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奈多罗米钠对临床病情稳定的哮喘儿童组胺反应性的影响。

The effect of nedocromil sodium on histamine responsiveness in clinically stable asthmatic children.

作者信息

Foo A L, Lanteri C J, Burton P R, Sly P D

机构信息

Division of Clinical Sciences, Western Australian Research Institute for Child Health, Perth.

出版信息

J Asthma. 1993;30(5):381-90. doi: 10.3109/02770909309056742.

DOI:10.3109/02770909309056742
PMID:8407738
Abstract

A double-blind, randomized, placebo-controlled, parallel-group study was undertaken in 120 clinically stable asthmatic children (aged 6-19 years) to determine the ability of 8 weeks of treatment with nedocromil sodium (4 mg, three times a day) to reduce the level of histamine responsiveness. Despite the subjects being clinically stable and reporting few asthma symptoms, approximately one-third had abnormal pulmonary function on enrollment into the study. Statistically significant increases in pulmonary function were seen in the group treated with nedocromil sodium but not in the control group (p = 0.01). Furthermore, 52% of the individuals with abnormal pulmonary function returned to normal following treatment with nedocromil sodium compared to 11% of those with abnormal pulmonary function who received placebo. However, there were no differences in the level of histamine responsiveness between the two treatment groups at baseline or after 4 or 8 weeks of treatment with nedocromil sodium or placebo. These data suggest that the level of histamine responsiveness is not intimately related to the level of asthma control in children.

摘要

对120名临床症状稳定的哮喘儿童(年龄在6至19岁之间)进行了一项双盲、随机、安慰剂对照、平行组研究,以确定奈多罗米钠(4毫克,每日三次)治疗8周降低组胺反应性水平的能力。尽管受试者临床症状稳定且报告的哮喘症状较少,但约三分之一的受试者在进入研究时肺功能异常。接受奈多罗米钠治疗的组肺功能有统计学意义的显著改善,而对照组则没有(p = 0.01)。此外,肺功能异常的个体中,52%在接受奈多罗米钠治疗后恢复正常,相比之下,接受安慰剂治疗的肺功能异常者中这一比例为11%。然而,在基线时以及在接受奈多罗米钠或安慰剂治疗4周或8周后,两个治疗组之间的组胺反应性水平没有差异。这些数据表明,组胺反应性水平与儿童哮喘控制水平没有密切关系。

相似文献

1
The effect of nedocromil sodium on histamine responsiveness in clinically stable asthmatic children.奈多罗米钠对临床病情稳定的哮喘儿童组胺反应性的影响。
J Asthma. 1993;30(5):381-90. doi: 10.3109/02770909309056742.
2
Effect of nedocromil sodium on bronchial hyperreactivity in children with nonatopic asthma.
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[Effect of nedocromil sodium on clinical course and histamine airway responsiveness in patients with pollen induced bronchial asthma].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
Pneumonol Alergol Pol. 1995;63(3-4):185-91.
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Nedocromil sodium versus albuterol in the management of allergic asthma.
Am J Respir Crit Care Med. 1994 Jan;149(1):91-7. doi: 10.1164/ajrccm/149.3_Pt_2.S91.
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Early use of inhaled nedocromil sodium in children following an acute episode of asthma.哮喘急性发作后儿童早期使用吸入性奈多罗米钠。
Thorax. 1999 Apr;54(4):308-15. doi: 10.1136/thx.54.4.308.
8
Inhaled nedocromil sodium reduces histamine release from isolated large airway segments of asthmatic subjects in vivo.吸入奈多罗米钠可减少哮喘患者体内分离出的大气道节段中的组胺释放。
Eur Respir J. 1993 Sep;6(8):1145-50.
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[The effect of nedocromil sodium on the clinical course, ventilatory parameters and nonspecific bronchial hyperreactivity in patients with nonatopic bronchial asthma treated with beclomethasone dipropionate].
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A double-blind study of the efficacy of nedocromil sodium in the management of asthma in patients using high doses of bronchodilators.一项关于奈多罗米钠对使用高剂量支气管扩张剂的哮喘患者治疗效果的双盲研究。
J Allergy Clin Immunol. 1994 Sep;94(3 Pt 1):473-81. doi: 10.1016/0091-6749(94)90203-8.

引用本文的文献

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Cromoglycate and nedocromil: influence on airway reactivity.色甘酸和奈多罗米:对气道反应性的影响。
Mediators Inflamm. 1994;3(7):S15-9. doi: 10.1155/S0962935194000694.
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Nedocromil sodium for chronic asthma in children.奈多罗米钠用于儿童慢性哮喘
Cochrane Database Syst Rev. 2006 Jul 19;2006(3):CD004108. doi: 10.1002/14651858.CD004108.pub2.
3
Early use of inhaled nedocromil sodium in children following an acute episode of asthma.哮喘急性发作后儿童早期使用吸入性奈多罗米钠。
Thorax. 1999 Apr;54(4):308-15. doi: 10.1136/thx.54.4.308.