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[胸腺五肽在预防呼吸系统反复感染中的应用。多中心研究]

[The use of thymopentin in the prevention of recurrent infections of the respiratory system. Multicenter study].

作者信息

Tovo P A, De Martino M, Rossi P, Cavagni G, Masi M, Bardare M

机构信息

Clinica Pediatrica dell'Università degli Studi di Torino.

出版信息

Minerva Pediatr. 1993 Dec;45(12):505-10.

PMID:8145686
Abstract

Eighty children, between 1-12 years, suffering from recurrent respiratory infections were admitted to a multicentre study and treated with thymopentin, an immunomodulating compound that represents the active site of the natural thymic hormone thymopoietin. Thymopentin efficacy, measured as reduction in the number of infective episodes, and tolerability were assessed and, at the end of the study a global evaluation was made by each investigator. Moreover, the following factors were recorded: clinical course, duration of symptoms/signs, frequency of administration of antipyretic, antibiotic, anti-inflammatory and mucolytic therapy, school attendance and hospitalization. Thymopentin treatment resulted in a statistically significant decrease of infective recurrences. The use of symptomatic and antibiotic drugs was also reduced. Side effects were few and mild. The investigators' overall evaluation of thymopentin's efficacy and tolerability was favourable. In conclusion, thymopentin, administered subcutaneous for 5 weeks in winter, may be useful in the treatment of children with recurrent infections of the respiratory tract.

摘要

80名年龄在1至12岁之间、患有反复呼吸道感染的儿童被纳入一项多中心研究,并接受胸腺五肽治疗。胸腺五肽是一种免疫调节化合物,代表天然胸腺激素胸腺生成素的活性部位。评估了胸腺五肽以感染发作次数减少来衡量的疗效和耐受性,在研究结束时,每位研究者进行了综合评估。此外,还记录了以下因素:临床病程、症状/体征持续时间、退烧药、抗生素、抗炎药和黏液溶解剂治疗的给药频率、上学情况和住院情况。胸腺五肽治疗使感染复发在统计学上显著减少。对症药物和抗生素的使用也有所减少。副作用少且轻微。研究者对胸腺五肽疗效和耐受性的总体评价良好。总之,冬季皮下注射胸腺五肽5周可能对治疗反复呼吸道感染的儿童有用。

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