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Evaluation of Long-Term Clarithromycin Treatment in Adult Chinese Patients with Chronic Rhinosinusitis without Nasal Polyps

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单位: [1]Sun Yat Sen Univ, Affiliated Hosp 1, Otorhinolaryngol Hosp, Allergy & Canc Ctr, Guangzhou 510080, Guangdong, Peoples R China [2]Sun Yat Sen Univ, Otorhinolaryngol Inst, Guangzhou 510080, Guangdong, Peoples R China [3]Sun Yat Sen Univ, Affiliated Hosp 5, Dept Otolaryngol, Zhuhai, Peoples R China [4]Zhongshan City Hosp, Dept Otolaryngol, Zhongshan, Peoples R China [5]Wuhan Univ, Renmin Hosp, Dept Otolaryngol, Wuhan 430072, Peoples R China [6]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Dept Otolaryngol, Wuhan 430074, Peoples R China
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关键词: Chronic rhinosinusitis without nasal polyps Macrolide Nasal symptom Quality of life Inflammatory mediator

摘要:
Objective: To evaluate the efficacy of long-term clarithromycin (CAM) treatment in adult Chinese patients suffering from chronic rhinosinusitis without nasal polyps (CRSnNP). Methods: Thirty-three CRSnNP patients were enrolled and subjected to CAM treatment for 12 weeks (250 mg daily). The total nasal symptom scores (TNSS), nasal resistance and inflammatory mediators including interleukin (IL)-8 and myeloperoxidase (MPO) were evaluated at weeks 0 and 12. Quality of life (QoL) was assessed in all patients by using the Sinonasal Outcome Test 20 and Short Form 36 questionnaires. Results: CAM treatment significantly improved TNSS, nasal resistance and QoL, and it inhibited IL-8 and MPO production in CRSnNP patients (p < 0.05). CAM treatment was more effective for IL-8(high) CRSnNP patients than for IL-8(low) CRSnNP patients (p < 0.05). Conclusion: Long-term, low-dose CAM treatment is effective and safe for the treatment of CRSnNP in Chinese patients. Copyright (C) 2011 S. Karger AG, Basel

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出版当年[2010]版:
大类 | 4 区 医学
小类 | 4 区 耳鼻喉科学
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出版当年[2009]版:
Q3 OTORHINOLARYNGOLOGY
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影响因子: 最新[2023版] 最新五年平均 出版当年[2009版] 出版当年五年平均 出版前一年[2008版] 出版后一年[2010版]

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第一作者单位: [1]Sun Yat Sen Univ, Affiliated Hosp 1, Otorhinolaryngol Hosp, Allergy & Canc Ctr, Guangzhou 510080, Guangdong, Peoples R China [2]Sun Yat Sen Univ, Otorhinolaryngol Inst, Guangzhou 510080, Guangdong, Peoples R China
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通讯机构: [1]Sun Yat Sen Univ, Affiliated Hosp 1, Otorhinolaryngol Hosp, Allergy & Canc Ctr, Guangzhou 510080, Guangdong, Peoples R China [2]Sun Yat Sen Univ, Otorhinolaryngol Inst, Guangzhou 510080, Guangdong, Peoples R China [*1]Sun Yat Sen Univ, Affiliated Hosp 1, Otorhinolaryngol Hosp, Allergy & Canc Ctr, 58 Zhongshan 2nd Rd, Guangzhou 510080, Guangdong, Peoples R China
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