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[Inhaled corticosteroids and asthma education].
R A Gómez Tejada1, C N Finkelstein, R J Gene
1División Neumonología, Hospital de Clínicas José de San Martín, Facultad de Medicina, Universidad de Buenos Aires, Argentina.
Medicina
|May 29, 1999
Summary
Inhaled corticosteroids combined with asthma education improved clinical scores early. Moderate asthma patients showed objective lung function changes with beclomethasone or budesonide, indicating clinical improvement.
Area of Science:
- Pulmonology
- Pharmacology
Background:
- Asthma management requires effective therapeutic strategies.
- Inhaled corticosteroids (ICS) and patient education are key components of asthma control.
Purpose of the Study:
- To evaluate the association of inhaled corticosteroid therapy with the EDUCASMA educational program in asthmatic patients.
- To compare the efficacy of beclomethasone and budesonide in moderate and severe asthma.
Main Methods:
- Thirty asthmatic patients were randomized into beclomethasone or budesonide groups.
- Evaluations included spirometry (FEV1), ambulatory FEP (mini WRIGHT meters), and clinical scoring over 8 weeks.
- Non-parametric statistics (Wilcoxon test) were used to analyze changes.
Main Results:
- Early improvements in clinical scores were observed with ICS therapy and the educational program.
- Moderate asthma patients showed objective changes in ambulatory FEP with both beclomethasone and budesonide.
- No significant differences in FEV1 were noted, potentially due to study duration and asthma severity.
Conclusions:
- ICS therapy combined with the EDUCASMA program can lead to early clinical improvements in asthma.
- Objective changes in ambulatory FEP suggest treatment efficacy in moderate asthma.
- No significant differences were found between beclomethasone and budesonide treatments.