雾化吸入丙酸氟替卡松与口服泼尼松对儿童哮喘急性发作
期有效性及安全性临床研究
张晗;周薇;金正勇;钟礼立;尚云晓;申昆玲;曹玲;鲍一笑;刘恩梅;成焕吉;李昌崇;谢娟娟
【期刊名称】《中国实用儿科杂志》 【年(卷),期】2017(032)009
【摘要】Objective To investigate the efficacy and safety of fluticasone propionate (FP) inhalation solution compared with oral prednisone (PRE) in Chinese pediatric and adolescent subjects (aged 4 to 16 years) with an
acute
exacerbation
of
asthma.Methods
This
was
a
randomized,double-blind,double-dummy,active-controlled,parallelgroup,multi-center,non-inferiority
study
involving
subjects (aged 4 to 16 years old,inclusive) with an acute exacerbation of asthma [to compare the morning Peak expiratory flow (AM PEF).Oral PRE once daily 2 mg/(kg· d),up to 40 mg/ d for 4 d,then 1 mg/(kg· d) or half of the original dose,up to 20 mg/d for 3 d) for 7 d.The study comprised a 7-d treatment period and a 14-d follow-up period].Results In terms of the primary efficacy endpoint mean AM PEF,the low limit of 95% CI was-9.64 L/min,which was above the pre-defined non-inferiority margin-12 L/min.Conclusion FP inhalation solution was shown to be non-inferior to oral PRE in the treatment of acute exacerbation of asthma in Chinese pediatric and adolescent patients.FP inhalation solution demonstrates good safety.%目的 观察比较4~16岁哮喘患儿急性