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[支气管哮喘患者外呼吸指标的昼夜节律组织]

[Circadian organization of the indices of external respiration in bronchial asthma patients].

作者信息

Fedoseev G B, Degtiareva Z Ia, Savich A A, Alekseev M Iu, Bolodon S A

出版信息

Ter Arkh. 1985;57(3):42-8.

PMID:4002163
Abstract

Circadian rhythms of external respiration function (ERF) and body function (BF) were studied in 20 patients with mild bronchial asthma, 20 patients with bronchial asthma of medium gravity and in 14 healthy subjects. Circadian rhythms of the medium-group parameters of ERF were shown to be statistically insignificant, whereas individual circadian chronograms demonstrated circadian rhythms for all the patients with BA and healthy subjects. Essential differences were found in the organization of the temporary structure of circadian rhythms of ERF in BA patients and healthy subjects. It was discovered that in BA patients, the maximal pathological alterations develop within the period from the midnight to 8 a. m., whereas the minimal disorders of ERF are recorded within the period from the noon to 8 p. m. It is suggested that deterioration of bronchial patency which brings about the development of obstruction in BA patients is the result of hypersynchronization and increased amplitude of the circadian rhythms of those parameters of ERF which determine the bronchial patency.

摘要

对20例轻度支气管哮喘患者、20例中度支气管哮喘患者和14名健康受试者的外呼吸功能(ERF)和身体功能(BF)的昼夜节律进行了研究。结果显示,ERF中组参数的昼夜节律在统计学上无显著意义,而个体昼夜节律图显示,所有哮喘患者和健康受试者均存在昼夜节律。哮喘患者和健康受试者在ERF昼夜节律的时间结构组织上存在本质差异。研究发现,在哮喘患者中,最大病理改变发生在午夜至上午8点之间,而ERF的最小紊乱记录在中午至晚上8点之间。有人认为,导致哮喘患者气道阻塞的支气管通畅性恶化是ERF中那些决定支气管通畅性的参数的昼夜节律超同步化和振幅增加的结果。

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