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[支气管哮喘患者对氯化钠和氯化钾的味觉敏感性及钠代谢的某些参数]

[Gustatory sensitivity to sodium chloride and potassium chloride and certain parameters of sodium metabolism in patients with bronchial asthma].

作者信息

Mineev V N, Suparnovich I Iu

出版信息

Klin Med (Mosk). 2008;86(10):32-6.

Abstract

The aim of the study was to determine threshold gustatory sensitivity (TGS) to sodium chloride and potassium chloride in patients with bronchial asthma (BA) taking into account a number of factors responsible for the enhanced risk of development and progress of this disease. Forty five practically healthy subjects were compared with 139 asthmatic patients; a separate group comprised patients treated permanently with oral glucocorticoids and those having non-pulmonary allergy. Chemically pure solutions of sodium and potassium chlorides were used in the dripping test to assess TGS. Asthmatic patients had enhanced TGS to sodium chloride compared with healthy subjects. TGS values were especially high in non-allergic bronchial asthma and minimal in allergic asthma when they were unrelated to the phase of the disease. TGS to potassium chloride in asthmatic patients also differed from that in healthy subjects; more patients were bitter-insensitive or sensitive only to high concentrations of potassium chloride. Patients treated with systemic glucocorticoids had the highest TGS to sodium chloride. Patients with non-pulmonary allergy and allergic BA had very similar TGS to potassium chloride. TGS to sodium chloride in the former was lower than in healthy subjects and patients with allergic BA. Asthmatic patients had a higher sodium ion concentration in erythrocytes than normal subjects; it reached maximum values in persons used to add salt to fully cooked food.

摘要

本研究的目的是考虑到导致支气管哮喘(BA)发生和进展风险增加的多种因素,确定支气管哮喘患者对氯化钠和氯化钾的味觉阈值敏感性(TGS)。将45名实际健康的受试者与139名哮喘患者进行比较;一个单独的组包括长期接受口服糖皮质激素治疗的患者和患有非肺部过敏的患者。在滴注试验中使用化学纯的氯化钠和氯化钾溶液来评估TGS。与健康受试者相比,哮喘患者对氯化钠的TGS增强。当与疾病阶段无关时,非过敏性支气管哮喘患者的TGS值特别高,而过敏性哮喘患者的TGS值最低。哮喘患者对氯化钾的TGS也与健康受试者不同;更多患者对苦味不敏感或仅对高浓度氯化钾敏感。接受全身糖皮质激素治疗的患者对氯化钠的TGS最高。患有非肺部过敏和过敏性BA的患者对氯化钾的TGS非常相似。前者对氯化钠的TGS低于健康受试者和过敏性BA患者。哮喘患者红细胞中的钠离子浓度高于正常受试者;在习惯在熟透食物中加盐的人群中达到最大值。

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