Can the morbidity of asthma be reduced by high doseinhaled therapy? A prospective study

Autor: C.R. Horn, T.J.H. Clark, G.M. Cochrane
Rok vydání: 1990
Předmět:
Zdroj: Respiratory Medicine. 84:61-66
ISSN: 0954-6111
DOI: 10.1016/s0954-6111(08)80096-0
Popis: A community based, prospective study of the value of high dose inhaled therapy for the reduction of themorbidity of asthma has been undertaken. One hundred and sixty adults with airflow obstruction were treated for up to 9 months with increasing doses of salbutamol. Two thirds of the patients also received increasing doses of beclomethasone dipropionate in a ‘partially double-blind' manner. The FEV 1 rose by at least 10 per cent of that predicted in one third of the total patients and the overall meandomiciliary peak expiratory flow rates rose by approximately 501/min −1 . All chronic symptoms were abolished in half of the patients and acute attacks of asthma in the majority. Asthma was controlled in a greater proportion of patients more effectively and rapidly by a combination of inhaled steroids and beta agonist than by salbutamol alone, particularly when inhaled steroids were started in relatively high dosage.
Databáze: OpenAIRE