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镁对哮喘患者组胺诱导的支气管收缩的缓解作用

Reduction of histamine-induced bronchoconstriction by magnesium in asthmatic subjects.

作者信息

Rolla G, Bucca C, Bugiani M, Arossa W, Spinaci S

出版信息

Allergy. 1987 Apr;42(3):186-8. doi: 10.1111/j.1398-9995.1987.tb02198.x.

Abstract

The effects of inhaled MgSO4 on histamine bronchoprovocation test (BPT) were studied in nine asthmatics in clinical remission (FEV1 greater than 80% of predicted). Patients performed histamine BPT on 2 separate days, one day after saline and the other after MgSO4 inhalation, in a randomized double-blind design. Spirometry and flow/volume curve were recorded on each test day before and 5 min after NaCl or MgSO4. No significant difference was observed in lung function measurements 2 days before and after either NaCl or MgSO4. The dose of histamine which produced a 20% decrease in control FEV1 (PD20FEV1) was significantly increased by aerosolized MgSO4 (from 0.177 +/- 0.036 mg after NaCl to 0.350 +/- 0.085 after MgSO4, P less than 0.05. After MgSO4 the dose-steps of histamine concentration increased two-fold in two subjects and one-fold in five.

摘要

在9名处于临床缓解期(第一秒用力呼气容积[FEV1]大于预测值的80%)的哮喘患者中,研究了吸入硫酸镁对组胺支气管激发试验(BPT)的影响。患者在2个不同日期进行组胺BPT,采用随机双盲设计,一天吸入盐水后进行,另一天吸入硫酸镁后进行。在每个测试日,于吸入氯化钠或硫酸镁之前及之后5分钟记录肺量计和流量/容积曲线。在吸入氯化钠或硫酸镁前后2天的肺功能测量中未观察到显著差异。雾化硫酸镁使导致对照FEV1降低20%的组胺剂量(PD20FEV1)显著增加(从吸入氯化钠后的0.177±0.036毫克增加至吸入硫酸镁后的0.350±0.085毫克,P<0.05)。吸入硫酸镁后,两名受试者的组胺浓度剂量递增倍数增加了两倍,五名受试者增加了一倍。

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