吸入性皮质类固醇和白类受体对手作为对轻度至中度持续性,稳定性喘的控制者选择的比较研究
Jamal Shah1, Fahad Irshaad Siddiqui2, Samran Hasan Adnan3
1General Internal Medicine, Khyber Teaching Hospital, Peshawar, PAK.
Cureus
|November 27, 2024
概括
吸入性皮质类固醇 (ICS) 和白三烯受体对抗剂 (LTRA) 都可以改善喘控制,但ICS在改善轻度至中度持久性喘患者的喘控制,肺功能和生活质量方面表现出卓越的疗效.
科学领域:
- 肺部病理学 肺部病理学
- 药理学 药理学是指药理学的学科.
- 临床医学 临床医学
背景情况:
- 喘是一种慢性呼吸道炎症疾病,导致喘息,咳和呼吸困难.
- 持续性喘需要药理干预来治疗症状.
研究的目的:
- 为了比较吸入性皮质类固醇 (ICS) 与白血受体对抗剂 (LTRA) 的疗效.
- 评估轻度至中度持续性喘患者喘控制,肺功能和生活质量的改善.
主要方法:
- 从2018年1月到2021年7月,对210名喘患者 (18岁以上) 进行了前性比较研究.
- 随机分配到两个组:ICS和LTRA.
- 通过喘控制测试 (ACT) 评分,FEV1,PEFR和生活质量调查问卷来衡量疗效.
主要成果:
- 在ICS和LTRA组中,ACT分数,FEV1和PEFR (p < 0.01) 都显著改善.
- 与LTRA组相比,ICS组在ACT得分和肺功能参数方面表现出更大的改善.
- 这两种治疗都被很好地容忍,并具有相对较低的不良事件率.
结论:
- ICS和LTRA都在治疗轻度至中度持续性喘方面有效.
- ICS在改善喘控制和肺功能方面表现出比LTRA更高的疗效.
- 建议ICS作为这种患者群体更有效的治疗选择.
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