加巴丁治疗耐火性慢性咳:一个随机,双盲,安慰剂对照试验
Nicole M Ryan1, Surinder S Birring, Peter G Gibson
1Priority Centre for Asthma and Respiratory Diseases, School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW, Australia. nicole.ryan@newcastle.edu.au
Lancet (London, England)
|September 7, 2012
概括
加巴丁有效治疗耐火性慢性咳,显著改善生活质量. 这种神经调节器耐受性很好,这表明中央敏感性在这种情况中起着关键作用.
科学领域:
- 肺部病理学 肺部病理学
- 神经学 神经学
- 临床药理学 临床药理学
背景情况:
- 耐火性慢性咳显著损害生活质量.
- 中心反射敏感化可能是关键机制,类似于神经病痛.
- 像 gabapentin 这样的神经调节剂是潜在的治疗方法.
研究的目的:
- 为了确定 gabapentin 对耐火性慢性咳的疗效和耐受性.
- 调查 gabapentin 对咳特定生活质量的影响.
主要方法:
- 随机,双盲,安慰剂对照试验.随机,双盲,安慰剂对照试验.
- 患有慢性咳 (>8周) 的成年人接受了 gabapentin (高达1800毫克/天) 或安慰剂10周.
- 主要终点:8周后莱斯特咳问卷 (LCQ) 得分的变化.
主要成果:
- 与安慰剂相比, gabapentin 显著改善了咳特定的生活质量 (p=0.004).
- 需要治疗的数量为3.58.
- 副作用 (恶心,疲劳) 在 gabapentin 治疗中更常见,但通常是轻微的.
结论:
- 加巴丁是一种有效且耐受良好的耐火性慢性咳的治疗方法.
- 结果支持中央反射敏感化作为一个相关的机制.
- gabapentin 为这种衰弱的疾病提供了一个新的治疗选择.
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