Efficacy of regular or intermittent inhalation of corticosteroids in treatment of asthma and its effects on growth and development in children

LI Lin-Wei, HUANG Ying, LUO Rong, YAN Li, LI Qu-Bei, PENG Dong-Hong, SHU Chang

Chinese Journal of Contemporary Pediatrics ›› 2015, Vol. 17 ›› Issue (3) : 237-240.

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Chinese Journal of Contemporary Pediatrics ›› 2015, Vol. 17 ›› Issue (3) : 237-240. DOI: 10.7499/j.issn.1008-8830.2015.03.007
CLINICAL RESEARCH

Efficacy of regular or intermittent inhalation of corticosteroids in treatment of asthma and its effects on growth and development in children

  • LI Lin-Wei, HUANG Ying, LUO Rong, YAN Li, LI Qu-Bei, PENG Dong-Hong, SHU Chang
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Abstract

Objective To observe the efficacy of regular or intermittent inhalation of salmeterol/fluticasone propionate (SM/FP) in the treatment of bronchial asthma and its effects on growth and development in children. Methods A total of 112 children diagnosed with bronchial asthma between September 2012 and October 2013 were assigned to standardized treatment (standard group, n=56) and non-standardized treatment (intermittent group, n=56). Comparisons of clinical symptom scores and main pulmonary function indicators between the two groups were carried out before treatment and at 6 and 12 months after treatment. The growth velocity and changes in body mass index (BMI) were observed in the two groups. Results At 6 and 12 months after the treatment, the standard group had significantly reduced clinical symptom scores and significantly increased pulmonary function indicators (percentage of predicted peak expiratory flow, PEF%; percentage of forced expiratory volume in 1 second, FEV1%) (P<0.05); the intermittent group had significantly reduced clinical symptom scores and significantly increased FEV1% (P<0.05), but PEF% was significantly increased only at 6 months after treatment (P<0.05). At 12 months after treatment, the standard group had significantly lower clinical symptom scores and significantly higher PEF% and FEV1% when compared with the intermittent group (P<0.05). The growth velocity and BMI showed no significant differences between the two groups at 6 and 12 months after treatment (P>0.05). Conclusions Compared with intermittent inhalation, long-term regular inhalation of SM/FP performs better in controlling clinical symptoms and enhancing pulmonary function in children with asthma. Inhalation of SM/FP for one year reveals no apparent effect on the growth and development of these children.

Key words

Inhalation of corticosteroid / Asthma / Efficacy / Growth velocity / Body mass index / Child

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LI Lin-Wei, HUANG Ying, LUO Rong, YAN Li, LI Qu-Bei, PENG Dong-Hong, SHU Chang. Efficacy of regular or intermittent inhalation of corticosteroids in treatment of asthma and its effects on growth and development in children[J]. Chinese Journal of Contemporary Pediatrics. 2015, 17(3): 237-240 https://doi.org/10.7499/j.issn.1008-8830.2015.03.007

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