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中国临床药理学与治疗学 ›› 2006, Vol. 11 ›› Issue (6): 702-705.

• 研究原著 • 上一篇    下一篇

长期应用丙酸氟替卡松沙美特罗治疗轻中度哮喘的临床疗效评价

夏晴, 戴兴凌, 王汝涛   

  1. 中国人民解放军第三二三医院药械科, 西安 710054, 陕西
  • 收稿日期:2006-02-09 修回日期:2006-03-24 出版日期:2006-06-26 发布日期:2020-12-04
  • 通讯作者: 夏晴,女,副主任药师,研究方向:临床药理学。Tel:029-87705128 E-mail:xiaqing@169cnc.com

Clinical evaluation of efficacy of fluticasone propionate/salmeterol in treatment of mild to moderate asthma

XIA Qing, DAI Xing-ling, WANG Ru-tao   

  1. Pharmaceutical Preparation Section, 323th Military Hospital, Xian 710054, Shanxi, China
  • Received:2006-02-09 Revised:2006-03-24 Online:2006-06-26 Published:2020-12-04

摘要: 目的: 观察长期应用舒利迭(丙酸氟替卡松/沙美特罗) 治疗轻、中度哮喘的临床疗效及不良反应。方法: 采用开放性的、自身前后对照研究实验方法, 对43 例轻、中度哮喘患者进行20 周舒利迭治疗(沙美特罗50 μg 丙酸氟替卡松250 μg, 吸入, 2 次·d-1), 根据患者症状、体征的严重程度进行治疗前后生命质量评分, 同时测定最大呼气流量(peak expiratory flow, PEF)、一秒钟用力呼气量(forced expiratory volume in one second, FEV1)、最大呼气流速(peak expiratory flow rate, PEFR)、最大肺活量(forced vital capacity,FVC) 及无症状天数的变化。结果: 治疗1 周后, 患者日间和晚间症状评分、PEF、FEV1、FVC 显著地改善(P<0.01), 并在以后的治疗中得到持续改善。哮喘患者无症状天数有显著增多的趋势, 治疗期间仅有1 例患者出现声音嘶哑副作用。结论: 吸入舒利迭治疗支气管哮喘有较好的临床疗效, 且安全性高、不良反应少。

关键词: 舒利迭, 哮喘, 治疗, 不良反应

Abstract: AIM: To evaluate clinical efficacy and safety of seretide in the treatment of patients with mild to moderate asthma.Methods: This was an opened, self-comparison study.43 patients with mild to moderate asthma were given seretide 50 250 μg inhalation twice daily via accuhaler for 20 weeks.The levels of symptoms and signs before and after therapeutics were recorded as the quality of life.The peak expiratory flow (PEF), forced expiratory volume in one second(FEV1), peak expiratory flow rate(PEFR), forced vital capacity(FVC) and symptomless time were detected.Results: The treatment with seretide resulted in remarkably improvement in efficacy variables of morning and evening PEF, asthma symptom scores.FEV1 and FVC were notably increased after 1 week of treatment and during the treatment period (P<0.01).At the end of 20 weeks treatment, asthma quality of life scores were improved significantly (P<0.01).The amount of asymptomatic day of patients with mild to moderate asthma were increased.There were 39 patients achieving the criteria for well-controlled.Only 1 patient had hoarseness.Conclusion: Seretide possesses the advantage of effectiveness, safety and well tolerance in patients with mild to moderate asthma.

Key words: seretide, asthma, treatment, adverse effect

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