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哮喘患者对3.0 ppm甲醛的急性肺部反应。

Acute pulmonary response of asthmatics to 3.0 ppm formaldehyde.

作者信息

Sauder L R, Green D J, Chatham M D, Kulle T J

机构信息

Department of Medicine, University of Maryland, Baltimore 21201.

出版信息

Toxicol Ind Health. 1987 Dec;3(4):569-78. doi: 10.1177/074823378700300408.

Abstract

Previous studies have failed to demonstrate bronchoconstriction in unselected asthmatics after brief (less than or equal to 1/2-h), controlled exposures to formaldehyde (HCHO). This study was designed to evaluate the acute pulmonary response to 3 ppm HCHO in nine nonsmoking asthmatic volunteers over a more relevant exposure duration (3 hrs). Pulmonary function, nonspecific airway reactivity and symptoms were assessed before and at intervals during the exposure. No significant changes in pulmonary function (FVC, FEV1, FEF25-27%, SGaw, or FRC) or airway reactivity were observed. There was a significant increase in nose/throat irritation at 30 min. (P less than 0.05) and in eye irritation at 60 min (P less than 0.05) and 180 min (P less than 0.01). These results suggest that individuals with asthma will not experience significant bronchoconstriction when exposed at rest to 3 ppm HCHO; however, most will experience eye and upper respiratory tract irritation.

摘要

先前的研究未能证实在未经过挑选的哮喘患者中,短暂(小于或等于半小时)、受控接触甲醛(HCHO)后会出现支气管收缩。本研究旨在评估9名不吸烟的哮喘志愿者在3 ppm甲醛环境下暴露3小时这一更为实际的暴露时长后的急性肺部反应。在暴露前及暴露期间每隔一段时间评估肺功能、非特异性气道反应性和症状。未观察到肺功能(用力肺活量、第1秒用力呼气量、25%-27%用力呼气流量、比气道传导率或功能残气量)或气道反应性有显著变化。在30分钟时鼻/喉刺激感显著增加(P<0.05),在60分钟(P<0.05)和180分钟(P<0.01)时眼部刺激感显著增加。这些结果表明,哮喘患者在静息状态下暴露于3 ppm甲醛时不会出现显著的支气管收缩;然而,大多数人会出现眼部和上呼吸道刺激症状。

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