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哮喘患者血浆氧化-抗氧化状态及其与肺功能测试的相关性。

Plasma oxidant-antioxidants status in asthma and its correlation with pulmonary function tests.

作者信息

Ruprai Reena Kaur

机构信息

Department of Physiology, Indira Gandhi Govt. Medical College, Nagpur - 440 010.

出版信息

Indian J Physiol Pharmacol. 2011 Jul-Sep;55(3):281-7.

Abstract

The present study was planned to asses the levels of oxidant and antioxidant in asthmatic patients and to evaluate the existence of correlation between oxidant-antioxidant levels and pulmonary function test. Asthma is a well know chronic inflammatory disorder where disturbances in the oxidative system have been observed. To investigate the oxidative stress plasma malondialdehyde and ascorbic acid (Vitamin C) were measured. FEV1, FEV1% and PEFR values were taken with computerized spirometry. Results revealed statistically significantly reduced PFT values (***P < 0.001) in asthmatics. Increase serum MDA (***P < 0.001) and decrease vitamin C (***P < 0.001) in patients suggestive of oxidative imbalance in asthma was revealed. However no correlation was found between PFT and oxidative stress indicators. The study thus supported the emerging concept of free radical injury in asthma and therefore a thought can be given to whether antioxidant supply could have a beneficial impact on the free radical induced injury and improvement of respiratory reserve in Asthmatics.

摘要

本研究旨在评估哮喘患者体内氧化剂和抗氧化剂的水平,并评估氧化剂 - 抗氧化剂水平与肺功能测试之间的相关性。哮喘是一种众所周知的慢性炎症性疾病,已观察到其氧化系统存在紊乱。为了研究氧化应激,检测了血浆丙二醛和抗坏血酸(维生素C)。通过计算机化肺活量测定法获取第一秒用力呼气容积(FEV1)、FEV1%和呼气峰值流速(PEFR)值。结果显示,哮喘患者的肺功能测试值在统计学上显著降低(***P < 0.001)。研究发现患者血清丙二醛升高(***P < 0.001),维生素C降低(***P < 0.001),提示哮喘存在氧化失衡。然而,未发现肺功能测试与氧化应激指标之间存在相关性。因此,该研究支持了哮喘中自由基损伤这一新兴概念,进而可以思考抗氧化剂的补充是否会对自由基诱导的损伤产生有益影响以及改善哮喘患者的呼吸储备。

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