Nishiyama O, Taniguchi H, Kondo Y, Mizuno Y, Ito S, Wakayama H, Nakagawa T
Department of Respiratory and Allergic Medicine, Tosei General Hospital.
Arerugi. 1998 Dec;47(12):1258-63.
To evaluate irreversible airflow limitation in asthmatics, we studied 168 patients admitted to our hospital with acute exacerbation of asthma. All patients were given intravenous methylprednisolone for at least 7 days to maximum 14 days and the best of PEF (% of predicted) was evaluated. In all subjects, the best of PEF showed significant correlations with both the patients' age (r = -0.411, p < 0.0001) and the duration of asthma (r = -0.494, p < 0.0001). A significant correlations between the best of PEF and the duration of asthma were also observed in both patients over 60 years old (r = -0.157, p < 0.0001) and non-smokers (r = -0.568, p < 0.0001). We conclude that asthma may develop irreversible airflow limitation in itself and the degree of impairment of lung function correlated with the duration of the disease.
为评估哮喘患者的不可逆气流受限情况,我们研究了我院收治的168例哮喘急性加重患者。所有患者均接受静脉注射甲泼尼龙至少7天,最长14天,并评估最佳呼气峰流速(预计值的百分比)。在所有受试者中,最佳呼气峰流速与患者年龄(r = -0.411,p < 0.0001)和哮喘病程(r = -0.494,p < 0.0001)均呈显著相关。在60岁以上患者(r = -0.157,p < 0.0001)和非吸烟者(r = -0.568,p < 0.0001)中,也观察到最佳呼气峰流速与哮喘病程之间存在显著相关性。我们得出结论,哮喘本身可能会发展为不可逆气流受限,且肺功能损害程度与疾病病程相关。