Hoffmann-Streb A, Niggemann B, Büttner P, Wahn U
Universitätskinderklinik (KAVH), Berlin.
Klin Padiatr. 1993 Mar-Apr;205(2):99-102. doi: 10.1055/s-2007-1025205.
In order to study the protective effect of theophylline on exercise-induced asthma in children, we investigated the lung function of 16 children with documented bronchial asthma. Exercise provocation was performed by running on a treadmill for 6 minutes before and after two dose regimens of theophylline (10 and 20 mg/kg body weight). While for FEV1 the low dose regimen only showed a trend (p < 0.1), there was a slight but significant improvement in the high dose regimen (p < 0.05). Concerning sRaw both groups showed a small but significant improvement compared with the baseline values (p < 0.05). We conclude that in addition to its bronchodilatory effect theophylline may modulate exercise induced bronchospasm in asthmatic children.
为研究茶碱对儿童运动诱发性哮喘的保护作用,我们对16例确诊为支气管哮喘的儿童进行了肺功能调查。在茶碱的两种给药方案(10和20mg/kg体重)前后,让患儿在跑步机上跑步6分钟进行运动激发试验。虽然对于第一秒用力呼气容积(FEV1),低剂量方案仅显示出一种趋势(p<0.1),但高剂量方案有轻微但显著的改善(p<0.05)。关于比气道阻力(sRaw),与基线值相比,两组均有轻微但显著的改善(p<0.05)。我们得出结论,除了其支气管扩张作用外,茶碱可能调节哮喘儿童的运动诱发性支气管痉挛。