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哮喘患者气道对二氧化氮的反应。

Airway responses to nitrogen dioxide in asthmatic subjects.

作者信息

Mohsenin V

机构信息

John B. Pierce Foundation Laboratory, New Haven, Connecticut 06519.

出版信息

J Toxicol Environ Health. 1987;22(4):371-80. doi: 10.1080/15287398709531080.

DOI:10.1080/15287398709531080
PMID:3320381
Abstract

Nitrogen dioxide is a common indoor air pollutant. In order to characterize the respiratory responses to this gas, 10 asthmatics (mean age +/- SD = 30 +/- 8 yrs) were exposed to air and 0.5 ppm NO2 gas for 1 h in a 30-m3 environmental chamber on different days in a double-blind randomized fashion. The forced vital capacity, (VC), functional residual capacity, forced expiratory volume in 1 s, partial expiratory flow at 40% VC (Vp 40), and specific airway conductance were measured before and after exposure. Airway reactivity to methacholine inhalation was determined after each exposure. The dose of methacholine in milligrams per milliliter to cause a 40% decrease in Vp 40 was measured. None of the subjects reported any significant symptoms after exposure. Significant potentiation of airway reactivity was noted after NO2 exposure in asthmatic subjects as a group [PD40(AIR) = 9.2 +/- SD 15.0 versus PD40(NO2) = 4.6 +/- SD 8.2 mg/ml, p = 0.042]. No significant changes were noted in other lung functions after NO2 exposure. These findings indicate that asthmatics exposed to 0.5 ppm NO2 develop heightened airway reactivity.

摘要

二氧化氮是一种常见的室内空气污染物。为了描述对这种气体的呼吸反应特征,10名哮喘患者(平均年龄±标准差=30±8岁)在一个30立方米的环境舱内,以双盲随机方式在不同日期分别暴露于空气和0.5 ppm的二氧化氮气体中1小时。在暴露前后测量用力肺活量(VC)、功能残气量、1秒用力呼气量、40%肺活量时的部分呼气流量(Vp 40)和比气道传导率。每次暴露后测定对吸入乙酰甲胆碱的气道反应性。测量使Vp 40降低40%的每毫升毫克数的乙酰甲胆碱剂量。暴露后没有受试者报告任何明显症状。作为一个群体,哮喘患者在暴露于二氧化氮后气道反应性有显著增强[40%降低剂量(空气)=9.2±标准差15.0与40%降低剂量(二氧化氮)=4.6±标准差8.2毫克/毫升,p = 0.042]。暴露于二氧化氮后其他肺功能没有显著变化。这些发现表明,暴露于0.5 ppm二氧化氮的哮喘患者气道反应性增强。

相似文献

1
Airway responses to nitrogen dioxide in asthmatic subjects.哮喘患者气道对二氧化氮的反应。
J Toxicol Environ Health. 1987;22(4):371-80. doi: 10.1080/15287398709531080.
2
Airway responses to 2.0 ppm nitrogen dioxide in normal subjects.正常受试者对2.0 ppm二氧化氮的气道反应。
Arch Environ Health. 1988 May-Jun;43(3):242-6. doi: 10.1080/00039896.1988.9934941.
3
Effects of 0.2 ppm nitrogen dioxide on pulmonary function and response to bronchoprovocation in asthmatics.0.2 ppm二氧化氮对哮喘患者肺功能及支气管激发反应的影响。
J Toxicol Environ Health. 1983 Oct-Dec;12(4-6):815-26. doi: 10.1080/15287398309530472.
4
Critical review of the human data on short-term nitrogen dioxide (NO2) exposures: evidence for NO2 no-effect levels.对短期二氧化氮(NO2)暴露的人体数据进行批判性回顾:NO2 无作用水平的证据。
Crit Rev Toxicol. 2009;39(9):743-81. doi: 10.3109/10408440903294945.
5
Mechanisms of nitrogen dioxide toxicity in humans.二氧化氮对人体的毒性作用机制。
Res Rep Health Eff Inst. 1991 Aug(43):1-33.
6
The effects of ozone and nitrogen dioxide on lung function in healthy and asthmatic adolescents.臭氧和二氧化氮对健康及哮喘青少年肺功能的影响。
Res Rep Health Eff Inst. 1988 Jan(14):5-24.
7
Effects of 0.1 ppm nitrogen dioxide on airways of normal and asthmatic subjects.0.1 ppm二氧化氮对正常人和哮喘患者气道的影响。
J Appl Physiol Respir Environ Exerc Physiol. 1983 Mar;54(3):730-9. doi: 10.1152/jappl.1983.54.3.730.
8
Airways response of asthmatics after a 30 min exposure, at resting ventilation, to 0.25 ppm NO2 or 0.5 ppm SO2.哮喘患者在静息通气状态下暴露于0.25 ppm二氧化氮或0.5 ppm二氧化硫30分钟后的气道反应。
Eur Respir J. 1990 Feb;3(2):132-7.
9
Responses of susceptible subpopulations to nitrogen dioxide.易感亚群对二氧化氮的反应。
Res Rep Health Eff Inst. 1989 Feb(23):1-45.
10
Meta-analysis of nitrogen dioxide exposure and airway hyper-responsiveness in asthmatics.二氧化氮暴露与哮喘患者气道高反应性的荟萃分析。
Crit Rev Toxicol. 2009;39(9):719-42. doi: 10.3109/10408440903283641.

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Mediators Inflamm. 2002 Aug;11(4):251-60. doi: 10.1080/096293502900000113.
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Generation of glycolaldehyde from guinea pig airway epithelial monolayers exposed to nitrogen dioxide and its effects on sodium pump activity.二氧化氮暴露下豚鼠气道上皮单层产生乙醇醛及其对钠泵活性的影响。
Environ Health Perspect. 1996 Aug;104(8):852-6. doi: 10.1289/ehp.96104852.
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Hospital admission rates for asthma and respiratory disease in the West Midlands: their relationship to air pollution levels.西米德兰兹郡哮喘和呼吸道疾病的住院率:它们与空气污染水平的关系。
Thorax. 1995 Sep;50(9):948-54. doi: 10.1136/thx.50.9.948.
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Human health effects of air pollution.空气污染对人类健康的影响。
Environ Health Perspect. 1993 Apr;100:45-56. doi: 10.1289/ehp.9310045.
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Effect of air pollution on the prevalence of asthma and allergy: lessons from the German reunification.空气污染对哮喘和过敏患病率的影响:德国统一带来的启示。
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Lung surfactant components in bronchoalveolar lavage after inhalation of NO2 as markers of altered surfactant metabolism.
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Effect of 0.25 ppm nitrogen dioxide on the airway response to methacholine in asymptomatic asthmatic patients.0.25 ppm二氧化氮对无症状哮喘患者气道对乙酰甲胆碱反应的影响。
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