Vondra V, Reisová M, Malý M
Oddĕlení tuberkulózy a respiracních nemocí FN, Praha.
Cas Lek Cesk. 1993 Oct 25;132(20):616-20.
The authors compared the effectiveness and advantages of the powdered inhalation variety of the preparation Ventodisc (Glaxo) with the "classical" dosed inhalation form of Salbutamol (Polfa) in 21 patients with bronchial asthma. During administration of 0.2 mg of the two drugs various conditions (mastering of the inhalation technique, elimination of the action of other drugs and the same time of day when the drug was administered) was respected. Values of ventilation parameters of the central and peripheral respiratory pathways before administration of the drugs did not differ significantly. The powdered form of salbutamol--Ventodisc (Glaxo) had a greater dilatating action than the classical dosed aerosol form--Salbutamol (Polfa) because: 1. in FEV1 values between rest and Ventodisc (1.47 l and 1.73 l) differed significantly, however, after subsequent inhalation of Salbutamol no further significant improvement occurred (1.79 l); 2. when the sequence of stimuli was reversed a significant increase of the FEV1; value occurred after Salbutamol (from 1.50 l to 1.67 l, p < 0.004) but Ventodisc caused a further significant increase (p < 0.0006). The tolerance of both drugs was equal. The powdered inhalation form of Salbutamol (Ventodisc--Glaxo) was better than the "classical" dosed aerosol form of salbutamol (Salbutamol--Polfa) as it had a greater dilatating effect in the central airways and moreover did not contaminate the environment.
作者比较了Ventodisc(葛兰素史克公司)干粉吸入制剂与沙丁胺醇(波发药厂)“传统”定量吸入剂型对21例支气管哮喘患者的有效性和优势。在给予两种药物各0.2毫克时,遵循了各种条件(掌握吸入技术、消除其他药物的作用以及给药的同一时间)。给药前中央和外周呼吸途径的通气参数值无显著差异。沙丁胺醇的干粉剂型——Ventodisc(葛兰素史克公司)比传统定量气雾剂剂型——沙丁胺醇(波发药厂)具有更强的扩张作用,原因如下:1. 静息时与使用Ventodisc后的第一秒用力呼气量(FEV1)值(分别为1.47升和1.73升)有显著差异,然而,随后吸入沙丁胺醇后未出现进一步的显著改善(1.79升);2. 当刺激顺序颠倒时,沙丁胺醇后FEV1值显著增加(从1.50升增至1.67升,p<0.004),但Ventodisc导致了进一步的显著增加(p<0.0006)。两种药物的耐受性相同。沙丁胺醇的干粉吸入剂型(Ventodisc——葛兰素史克公司)优于沙丁胺醇的“传统”定量气雾剂剂型(沙丁胺醇——波发药厂),因为它在中央气道具有更强的扩张作用,而且不会污染环境。