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哮喘患者对温度降低的支气管收缩反应的时间进程。

Time course of bronchoconstrictive response in asthmatic subjects to reduced temperature.

作者信息

Ramsey J M

出版信息

Thorax. 1977 Feb;32(1):26-8. doi: 10.1136/thx.32.1.26.

Abstract

Thirteen young adults with bronchial asthma and a like number of controls were subjected for 45 minutes to a temperature of 2 degrees C after leaving a temperature of 24 degrees C to which they subsequently returned. Pre-exposure examination included VC, FEV1, MMEF, FEV1/VC%, and urinary catecholamines. The pulmonary measurements were repeated at 15, 80, and 200 minutes after exposure. Catecholamines were measured from a second urine sample, the collection of which corresponded to the period during and after the stress. Controls showed no significant pulmonary changes throughout the time of study, but 15 minutes after exposure the asthmatic subjects showed a significant mean decrease of all pulmonary measurements from pre-exposure values. The controls showed a significant mean increase in urinary catecholamines after the stress, whereas those with asthma showed no significant increase.

摘要

13名患有支气管哮喘的年轻人以及相同数量的对照组人员,在离开24摄氏度环境并随后返回该环境后,暴露于2摄氏度环境45分钟。暴露前检查包括肺活量(VC)、第一秒用力呼气容积(FEV1)、最大呼气中期流速(MMEF)、FEV1/VC%以及尿儿茶酚胺。在暴露后15、80和200分钟重复进行肺部测量。从第二个尿样中测量儿茶酚胺,该尿样的采集对应于应激期间及之后的时间段。在整个研究期间,对照组肺部未出现明显变化,但暴露后15分钟,哮喘患者的所有肺部测量值较暴露前均出现显著平均下降。应激后,对照组尿儿茶酚胺平均显著增加,而哮喘患者则未出现显著增加。

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本文引用的文献

1
Effects of cold air on respiratory airflow resistance in patients with respiratory-tract disease.
N Engl J Med. 1960 Aug 11;263:268-73. doi: 10.1056/NEJM196008112630602.
2
Specificity of the trihydroxyindole method for determination of urinary catecholamines.
J Clin Endocrinol Metab. 1961 Mar;21:305-14. doi: 10.1210/jcem-21-3-305.

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