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奈多罗米钠对花粉诱发支气管哮喘患者临床病程及组胺气道反应性的影响

[Effect of nedocromil sodium on clinical course and histamine airway responsiveness in patients with pollen induced bronchial asthma].

作者信息

Grzelewska-Rzymowska I, Grabski W, Kroczyńska-Bednarek J, Zieba M, Rozniecki J

机构信息

Oddziału Ftizjopneumonologii Kliniki Pneumonologii i Alergologii IMW AM w Lodzi.

出版信息

Pneumonol Alergol Pol. 1995;63(3-4):185-91.

PMID:7647732
Abstract

Nedocromil sodium is a non-steroidal prophylactic agent for the management of asthma. We assessed the effect of inhaled of nedocromil sodium 8 mg/24 h in a double blind, placebo controlled study in 14 patients suffering from seasonal (grass-pollen) asthma. Symptom scores for dyspnoe, cough, rhinitis and airway responsiveness to histamine (PC20H) according to Cockcroft et al were estimated before the grass-pollen season and at the end of 14-day placebo treatment and 21-day nedocromil sodium treatment. During placebo period the significant decrease in PC20H from 1.81 mg/ml to 0.54 mg/ml (p < 0.01) was observed. Nedocromil sodium did not have the effect on nonspecific bronchial responsiveness, PC20 - 0.74 mg/ml (p = 0.25). Subjective global assessment scores were significantly better with nedocromil sodium (31.15 mean 2.23) than with placebo (10.5 mean 0.7) p < 0.05.

摘要

奈多罗米钠是一种用于治疗哮喘的非甾体预防性药物。我们在一项双盲、安慰剂对照研究中,对14例季节性(草花粉)哮喘患者吸入8 mg/24 h奈多罗米钠的效果进行了评估。根据Cockcroft等人的方法,在草花粉季节开始前、14天安慰剂治疗结束时以及21天奈多罗米钠治疗结束时,评估了呼吸困难、咳嗽、鼻炎的症状评分以及对组胺的气道反应性(PC20H)。在安慰剂治疗期间,观察到PC20H从1.81 mg/ml显著降至0.54 mg/ml(p < 0.01)。奈多罗米钠对非特异性支气管反应性没有影响,PC20为0.74 mg/ml(p = 0.25)。主观整体评估得分方面,奈多罗米钠组(平均31.15 ± 2.23)显著优于安慰剂组(平均10.5 ± 0.7),p < 0.05。

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