Dülger Seyhan, Akdeniz Önder, Solmaz Fevzi, Şengören Dikiş Özlem, Yildiz Tekin
Department of Pulmonology, Yüksek İhtisas Education and Training Hospital, Bursa, Turkey.
Department of Autorhinolaryngology, Esentepe Hospital, Bursa, Turkey.
Clin Respir J. 2018 Apr;12(4):1706-1710. doi: 10.1111/crj.12733. Epub 2017 Dec 4.
Nasal mucociliary clearance time (NMCT) can be measured with the saccharine clearance test which is an inexpensive and easy method. The aim of the present study was to compare and evaluate NMCT using the saccharine clearance test in smokers and non-smokers.
Eighty-five patients whose ages ranged from 18 to 65 years were included in the study. Fifty of the patients were smokers (Group 1) while 35 were healthy, non-smoking volunteers (Group 2). Saccharin clearance test was used to evaluate NMCT in both groups. The results obtained were compared and the statistical analyses were performed using the Statistical Package for Social Sciences (SPSS).
NMCT was statistically significantly higher in Group 1 as compared to Group 2 (P < .001, Mann-Whitney U test). However, in cumulative smoking duration (pack-year), Fagerström test values and gender categories, there was no statistically significant difference in the average NMCT values of the two groups (P = .943 vs P = .812 respectively), P = .45).
Mucociliary activity, the primary defence mechanism of the respiratory epithelium, is significantly depressed in smokers. Our findings showed that the said depression is not associated with the number of cigarettes smoked, duration of smoking or nicotine dependence.
鼻黏膜纤毛清除时间(NMCT)可通过糖精清除试验来测量,该方法成本低廉且操作简便。本研究的目的是使用糖精清除试验比较和评估吸烟者与非吸烟者的鼻黏膜纤毛清除时间。
85名年龄在18至65岁之间的患者纳入本研究。其中50名患者为吸烟者(第1组),35名是健康的非吸烟志愿者(第2组)。使用糖精清除试验评估两组的鼻黏膜纤毛清除时间。对所得结果进行比较,并使用社会科学统计软件包(SPSS)进行统计分析。
与第2组相比,第1组的鼻黏膜纤毛清除时间在统计学上显著更高(P <.001,曼-惠特尼U检验)。然而,在累积吸烟持续时间(包年)、法格斯特龙测试值和性别类别方面,两组的平均鼻黏膜纤毛清除时间值没有统计学上的显著差异(分别为P =.943和P =.812,P =.45)。
黏液纤毛活性是呼吸道上皮的主要防御机制,在吸烟者中显著降低。我们的研究结果表明,上述降低与吸烟数量、吸烟持续时间或尼古丁依赖无关。