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Bronchodilator treatment in moderate asthma or chronic bronchitis: continuous or on demand? A randomised controlled study.
Author: DompelingE, FolgeringH, VerbeekA L, van HerwaardenC L, van SchayckC P, van WeelC, van der HoogenH J
Original Abstract of the Article :
OBJECTIVE: To examine the effect of bronchodilator treatment given continuously versus on demand on the progression of asthma and chronic bronchitis and to compare the long term effects of a beta 2 adrenergic drug (salbutamol) and an anticholinergic drug (ipratropium bromide). DESIGN: Two year rand...See full text at original site
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引用元:
https://doi.org/10.1136/bmj.303.6815.1426
データ提供:米国国立医学図書館(NLM)
Bronchodilator Treatment for Asthma and Chronic Bronchitis
Respiratory conditions, like asthma and chronic bronchitis, can be as unpredictable as a desert windstorm, causing difficulties in breathing. This study explores the effects of continuous vs. on-demand bronchodilator treatment in patients with moderate asthma or chronic bronchitis.
The study randomly assigned 223 patients to receive either continuous bronchodilator treatment or treatment on demand for two years. The results demonstrate that continuous bronchodilator treatment, without anti-inflammatory treatment, accelerates the decline in ventilatory function, indicating a potential disadvantage. The study concluded that bronchodilators should be used only on demand, with additional corticosteroid treatment, if necessary.
On-Demand Bronchodilator Treatment: A More Effective Strategy
This study suggests that on-demand bronchodilator treatment is a more effective strategy for managing asthma and chronic bronchitis. This approach can help to minimize the risk of accelerated decline in lung function while providing relief during periods of symptom exacerbation.
Managing Respiratory Conditions Effectively
This study highlights the importance of a balanced approach to managing respiratory conditions. While bronchodilators can provide temporary relief from symptoms, they might not be the best long-term solution. A combination of medication, including anti-inflammatory agents, and lifestyle modifications can help to manage these conditions effectively and improve overall lung health.
Dr.Camel's Conclusion
This study is like a camel caravan choosing its route wisely. It demonstrates that using bronchodilators only on demand, along with appropriate anti-inflammatory treatment, is a more effective strategy for managing asthma and chronic bronchitis, helping to preserve lung function and minimize long-term complications.
Date :
- Date Completed 1992-03-04
- Date Revised 2019-05-01
Further Info :
Related Literature
English
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