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�й�ҩѧ��־ 2012, Vol. 47 Issue (21) :1760-1762    DOI:
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QIU Yuan-hua1�� CHEN En-guo1�� DAI Yuan-rong2�� REN Zhen-yi3�� ZHOU Xin4�� SHI Min-hua5�� JIANG Han-liang1�� YING Ke-jing1

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ժҪ Ŀ�� �����۽���Ʒ�������װ���ע��Һ����¶ʩ��������Ƚϣ����۹����������������װ�����Һ��̵����Ч�ԺͰ�ȫ�ԡ����� ��������ö����ġ������˫ä������ҩƽ�ж�����ơ�ѡ���Ѿ����е�ͬ�ֽ���ҩ�︻¶ʩ��Ϊ���ա����ռ��������º�������Ⱦ����234��������ҩ����117����������117������ȡ3 mLҩ������룬bid�����Ƴ�5��7 d��ͳ��ѧ�ϲ��÷���Ч���鼰˫����顣��� ���������Ч��Ϊ74.8��(PPS)��74.1��(FAS)���������Ƚϲ�����ͳ��ѧ���壨P>0.05�������о������У�û�з������ز����¼�����Ҫ�����¼��������鲻���¼�������Ϊ14.5%���������Ƚϲ�����ͳ��ѧ���壨P>0.05��������Ԥ��ķ��ӽ�ֵ15%���������Ч���۳��������� �������������װ�����Һ�븻¶ʩ�Ƚϣ���̵��Ч�Ͱ�ȫ���൱��
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Abstract�� OBJECTIVE To evaluate the clinical efficacy and safety of domestic inhaled N-acetyl-L-cysteine (NAC) solution in mucolytic therapy. METHODS This was a multi-centre�� randomized�� double blinded and positive parallel trial. Fluimucil�� an imported drug with the same active ingredient was used as control. Two hundred and thirty-four patients suffering from acute and chronic lower respiratory tract infection were enrolled�� 117 patients in study group and control group respectively. Both groups were treated by respective drug 3 mL given by inhalation�� bid�� for 5-7 d. Non-inferiority test and two-sided test were used to analyze the statistic difference. RESULTS The effective rates of the study group were 74.8% (PPS) and 74.1% (FAS). There was no significant difference (P>0.05) between the two groups. There were no serious adverse events and major adverse events during the study. The incidence of adverse events in study group was 14.5%. There was no significant difference (P>0.05) between the two groups. According to the preset non-inferior creteria�� ie 15%�� the non-inferiority of the test drug was established. CONCLUSION The clinical efficacy and safety of the domestive inhaled N-acetyl-L-cysteine solution in mucolytic therapy are equal to fluimucil.
Keywords�� inhaled N-acetyl-L-cysteine solution,   mucolytic therapy,   multi-centre,   clinical trial     
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QIU Yuan-Hua, CHEN ��Guo, DAI Yuan-Rong etc .Efficacy and Safety of Domestic Inhaled N-acetyl-L-cysteine Solution in Mucolytic Therapy[J]  Chinese Pharmaceutical Journal, 2012,V47(21): 1760-1762
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[8] STEY C�� STEUREN J�� BACHMANN S�� et al. The effect of oral N-acetylcysteine in chronic bronchitis: A quantitative systematic review[J]. Eur Respir J�� 2000�� 16(2): 253-262.
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