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左卡巴斯汀与西替利嗪治疗儿童常年性变应性鼻炎的对比研究

[Levocabastine versus cetirizine for perennial allergic rhinitis in children].

作者信息

Arreguín Osuna L, García Caballero R, Montero Cortés M T, Ortiz Aldana I

机构信息

Servicio de Alergia, Instituto Nacional de Pediatrá, México, DF, México.

出版信息

Rev Alerg Mex. 1998 May-Jun;45(3):7-11.

PMID:9718972
Abstract

OBJECTIVE

To compare the efficacy and safety of levocabastine nasal spray asid cetirizine oral for the treatment of perennial allergic rhinitis in children.

MATERIAL AND METHODS

In this randomized, prospective experimental, open clinical trial. We studied 30 children with ages between 6 and 16 years with perennial allergic rhinitis. Group 1, 17 subjects (7 female, 10 male) received cetirizine once daily, 5 mg children weientig less dian 30 k asid 10 mg in children weighing more trw' 30 k during 15 days. Group 2, 13 subjects (7 male, 6 female) received levocabastine 2 puffs BID on each nostril during tbe same time. A nasal symptoms score, nasal peal: flow vid eosinophils in a nasal smear were performed before and after treatment.

RESULTS

There were no statistical differences in age, weight, height and arid duration of symptoms. Both groups showed improvement of symptoms via nasal peak flow with no differences between them (intergroup); nasal eosinophils remained unchanged. We for third statistical differences pre vid postreatment in each group (intragroup): Group 1, nasal congestion p = 0.002, ocular itch p = 0.01, sneezing p = 0.007, nasal secretion p = 0.01, nasal itch O = 0.009, total points O = 0.0005. Group 2, nasal congestion O = 0.02, ocular itch p = 0.05, sneezing p = 0.01, nasal secretion p = 0.01, nasal itch p = 0.04, total points p = 0.005. Significant differences were found in nasal peal' flow in Group 1 (p = 0.01) but no differences in eosinophils between file two groups. Side effects: 3 subjects in Group 1 (drowsiness, 1 appetite increase said 1 rhinorrea with epistaxis) vide 1 in Group 2 sensation of facial edema.

CONCLUSION

Bofil drugs are effective the clinical relief of symptoms of perennial allergic rhinitis in children vied levocabastine has less side effects.

摘要

目的

比较左卡巴斯汀鼻喷雾剂和西替利嗪口服剂治疗儿童常年性变应性鼻炎的疗效和安全性。

材料与方法

在这项随机、前瞻性、开放性临床试验中,我们研究了30名年龄在6至16岁之间的常年性变应性鼻炎儿童。第1组,17名受试者(7名女性,10名男性)每天服用一次西替利嗪,体重小于30千克的儿童服用5毫克,体重大于30千克的儿童服用10毫克,持续15天。第2组,13名受试者(7名男性,6名女性)在同一时间内每个鼻孔每天喷两次左卡巴斯汀。在治疗前后进行鼻症状评分、鼻峰流速以及鼻涂片嗜酸性粒细胞检测。

结果

两组在年龄、体重、身高和症状持续时间方面无统计学差异。两组通过鼻峰流速均显示症状改善,组间无差异;鼻嗜酸性粒细胞无变化。每组治疗前后存在统计学差异(组内):第1组,鼻塞p = 0.002,眼部瘙痒p = 0.01,打喷嚏p = 0.007,鼻分泌物p = 0.01,鼻痒p = 0.009,总分p = 0.0005。第2组,鼻塞p = 0.02,眼部瘙痒p = 0.05,打喷嚏p = 0.01,鼻分泌物p = 0.01,鼻痒p = 0.04,总分p = 0.005。第1组鼻峰流速有显著差异(p = 0.01),但两组嗜酸性粒细胞无差异。副作用:第1组3名受试者(嗜睡1例、食欲增加1例、鼻漏伴鼻出血1例),第2组1例面部水肿感。

结论

两种药物对缓解儿童常年性变应性鼻炎的临床症状均有效,但左卡巴斯汀副作用较少。

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