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探讨不同年龄段哮喘儿童使用孟鲁司特的剂量选择

赵顺英,王兴兰   

  1. 北京儿童医院,北京儿童医院
  • 收稿日期:2017-09-21 修回日期:2017-09-21 出版日期:2017-11-25

The Different Doses Selection of Montelukast in Children of Different Age Groups with Asthma

Zhao Shun-ying and Wang Xin-lan   

  1. Beijing Children's Hospital,Beijing Children's Hospital
  • Received:2017-09-21 Revised:2017-09-21 Online:2017-11-25

摘要: 孟鲁司特因具有疗效高、不良反应少、药物依赖性低等优点,已经成为治疗轻度儿童哮喘的一线控制药物,或者中重度哮喘与吸入激素联合用药的首选,但目前关于该药物对不同年龄哮喘儿童剂量的选择尚未见系统报道。本研究通过对国内外关于孟鲁司特用药的文献进行总结论述,基于孟鲁司特药代动力学研究的结果,在考虑患者的年龄和体重影响的前提下,分析确定了孟鲁司特不同剂量的用药标准:10mg包衣片适用于15岁以上儿童及成人,5mg咀嚼片适用于6~14岁,4mg咀嚼片适用于2~5岁,4mg颗粒剂适用于1~5岁。本研究所探讨的不同年龄哮喘儿童使用孟鲁司特的剂量选择标准,可为临床治疗儿童哮喘提供借鉴和参考。

Abstract: Montelukast has the advantages of high efficacy,less adverse reactions and low drug dependence,and it is already as a first-line controller drug for the treatment of mild asthma in children, or prefered combination therapy with inhaled corticosteroids for moderate to severe asthma.However,there is no systematic choice criterion for the dose of the drug for children in different ages. This study summarized the domestic and foreign-related literature,based on the results of montelukast pharmacokinetic study, and the dose selection of montelukast was determined under the condition of considering the age and weight of the patients.The criteria for different doses of montelukast were formulated as follows:10 mg coated tablets for children over 15 years old and adults,5 mg chewable tablets for 6-14 years old,4 mg chewable tablets for 2-5 years old,4 mg granules for 1-5 years old.The aim of this study is to evaluate the dose selection criteria of montelukast children of different ages with asthmatic in order to provide reference for clinical treatment of children asthma.