戴红协. 经鼻吸入丙酸氟替卡松同步治疗儿童变应性鼻炎合并哮喘的临床观察[J]. 上海预防医学, 2012, 24(2): 67-70.
引用本文: 戴红协. 经鼻吸入丙酸氟替卡松同步治疗儿童变应性鼻炎合并哮喘的临床观察[J]. 上海预防医学, 2012, 24(2): 67-70.
DAI Hong-xie. Nasal inhaled fluticasone propionate synchronization for the treatment of children allergic rhinitis accompanying with asthma, a clinical observation[J]. Shanghai Journal of Preventive Medicine, 2012, 24(2): 67-70.
Citation: DAI Hong-xie. Nasal inhaled fluticasone propionate synchronization for the treatment of children allergic rhinitis accompanying with asthma, a clinical observation[J]. Shanghai Journal of Preventive Medicine, 2012, 24(2): 67-70.

经鼻吸入丙酸氟替卡松同步治疗儿童变应性鼻炎合并哮喘的临床观察

Nasal inhaled fluticasone propionate synchronization for the treatment of children allergic rhinitis accompanying with asthma, a clinical observation

  • 摘要: 目的 探讨采用面罩储雾罐方式给药,经鼻吸入丙酸氟替卡松气雾剂,同步治疗儿童变应性鼻炎合并哮喘的临床疗效及安全性。方法 将80例中、重度变应性鼻炎合并轻、中度持续性哮喘的患儿随机分为实验组和对照组。实验组以面罩储雾罐经鼻吸入丙酸氟替卡松气雾剂(200 μg/d);对照组经口吸入丙酸氟替卡松气雾剂(200 μg/d)联合使用丙酸氟替卡松鼻喷雾剂(200 μg/d)。之后进行鼻炎症状、儿童哮喘控制测试(C-ACT)评分,比较晨起呼气峰流速值(PEF,L/min)。结果 经16周临床观察,实验组和对照组的鼻炎症状评分、哮喘症状评分均明显下降(F=71.22 ~277.41,P均<0.00),实验组和对照组的PEF均逐渐升高,治疗前后实验组差别有统计学意义(F=4.79,P<0.009),而对照组差别无统计学意义(F=1.49,P=0.19);不良反应比较,实验组鼻腔出血的发生数低于对照组(χ2=4.80,P<0.05),但激素使用量实验组仅为对照组的1/2。结论 面罩式储雾罐经鼻吸入丙酸氟替卡松气雾剂可同时有效控制儿童变应性鼻炎和哮喘,并有依从性高、不良反应少的特点,激素使用剂量明显少于对照组,应用于轻、中度持续性哮喘合并变应性鼻炎患儿效果良好。

     

    Abstract: Objective To explore the clinical effect and safety of using masks with reservoir fog cans for drug administration, nasal inhaled fluticasone propionate aerosol synchronization for treatment of children allergic asthma accompanying with allergic rhinitis.Methods Eighty cases of allergic rhinitis accompanying with mild, moderate and severe persistent asthma were randomly divided into the experimental group and the control group. the experimental group were given the inhaled fluticasone propionate aerosol 200 μg /d via face mask storage tank nasal mist; the control group were given the orally inhaled fluticasone propionate aerosol 200 μg /d combining with the use of fluticasone propionate nasal spray 200 μg /d. The rhinitis symptom score, childhood asthma control test (C-ACT) score and monitoring morning peak expiratory flow (PEF) was compared between the two groups.Results During 16 weeks clinical observation, the rhinitis symptom score and asthma symptom scores were significantly decreased both in the experimental group and the control group (F=71.22~277.41,P<0.001 for the two groups).The rates of PEF (L/min) in the experimental group and in the control group were increasing gradually before and after the treatment; however, the difference was only significant in the experimental group(F=4.79,P<0.009), not in the control group (F=1.49,P=0.19).The rate of side effect was significantly lower in the experimental group then in the control group (F=4.79,P<0.009). Furthermore, the dose of hormone used in the experimental group was only 50% as the one used in the control.Conclusion The mask type storage fog cans by nasal inhalation fluticasone propionate aerosol can effectively control children with allergic rhinitis and asthma with higher compliance, fewer side effects and reduced drug dosage etc, which is suitable for mild to moderate persistent asthma complicated with allergic rhinitis in children.

     

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