmacol. 1989;37(6):567-71. doi: 10.1007/BF00562546.
4
Comparison of bronchodilator responses and deposition patterns of salbutamol inhaled from a pressurised metered dose inhaler, as a dry powder, and as a nebulised solution.比较从压力定量吸入器吸入的沙丁胺醇、干粉形式的沙丁胺醇以及雾化溶液形式的沙丁胺醇的支气管扩张反应和沉积模式。
Thorax. 1990 Jun;45(6):469-73. doi: 10.1136/thx.45.6.469.
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Clinical pharmacokinetics of drug administered buccally and sublingually.经口腔颊部和舌下给药的药物临床药代动力学。
Clin Pharmacokinet. 1991 Aug;21(2):83-94. doi: 10.2165/00003088-199121020-00001.