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溴己新与愈创甘油醚对慢性哮喘患者临床状态、通气能力及痰液黏稠度的影响

Effect of bromhexine and guaiphenesine on clinical state, ventilatory capacity and sputum viscosity in chronic asthma.

作者信息

Heilborn H, Odeblad E

出版信息

Scand J Respir Dis. 1976;57(2):88-96.

PMID:781835
Abstract

Thirty-four patients, 21 male and 13 female, with chronic asthma and tenacious mucoid expectoration were studied regarding clinical parameters, PEF, airway resistance and sputum viscosity measured according to the n.m.r. method (nuclear magnetic resonance); a technique for determination of the water phase viscosity. Using double-blind cross-over technique, oral treatment with the two drugs and placebo was given during three consecutive 12-day periods with 48-h intervals free of test drug. No significant improvement in clinical state, PEF or airway resistance could be demonstrated. Nor did the sputum viscosity show any significant change after treatment with the different preparations. However, regarding the patients' own preference of drug as to mucolytic effect, a significant difference in favour of bromhexine at the 0.1% level was shown.

摘要

对34例慢性哮喘且伴有顽固性黏液样咳痰的患者进行了研究,其中男性21例,女性13例,研究内容包括临床参数、呼气峰流速(PEF)、气道阻力以及根据核磁共振(n.m.r.)方法测定的痰液黏度(一种测定水相黏度的技术)。采用双盲交叉技术,在连续三个12天的周期内给予这两种药物及安慰剂进行口服治疗,每个周期之间有48小时的无试验药物间隔期。结果显示,临床状态、PEF或气道阻力均无显著改善。不同制剂治疗后,痰液黏度也未显示出任何显著变化。然而,就患者对药物黏液溶解作用的自身偏好而言,在0.1%的水平上显示出显著有利于溴己新的差异。

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