Terada A, Fujisawa T, Iguchi K, Astuta J, Togari H
Department of Pediatrics, National Mie Hospital.
Arerugi. 1999 Apr;48(4):466-71.
Chronic airway inflammation is a central feature of pathology of bronchial asthma. In order to evaluate inflammatory status in asthma, examinations such as bronchoscope or induced sputum test can be done. Because of difficulty of those examinations we need non-invasive and simple measures for childhood asthma. Here we investigated eNO in childhood asthma. Twenty-six of atopic asthma, 13 non-asthmatic atopic children and 12 normal children were enrolled in this study. eNO was measured by chemiluminescence analyzer. eNO was significantly collerated with % FEV 1.0 and blood eosinophil counts (R = -0.494, R = 0.416, respectively). Geometrical mean of eNO in normal, non-asthmatic atopic, asthma without inhaled corticosteroid (ICS) and asthma with ICS was 16.3, 23.7, 71.6, 43.6 ppb, respectively. eNO was significantly higher in asthma than in normals. eNO in patients without ICS were significantly higher than in non-asthmatic atopic. We concluded that eNO might be useful marker for evaluation of airway inflammation in asthmatic children.
慢性气道炎症是支气管哮喘病理学的核心特征。为了评估哮喘中的炎症状态,可以进行诸如支气管镜检查或诱导痰检测等检查。由于这些检查存在困难,我们需要针对儿童哮喘的非侵入性且简单的检测方法。在此我们对儿童哮喘中的呼出一氧化氮(eNO)进行了研究。本研究纳入了26例特应性哮喘患儿、13例非哮喘性特应性儿童和12例正常儿童。采用化学发光分析仪测量eNO。eNO与第1秒用力呼气容积百分比(%FEV 1.0)和血液嗜酸性粒细胞计数显著相关(分别为R = -0.494,R = 0.416)。正常、非哮喘性特应性、未使用吸入性糖皮质激素(ICS)的哮喘以及使用ICS的哮喘患儿的eNO几何平均值分别为16.3、23.7、71.6、43.6 ppb。哮喘患儿的eNO显著高于正常儿童。未使用ICS的患者的eNO显著高于非哮喘性特应性儿童。我们得出结论,eNO可能是评估哮喘儿童气道炎症的有用标志物。