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目的 临床观察富马酸福莫特罗( 安通克) 片剂治疗轻、中度支气管哮喘急性发作的临床疗效和不良反应。方法 支气管哮喘患者90 例,随机分成A、B两组,A 组60 例接受安通克片剂2片/ 次(40μg/ 片) ,2 次/ 天,口服治疗。B 组30 例接受安通克片剂1 片/ 次,2 次/ 天,口服治疗。两组治疗均为7 天,对所有患者治疗前后的临床症状、肺功能及不良反应进行了随访观察和测定。结果 肺功能FEV1 改善A 组好转率为81 .67% ,B组为80 .00 % 。治疗期间PEF值早、晚测定均有不同程度的增加,且早、晚PEF变异率趋向缩小,提示哮喘症状呈逐步稳定状态。A、B两组咳嗽有效率分别为76 .67% 和73.33 % ;痰量减少症状改善有效率分别为71.67 % 和63.33 % ;喘息症状的改善有效率分别为85 % 和76.67 % 。治疗期间A 组出现心悸5 例(8 .3 % ) ,手抖3 例(5 .0 % ) ,头痛1 例(1 .67 % ) 。B 组出现不良反应3 例(10 % ) ,均为心悸,症状较轻微,能继续接受治疗。结论 安通克片40 ~80μg/ 次,2 次/ 天,口服对哮喘治疗效果明显;不良反应较少,且轻微,可供临床广泛使用。
Objective To observe the clinical efficacy and adverse reactions of formoterol fumarate (AnTongKe) tablets in the treatment of mild and moderate acute asthma attacks. Methods A total of 90 patients with bronchial asthma were randomly divided into A and B groups. Group A received 60 tablets of AnTongKe twice daily (40μg / tablet) twice a day for oral treatment. 30 patients in group B received AnTongKe tablet 1 tablet / time, 2 times / day, oral treatment. The two groups were treated for 7 days, all patients before and after treatment of clinical symptoms, lung function and adverse reactions were observed and measured. Results Pulmonary function FEV1 improved the improvement rate of group A 81. 67% in group B and 80 in group B. 00%. During the treatment, the PEF value of morning and evening were increased to some extent, and the variation rate of PEF in early and late days tended to decrease, suggesting that the symptoms of asthma were gradually stabilized. The effective rates of cough in groups A and B were 76. 67% and 73.33% respectively. The effective rates of reducing sputum volume and symptom reduction were 71.67% and 63.33% respectively. The effective rates of improvement of wheezing were 85% and 76.67% respectively. In group A, palpitation occurred in 5 cases (8.3%), hand trembling in 3 cases (5.0%) and headache in 1 case (1.67%). B group showed adverse reactions in 3 cases (10%), all palpitations, minor symptoms, can continue to receive treatment. Conclusions Antong Tablets 40 ~ 80μg / time, 2 times / day, oral treatment of asthma obvious effect; less adverse reactions, and mild, widely available for clinical use.