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噻托溴铵联合大剂量沙美特罗氟替卡松治疗重度支气管哮喘合并COPD稳定期疗效研究 被引量:29
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作者 谢刚强 唐甦 +1 位作者 马军党 李洁 《陕西医学杂志》 CAS 2018年第7期931-933,936,共4页
目的:研究分析噻托溴铵联合大剂量沙美特罗氟替卡松治疗重度支气管哮喘(BA)合并慢性阻塞性肺疾病(COPD)稳定期的疗效。方法:选取重度BA合并COPD患者158例进行研究。依据数字随机表法将158例患者分成观察组以及对照组各79例,为两组患者... 目的:研究分析噻托溴铵联合大剂量沙美特罗氟替卡松治疗重度支气管哮喘(BA)合并慢性阻塞性肺疾病(COPD)稳定期的疗效。方法:选取重度BA合并COPD患者158例进行研究。依据数字随机表法将158例患者分成观察组以及对照组各79例,为两组患者均常规予以祛痰平喘和吸氧止咳,及解痉和抗感染等治疗。对照组予以噻托溴铵及中等剂量的沙美特罗氟替卡松进行治疗,观察组则予以噻托溴铵以及大剂量的沙美特罗氟替卡松进行治疗,1年后评价两组疗效。结果:观察组的哮喘完全控制率45.57%及总控制率98.73%均分别明显高于对照组的21.52%及88.61%,差异有统计学意义(P<0.05)。治疗后观察组的FEV1%预计值和FEV1增加量均明显高于对照组,△PEF水平明显低于对照组,差异有统计学意义(P<0.05)。治疗后观察组的发作时间明显少于对照组,发作间隔时间明显大于对照组,差异有统计学意义(P<0.05)。观察组不良反应的总发生率是5.06%,与对照组的7.59%相比,差异无统计学意义(P>0.05)。结论:应用噻托溴铵以及大剂量的沙美特罗氟替卡松对重度BA合并COPD患者治疗的疗效较好,且能有效改善患者的肺功能和临床症状,安全性也较高。 展开更多
关键词 哮喘/并发症 肺疾病 慢性阻塞性/药物疗法 噻托溴铵 @沙美特罗氟替卡松
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蒲地蓝口服液联合沙美特罗氟替卡松治疗慢性阻塞性肺病疗效及安全性分析 被引量:7
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作者 赵宁 张引亮 《陕西医学杂志》 CAS 2018年第10期1325-1327,共3页
目的:探讨蒲地蓝口服液联合沙美特罗氟替卡治疗稳定期慢性阻塞性肺疾病(COPD)的临床疗效以及对并发症的影响。方法:选取收治的稳定期COPD患者90例作为实验对象,采用数字随机法等分成两组,对照组45例仅使用丙酸氟替卡松治疗,观察组45例... 目的:探讨蒲地蓝口服液联合沙美特罗氟替卡治疗稳定期慢性阻塞性肺疾病(COPD)的临床疗效以及对并发症的影响。方法:选取收治的稳定期COPD患者90例作为实验对象,采用数字随机法等分成两组,对照组45例仅使用丙酸氟替卡松治疗,观察组45例在对照组基础上加用蒲地蓝口服液,对比两组患者治疗前后肺脏功能变化、生活质量改善情况,记录两组患者治疗期间并发症发生情况。结果:治疗前两组患者的一秒用力呼气容积(FEV1)、用力肺活量(FVC),6min步行距离(6MWD)等差异无统计学意义,治疗6个月后两组患者3项指标均显著升高,观察组改善幅度优于对照组(P<0.05);6个月内观察组并发症发生率为8.89%,略低于对照组的13.33%,χ~2=0.450,差异无统计学意义(P>0.05)。结论:联合使用蒲地蓝口服液和沙美特罗氟替卡松治疗稳定期COPD能够显著改善患者的肺脏功能,安全性满足要求。 展开更多
关键词 肺疾病 慢性阻塞性/药物疗法 @蒲地蓝 @沙美特罗氟替卡松
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Development and validation of a novel UPLC-MS/MS method for the simultaneous determination of fluticasone propionate and salmeterol in human plasma
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作者 高宇雄 丁黎 +1 位作者 梁文忠 蒋华芳 《Journal of Chinese Pharmaceutical Sciences》 CAS CSCD 2017年第4期271-283,共13页
Combined administration of fluticasone propionate and salmeterol xinofoate has been widely used for the treatment of asthma in recent decades. In this investigation, we developed and validated a novel and sensitive ul... Combined administration of fluticasone propionate and salmeterol xinofoate has been widely used for the treatment of asthma in recent decades. In this investigation, we developed and validated a novel and sensitive ultra performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS) method for simultaneous determination of fluticasone propionate and salmeterol xinofoate in human plasma. Following a simple SPE sample extraction in 96-well plate format, chromatography was performed on a Waters ACQUITY UPLC BEH C 18 column (1.7 μm, 50 min×2.1 mm) with mobile phase consisting of 100% MeOH and 0.1% NH4OH in water on a gradient program at flow rate of 0.5 mL/min. Detection of analytes and internal standards was accomplished using multiple reaction monitoring (MRM) of precursor〉product ion pairs of m/z 501.4〉313.2 (fluticasone propionate), 506.4〉293.3 (fluticasone propionate-d5), 416.4〉232.1 (salmeterol xinofoate) and 419.3〉235.2 (salmeterol-d3). The assay range was 2.50-500 pg/mL for both analytes, and a 1/x2 weighted linear regression model was used. The inter-assay accuracy and precision of the method were within ±8.6%. The recoveries from 0.30 mL of plasma were greater than 51.0% and 54.6% for fluticasone propionate and salmeterol, respectively, and the results were consistent across low, middle and high concentration levels. The method was validated following FDA, EMA and CFDA (China Food and Drug Administration)'s guidance on bioanalysis and then successfully applied to support a clinical study in healthy Chinese subjects following inhaled administration of a single combination of fluticasone propionate/salmeterol (250 μg/50 μg). 展开更多
关键词 Fluticasone propionate Salmeterol xinofoate UPLC-MS/MS Human plasma Chinese subjects
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