甲泼尼龙序贯治疗急性中、重度哮喘的多中心临床研究 |
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引用本文: | 程齐俭,邓伟吾,许文兵,陈萍,姚婉贞,夏锡荣,周新,曹兆龙,代华平,林章树.甲泼尼龙序贯治疗急性中、重度哮喘的多中心临床研究[J].中国新药与临床杂志,2002,21(2):85-88. |
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作者姓名: | 程齐俭 邓伟吾 许文兵 陈萍 姚婉贞 夏锡荣 周新 曹兆龙 代华平 林章树 |
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作者单位: | 1. 上海第二医科大学附属瑞金医院,上海,200025 2. 中国医学科学院北京协和医院,北京,100730 3. 北方医院,辽宁,沈阳,110016 4. 北京大学第三医院,北京,100083 5. 南京金陵医院,江苏,南京,210002 6. 上海市第一人民医院,上海,200080 7. 北京大学人民医院,北京,100044 8. 首都医科大学附属北京朝阳医院,北京,100020 9. 福建省立医院,福建,福州,350001 |
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摘 要: | 目的 :评价甲泼尼龙序贯治疗对急性中、重度哮喘的疗效。方法 :急性中、重度哮喘病人 12 6例 ,随机分成低剂量组 6 0例和高剂量组 6 6例 ,给甲泼尼龙 80mg ,ivgtt ,bid× 2d ,再分别口服甲泼尼龙片剂 8mg或 16mg ,均bid× 5d。结果 :静脉治疗 2d后 ,2组各项指标明显改善 ,改口服后则进一步改善。至d 7,低剂量组和高剂量组的肺功能PEFR值分别由治疗前的 (185±s 99)L·min- 1,(172± 82 )L·min- 1上升至 (333± 114 )L·min- 1和 (348± 10 5 )L·min- 1(P <0 .0 1)。 2组有效率均达 90 %以上 ,不良反应少。结论 :对急性中、重度哮喘 ,甲泼尼龙序贯治疗方案是安全和有效的
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关 键 词: | 甲泼尼龙 哮喘 序贯疗法 多中心研究 |
文章编号: | 1007-7669(2002)02-0085-04 |
Clinical study of effect of sequential therapy with methylprednisolone on acute moderate /severe asthma |
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Abstract: | AIM:To evaluate the effects of methylprednisolone in sequential therapy of acute moderate/severe asthma. METHODS:One hundred and twenty six patients with acute moderate/severe asthma were randomly divided into two groups: the high dose group (66 patients) and the low dose group(60 patients).After intravenous injection of methylprednisolone 80 mg, gtt bid for 2 d, oral methylprednisolone was substituted 16 mg bid or 8 mg bid for 5 d respectively in the two groups. All patients were followed up during the 7 d. RESULTS: In both groups all patients clinical conditions and lung function were improved significantly after intravenous injection of methylprednisolone 80 mg bid for 2 d, and improved continuously in the next 5 d when oral methylprednisolone was substituted. The volume of the PEFR increased from (185± s 99)L·min -1 , (172±82)L·min -1 to (333±114)L·min -1 , (348±105)L·min -1 ( P <0.01) respectively in both groups. The effective rate of both groups was above 90%. The adverse reaction was rare. CONCLUSION:To acute moderate/severe asthma, the sequential therapy with methylprednisolone is effective and safe. |
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Keywords: | methylprednisolone asthma sequence therapy multicenter studies |
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