Treatment of pediatric mild persistent asthma with low-dose budesonide inhalation suspension vs.montelukast in China  

作　　者：Zhi-Min Chen De-Yu Zhao Li Xiang Jian-Guo Hong 

机构地区：[1]Department of Respiratory Diseases,Children's Hospital,Zhejiang University School of Medicine,Hangzhou 310006,China [2]Department of Respiratory Diseases,Children's Hospital of Nanjing Medical University,Nanjing 210029,China [3]Department of Allergy,Beijing Children's Hospital,Capital Medical University,National Children's Hospital Center,Beijing 100045,China [4]Department of Pediatrics,Shanghai General Hospital,Shanghai Jiaotong University,No.100,Haining Road,Hongkou District,Shanghai 200080,China

出　　处：《World Journal of Pediatrics》2021年第6期619-625,共7页世界儿科杂志（英文版）

基　　金：supported by MSD China,Shanghai,China(grant number:50146).

摘　　要：Background There are limited studies comparing budesonide inhalation suspension(BIS)with montelukast in real-world settings where treatment adherence and persistency may be suboptimal.This real-world study aims to investigate the control effectiveness of montelukast or BIS as a monotherapy in Chinese children with mild asthma.Methods Data were derived from a retrospective questionnaire-based analysis of 2-14-year-old children with mild persistent asthma,who received either 500 pg of BIS(n=153)or 4-5 mg of montelukast(n=240)once daily.The indicators of asthma control,the Asthma Control Test(ACT)/Childhood ACT(C-ACT)score,and the asthma-related medical costs were assessed.The differences between the two groups were compared using an unpaired-t-test(normally distributed).Mann-Whitney U test(non-normally distributed)or chi-squared test(categorical variables).Results Medication compliance in the past 3-month period was better in the montelukast group than in the BIS group(P=0.042).The montelukast group exhibited better asthma control in the past 4-week period,including lower percentages of asthmatic children with symptoms more than twice a week(P=0.021),had night waking or night coughing(P=0.022),or required reliever medication more than twice a week(P<0.001).The montelukast group had a lower percentage of children with an ACT/C-ACT score≤19(P=0.015).Caregivers reported a significantly better exercise tolerance in the children who received montelukast vs.BIS in the past 12 months(P<0.001).Significantly higher medical expenditures attributable to asthma in the past 12 months were observed in the BIS group vs.montelukast group(P<0.001).Conclusion Both treatments provided acceptable overall asthma control in children with mild persistent asthma;however,more reliever medication and more medical expenditures attributable to asthma were needed for BIS vs.montelukast in real-world settings,where factors such as compliance were also taken into account.

关 键 词：Allergic rhinitis ASTHMA BUDESONIDE Child MONTELUKAST 

分 类 号：R725.6[医药卫生—儿科]