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哮喘患者的乙酰甲胆碱和组胺吸入激发试验:与发病年龄、病程及肺功能的关系

Methacholine and histamine inhalation challenges in asthma: relationships to age of onset, length of illness, and pulmonary functions.

作者信息

Spector S L, Staudenmayer H, Kinsman R A, Fukuhara J, Westmoreland C

出版信息

Allergy. 1979 Jun;34(3):167-73. doi: 10.1111/j.1398-9995.1979.tb01564.x.

DOI:10.1111/j.1398-9995.1979.tb01564.x
PMID:495916
Abstract

Levels of airways hyperreactivity, as indexed by methacholine and histamine thresholds, were determined for hospitalized asthmatic patients using the serial concentration, constant-breath method. Airways hyperreactivity was categorized into low and high based on a split of the sample of subjects tested. These categories were unrelated to pulmonary function measurements obtained throughout hospitalization. Patients having high airways hyperreactivity to histamine or methacholine were admitted for intensive inpatient care at a young age, had an earlier age of onset, and had asthma of longer duration than patients having low airways hyperreactivity. These latter results suggested that relatively greater airways hyperreacticity is more likely to be associated with early onset of the illness.

摘要

采用系列浓度、恒定呼吸法,对住院哮喘患者测定以乙酰甲胆碱和组胺阈值为指标的气道高反应性水平。根据受试对象样本的划分,将气道高反应性分为低和高两类。这些类别与住院期间获得的肺功能测量值无关。与气道高反应性低的患者相比,对组胺或乙酰甲胆碱气道高反应性高的患者在年轻时就因强化住院治疗而入院,发病年龄更早,哮喘病程更长。后一组结果表明,相对较高的气道高反应性更有可能与疾病的早发有关。

相似文献

1
Methacholine and histamine inhalation challenges in asthma: relationships to age of onset, length of illness, and pulmonary functions.哮喘患者的乙酰甲胆碱和组胺吸入激发试验:与发病年龄、病程及肺功能的关系
Allergy. 1979 Jun;34(3):167-73. doi: 10.1111/j.1398-9995.1979.tb01564.x.
2
Relationship between airways response to allergens and nonspecific bronchial reactivity.气道对过敏原的反应与非特异性支气管反应性之间的关系。
J Allergy Clin Immunol. 1979 Dec;64(6 Pt 1):491-9. doi: 10.1016/0091-6749(79)90058-7.
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Evaluation of bronchial responsiveness by pharmacological challenges in asthma. Inhaled propranolol in comparison with histamine and methacholine.
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Comparison of airway reactivity induced by histamine, methacholine, and isocapnic hyperventilation in normal and asthmatic subjects.组胺、乙酰甲胆碱和等碳酸过度通气诱导的气道反应性在正常人和哮喘患者中的比较。
Thorax. 1983 Oct;38(10):766-70. doi: 10.1136/thx.38.10.766.
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Does measurement of bronchial hyperreactivity help in the clinical diagnosis of asthma?支气管高反应性的测量对哮喘的临床诊断有帮助吗?
Eur J Respir Dis. 1986 Apr;68(4):233-8.
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Bronchoprovocation test in the normal and in asthmatics.正常人和哮喘患者的支气管激发试验。
Zhonghua Min Guo Wei Sheng Wu Ji Mian Yi Xue Za Zhi. 1986 May;19(2):118-23.
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Cold air as a bronchial provocation technique. Reproducibility and comparison with histamine and methacholine inhalation.冷空气作为一种支气管激发技术。可重复性以及与组胺和乙酰甲胆碱吸入法的比较。
Chest. 1984 Dec;86(6):810-4. doi: 10.1378/chest.86.6.810.
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Methods for assessing bronchial reactivity.
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Clinical applicability of a methacholine inhalational challenge.乙酰甲胆碱吸入激发试验的临床适用性
JAMA. 1981 Jul 17;246(3):225-9.

引用本文的文献

1
Prevalence of bronchial reactivity to inhaled methacholine in New Zealand children.新西兰儿童对吸入性乙酰甲胆碱的支气管反应性患病率
Thorax. 1986 Apr;41(4):283-9. doi: 10.1136/thx.41.4.283.