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1.
Allergol Immunopathol (Madr) ; 51(4): 151-157, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37422792

RESUMO

BACKGROUND AND AIM: Bronchial asthma is a prevalent type of respiratory disease that affects a large proportion of pediatric patients. The purpose of this study is to further investigate the clinical effects of budesonide combined with montelukast sodium in treating bronchial asthma. METHODS: Eighty six children with bronchial asthma were equally divided into study and control groups via randomized double-blind controlled trial. The control group was treated with aerosol inhalation of budesonide combined with placebo, while the study group was treated with budesonide combined with montelukast sodium. Pulmonary function parameters, immunoglobulin, and recovery of related symptoms, along with the adverse reaction rate, were observed and compared between both groups. RESULTS: Before treatment, there was no marked difference in pulmonary function parameters and immunoglobulin indexes between both groups (P > 0.05). All pulmonary function indicators and immunoglobulin indexes in both groups improved following therapy, with the study group outperforming the control group (P < 0.05). The recovery time of related symptoms in the study group was shorter than that in the control group (P < 0.05). The incidence of adverse reactions in both groups was compared, with notable differences (P < 0.05). CONCLUSION: Budesonide combined with montelukast sodium in the treatment of bronchial asthma has the value of clinical application and promotion.


Assuntos
Antiasmáticos , Asma , Quinolinas , Humanos , Criança , Budesonida/uso terapêutico , Antiasmáticos/uso terapêutico , Asma/tratamento farmacológico , Asma/induzido quimicamente , Acetatos/uso terapêutico , Quinolinas/uso terapêutico , Administração por Inalação
2.
Allergol Immunopathol (Madr) ; 51(4): 182-188, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37422796

RESUMO

OBJECTIVE: To evaluate the clinical efficacy and safety of combining omalizumab with budesonide formoterol to treat children with moderate and severe allergic asthma, and investigate the effect of this combination therapy on pulmonary and immune functions. METHODS: The data of 88 children with moderate and severe allergic asthma, who were admitted to our hospital between July 2021 and July 2022, were included in the study. The patients were randomly assigned either to control group (n = 44; received budesonide formoterol inhalation therapy) or experimental group (n = 44; received omalizumab subcutaneous injection + budesonide formoterol inhalation therapy) using computer-generated randomization. The clinical efficacy, asthma control (measured using childhood Asthma-Control Test [C-ACT] score), pulmonary function (forced expiratory volume in 1 s, forced vital capacity, and peak expiratory flow), immune function (cluster of differentiation 3 cells [CD3+ cells], cluster of differentiation 4 cells [CD4+ cells], immunoglobulin G, immunoglobulin A, and immunoglobulin E), and adverse reactions were observed and compared between both groups. RESULTS: After treatment, the experimental group had improved levels of pulmonary function and immune function indexes, higher C-ACT scores, and a higher overall response rate than the control group (P < 0.05). In addition, the incidence of adverse reactions was not significantly different between both groups (P > 0.05). CONCLUSION: The combination of omalizumab with budesonide formoterol for treating moderate and severe allergic asthma in children demonstrated promising clinical efficacy and improved their pulmonary and immune functions, leading to more rational asthma control. The combined regimen demonstrated satisfactory clinical safety and deserved clinical promotion.


Assuntos
Asma , Budesonida , Humanos , Criança , Budesonida/efeitos adversos , Omalizumab/efeitos adversos , Broncodilatadores/uso terapêutico , Fumarato de Formoterol/uso terapêutico , Etanolaminas/efeitos adversos , Combinação Budesonida e Fumarato de Formoterol/uso terapêutico , Administração por Inalação , Volume Expiratório Forçado , Resultado do Tratamento , Método Duplo-Cego , Imunidade
3.
Allergol. immunopatol ; 51(4): 151-157, 2023. ilus, tab
Artigo em Inglês | IBECS | ID: ibc-222645

RESUMO

Background and aim: Bronchial asthma is a prevalent type of respiratory disease that affects a large proportion of pediatric patients. The purpose of this study is to further investigate the clinical effects of budesonide combined with montelukast sodium in treating bronchial asthma. Methods: Eighty-six children with bronchial asthma were equally divided into study and control groups via randomized double-blind controlled trial. The control group was treated with aerosol inhalation of budesonide combined with placebo, while the study group was treated with budesonide combined with montelukast sodium. Pulmonary function parameters, immunoglobulin, and recovery of related symptoms, along with the adverse reaction rate, were observed and compared between both groups. Results: Before treatment, there was no marked difference in pulmonary function parameters and immunoglobulin indexes between both groups (P > 0.05). All pulmonary function indicators and immunoglobulin indexes in both groups improved following therapy, with the study group outperforming the control group (P < 0.05). The recovery time of related symptoms in the study group was shorter than that in the control group (P < 0.05). The incidence of adverse reactions in both groups was compared, with notable differences (P < 0.05). Conclusion: Budesonide combined with montelukast sodium in the treatment of bronchial asthma has the value of clinical application and promotion (AU)


Assuntos
Humanos , Pré-Escolar , Criança , Budesonida/administração & dosagem , Broncodilatadores/administração & dosagem , Asma/tratamento farmacológico , Imunoglobulinas/sangue , Antiasmáticos/administração & dosagem , Antagonistas de Leucotrienos/administração & dosagem , Citocromo P-450 CYP1A2/administração & dosagem , Quimioterapia Combinada , Resultado do Tratamento
4.
Allergol. immunopatol ; 51(4): 182-188, 2023. tab
Artigo em Inglês | IBECS | ID: ibc-222649

RESUMO

Objective: To evaluate the clinical efficacy and safety of combining omalizumab with budesonide formoterol to treat children with moderate and severe allergic asthma, and investigate the effect of this combination therapy on pulmonary and immune functions. Methods: The data of 88 children with moderate and severe allergic asthma, who were admitted to our hospital between July 2021 and July 2022, were included in the study. The patients were randomly assigned either to control group (n = 44; received budesonide formoterol inhalation therapy) or experimental group (n = 44; received omalizumab subcutaneous injection + budesonide formoterol inhalation therapy) using computer-generated randomization. The clinical efficacy, asthma control (measured using childhood Asthma-Control Test [C-ACT] score), pulmonary function (forced expiratory volume in 1 s, forced vital capacity, and peak expiratory flow), immune function (cluster of differentiation 3 cells [CD3+ cells], cluster of differentiation 4 cells [CD4+ cells], immunoglobulin G, immunoglobulin A, and immunoglobulin E), and adverse reactions were observed and compared between both groups. Results: After treatment, the experimental group had improved levels of pulmonary function and immune function indexes, higher C-ACT scores, and a higher overall response rate than the control group (P < 0.05). In addition, the incidence of adverse reactions was not significantly different between both groups (P > 0.05). Conclusion: The combination of omalizumab with budesonide formoterol for treating moderate and severe allergic asthma in children demonstrated promising clinical efficacy and improved their pulmonary and immune functions, leading to more rational asthma control. The combined regimen demonstrated satisfactory clinical safety and deserved clinical promotion (AU)


Assuntos
Humanos , Masculino , Feminino , Criança , Omalizumab/administração & dosagem , Antiasmáticos/administração & dosagem , Budesonida/administração & dosagem , Broncodilatadores/administração & dosagem , Asma/tratamento farmacológico , Índice de Gravidade de Doença , Resultado do Tratamento , Quimioterapia Combinada
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