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  1. 050 医学部, 大学院医学系研究科
  2. 0501 学術論文

Efficacy of tiotropium and indacaterol monotherapy and their combination on dynamic lung hyperinflation in COPD: a random open-label crossover study

http://hdl.handle.net/10091/00021605
http://hdl.handle.net/10091/00021605
9a18fa73-b1b3-47d3-8d3c-48b6a8d93ed4
名前 / ファイル ライセンス アクション
15K01281_03.pdf 15K01281_03.pdf (590.8 kB)
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Item type 学術雑誌論文 / Journal Article(1)
公開日 2019-09-09
タイトル
タイトル Efficacy of tiotropium and indacaterol monotherapy and their combination on dynamic lung hyperinflation in COPD: a random open-label crossover study
言語
言語 eng
DOI
関連識別子 https://doi.org/10.2147/COPD.S149054
関連名称 10.2147/COPD.S149054
キーワード
主題 bronchodilator agents, clinical respiratory medicine, COPD, respiratory function tests, quality of life
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ journal article
著者 Fujimoto, Keisaku

× Fujimoto, Keisaku

en Fujimoto, Keisaku

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Yamazaki, Haruna

× Yamazaki, Haruna

en Yamazaki, Haruna

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Ura, Midori

× Ura, Midori

en Ura, Midori

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Kitaguchi, Yoshiaki

× Kitaguchi, Yoshiaki

en Kitaguchi, Yoshiaki

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信州大学研究者総覧へのリンク
氏名 Fujimoto, Keisaku
URL http://soar-rd.shinshu-u.ac.jp/profile/ja.yFfaHFkh.html
信州大学研究者総覧へのリンク
氏名 Kitaguchi, Yoshiaki
URL http://soar-rd.shinshu-u.ac.jp/profile/ja.PUyCbhym.html
出版者
出版者 DOVE MEDICAL PRESS LTD
引用
内容記述 INTERNATIONAL JOURNAL OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE.12:3195-3201(2017)
書誌情報 INTERNATIONAL JOURNAL OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE

巻 12, p. 3195-3201, 発行日 2017-11-01
抄録
内容記述 Background and objective: The difference in efficacy of long-acting muscarinic antagonists (LAMAs) and long-acting beta(2)-agonists (LABAs) for dynamic lung hyperinflation (DLH) in COPD is unclear. The purpose of this study was to elucidate the difference in efficacy of LAMA and LABA alone and the combination thereof for DLH. Subjects and methods: Thirty stable patients were enrolled and randomly divided into two groups following baseline measurements. One group was treated with 5 mu g tiotropium (Respimat inhaler) for 4 weeks following a 4-week treatment with 150 mu g indacaterol, while the other group was treated with indacaterol for 4 weeks following a 4-week treatment with tiotropium. For both groups, these treatments were followed by a combination of the two drugs for 4 weeks. Pulmonary function tests, including DLH evaluated by metronome-paced incremental hyperventilation and exercise tolerance evaluated by the shuttle-walk test, were performed at the end of each treatment period. Results: In total, 23 patients completed this study. Both tiotropium and indacaterol alone significantly increased forced expiratory volume in 1 second, exercise tolerance, and improved health status. Tiotropium significantly improved DLH, but indacaterol did not. The combination therapy resulted in further improvements in lung function and exercise tolerance, but not in DLH. Conclusion: The efficacy of tiotropium in inhibiting DLH following metronome-paced incremental hyperventilation may be superior to that of 150 mu g indacaterol, although the effects on airflow obstruction were the same, and the combination therapy showed further improvement in airflow obstruction, but not in DLH.
資源タイプ(コンテンツの種類)
ISSN
収録物識別子タイプ EISSN
収録物識別子 1178-2005
PubMed
識別子タイプ PMID
関連識別子 https://www.ncbi.nlm.nih.gov/pubmed/29138547
関連名称 29138547
権利
権利情報 © 2017 Fujimoto et al. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution © Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
WoS
URL http://gateway.isiknowledge.com/gateway/Gateway.cgi?&GWVersion=2&SrcAuth=ShinshuUniv&SrcApp=ShinshuUniv&DestLinkType=FullRecord&DestApp=WOS&KeyUT=000414375000001
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