Grzelewska-Rzymowska I, Grzegorczyk J, Kroczyńska-Bednarek J, Grabski W, Kuźmińska B, Rozniecki J
Oddziału Ftizjopneumonologii Kliniki Pneumonologii i Alergologii IMW AM w Lodzi.
Pneumonol Alergol Pol. 1997;65(11-12):775-82.
The aim of the study was to evaluate the effect of 28-days antiinflammatory treatment with nedocromil sodium (Ned.sod.) (Tilade-8 mg/24 hours) on nonspecific bronchial hyperreactivity (PC20H in mg/ml) and spontaneous HRF activity production by mononuclear blood cells in patients with nonatopic bronchial asthma treated with beclomethasone dipropionate. The correlation between PC20H and HRF was also examined. The study was performed in 10 subjects with mild and moderate chronic, stable asthma in a double-blind, placebo-controlled way. Placebo and Ned. sod were given through 4 weeks in a randomized way with 8 weeks wash-out period. It was shown that Ned. sod. did not influence clinical asthma symptom scores, ventilatory parameters and PC20H. No changes in the spontaneous production of HRF activity were observed. The correlation between HRF activity and PC20H assessed 4 times was not significant. The authors conclude that studies with Ned. sod. in nonatopic asthma should be continued, but the dosage of the drug ought to be bigger and the time of treatment should to be longer.
本研究旨在评估在接受丙酸倍氯米松治疗的非特应性支气管哮喘患者中,使用奈多罗米钠(Ned.sod.)(替乐8毫克/24小时)进行28天抗炎治疗对非特异性支气管高反应性(PC20H,单位为毫克/毫升)以及单核血细胞自发产生HRF活性的影响。同时还研究了PC20H与HRF之间的相关性。该研究以双盲、安慰剂对照的方式,对10名轻中度慢性稳定哮喘患者进行。安慰剂和奈多罗米钠随机给药4周,洗脱期为8周。结果显示,奈多罗米钠不影响临床哮喘症状评分、通气参数和PC20H。未观察到HRF活性自发产生的变化。4次评估的HRF活性与PC20H之间的相关性不显著。作者得出结论,应继续开展针对非特应性哮喘使用奈多罗米钠的研究,但药物剂量应加大,治疗时间应延长。