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布地奈德与孟鲁司特治疗咳嗽变异性哮喘的疗效观察
引用本文:陈惠英,刘桂珍,廖朝峰,张丹霞. 布地奈德与孟鲁司特治疗咳嗽变异性哮喘的疗效观察[J]. 实用临床医药杂志, 2012, 16(22): 54-56
作者姓名:陈惠英  刘桂珍  廖朝峰  张丹霞
作者单位:广东省深圳市宝安区人民医院药剂科,广东深圳,518101
摘    要:目的探讨布地奈德和孟鲁司特2者治疗咳嗽变异性哮喘疗效的差异。方法对照组患儿160例使用布地奈德2周,发作时予以沙丁安醇气雾剂;治疗组患儿160例使用孟鲁司特2周,发作时同样予以沙丁安醇气雾剂。2周后通过观察咳嗽症状的缓解以及肺功能指标:第1秒用力呼气容积(FEV1)、FEV1/用力肺活量(FEV1/FVC)、呼气峰流速(PEF),评定疗效。结果 2组咳嗽症状缓解、肺功能指标的改善情况相比较无明显差异,但孟鲁司特显效情况要优于布地奈德组。结论糖皮质激素类药物和白三烯调节剂类药物对于咳嗽变异性哮喘都有着不错的疗效,2者疗效无明显差异,但是白三烯类药物可能起效更快。

关 键 词:布地奈德  孟鲁司特  咳嗽变异性哮喘

Efficacy of budesonide and montelukast in the treatment of cough variant asthma
CHEN Huiying , LIU Guizhen , LIAO Zhaofeng , ZHANG Danxia. Efficacy of budesonide and montelukast in the treatment of cough variant asthma[J]. Journal of Clinical Medicine in Practice, 2012, 16(22): 54-56
Authors:CHEN Huiying    LIU Guizhen    LIAO Zhaofeng    ZHANG Danxia
Affiliation:(Bao′an People′s Hospital,Shenzhen,Guangdong,518101)
Abstract:Objective To study the therapeutic difference between budesonide(ICS) and montelukast(LTRAs) for CVA.Methods A total of 160 children received budesonide for 2 weeks and were administered salbutamol for acute periods while the other 160 children received montelukast for 2 weeks and were also administered salbutamol for acute periods.After 2 weeks′ treatment,we observed the alleviation of cough syndrome and pulmonary function indexes including FEV1,FEV1/FVC,PEF to evaluate the effect.Results The two groups in which one received budesonide and the other montelukast for treating CVA showed no distinct difference on the cough alleviation and improvement of pulmonary function indexes.But the group receiving montelukast has shown faster effect.Conclusion ICS and LTRAs both have similar good effects on CVA,but LTRAs could take effect more quickly.
Keywords:budesonide  montelukast  cough variant asthma
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