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奥沙米特对婴幼儿支气管哮喘的保护作用。与安慰剂的双盲研究

[Protective effect of oxatomide in infantile bronchial asthma. Double-blind study vs placebo].

作者信息

Giorgi P L, Oggiano N, Kantar A, Coppa G V, Nicora M

机构信息

Istituto di Clinica Pediatrica, Università degli Studi, Ancona.

出版信息

Minerva Pediatr. 1998 Jul-Aug;50(7-8):339-46.

PMID:9973801
Abstract

BACKGROUND

This study has been designed to assess the protective effect of oxatomide in allergic bronchial asthma of the seasonal type in young children.

METHODS

The study was carried out in a paediatric clinic; sixteen children divided into two balanced groups took oxatomide in an oral suspension at the dosage of 1 mg/kg/day, or placebo for a period of 2 months. Eight patients (7 males, 1 female), aged 22 months +/- 2.83 (mean +/- SD) took oxatomide in an oral suspension at the dosage of 1 mg/kg/day, while the other eight (3 males, 5 females; 22.13 months +/- 3.48) took placebo. Efficacy was assessed by monitoring cough, dyspnea at rest, dyspnea following exercise, wheezing, sleep disorders at baseline and after 15, 30 and 60 days of treatment, on the basis of a semiquantitative scale. All side effects were recorded.

RESULTS

Persistent coughing was significantly reduced (p < 0.05) after two weeks' treatment with oxatomide. Sleep disorders and other symptoms remarkably improved. Dyspnea at rest and following exercise disappeared after 15 days' therapy, while the intensity of wheezing decreased after 30 days' active treatment. In all parameters examined, oxatomide was significantly more active than placebo at the first examination (p < 0.05 and p < 0.01). Oxatomide was well tolerated and only 2 patients complained of drowsiness which required a reduction in dosage.

CONCLUSIONS

Oxatomide, at the dose of 1 mg/kg/day, obtained a good control of respiratory symptoms.

摘要

背景

本研究旨在评估奥沙米特对幼儿季节性过敏性支气管哮喘的保护作用。

方法

该研究在一家儿科诊所进行;16名儿童被分为两组,每组人数均衡,一组口服奥沙米特混悬液,剂量为1毫克/千克/天,另一组服用安慰剂,为期2个月。8名患者(7名男性,1名女性),年龄为22个月±2.83(均值±标准差),口服奥沙米特混悬液,剂量为1毫克/千克/天,而另外8名(3名男性,5名女性;22.13个月±3.48)服用安慰剂。根据半定量量表,通过监测治疗开始时以及治疗15、30和60天后的咳嗽、静息呼吸困难、运动后呼吸困难、喘息和睡眠障碍来评估疗效。记录所有副作用。

结果

用奥沙米特治疗两周后,持续性咳嗽显著减轻(p<0.05)。睡眠障碍和其他症状明显改善。静息和运动后呼吸困难在治疗15天后消失,而喘息强度在积极治疗30天后降低。在所有检查参数中,首次检查时奥沙米特的活性明显高于安慰剂(p<0.05和p<0.01)。奥沙米特耐受性良好,只有2名患者抱怨嗜睡,需要减少剂量。

结论

奥沙米特剂量为1毫克/千克/天时,能很好地控制呼吸道症状。

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