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[支气管反应性测试结果的可重复性]

[Reproducibility of the results of bronchial reactivity tests].

作者信息

Kandt D

出版信息

Z Erkr Atmungsorgane. 1984;162(1):30-5.

PMID:6719958
Abstract

383 patients with a bronchial hyperreactivity were repeatedly investigated during an observation period of 3 up to 6 years. The inhalative provocation test with nebulized histamine solution was used. Forced vital capacity (FVC) and forced expiratory volume in one second (FEV1) were measured by spirometry. The reduction of FEV1 in per cent of the initial value marked the degree of the bronchial hyperreactivity. The normalization was depending on the degree of the initial bronchial hyperreactivity. In 148 patients (36.6%) the provocation test results were normalized, e.g. FEV1 decreased less than 15% of the initial value. Patients with a low degree of the bronchial hyperreactivity, that means a decrease of FEV1 between 15 and 30% of the initial value, demonstrated the normalization of the provocation test significantly more frequent than patients with a higher degree of bronchial hyperreactivity. There was a considerable difference in course of the bronchial hyperreactivity of smokers and non-smokers. The latter tended to a more frequent normalization. A further influence of the course was stated with the age of patients. The younger ones had a higher tendency to normalization. Patients suffering from asthma bronchiale were mostly in the group with a higher degree of bronchial hyperreactivity and showed a rather stable course of it.

摘要

在3至6年的观察期内,对383例支气管高反应性患者进行了多次调查。采用雾化组胺溶液进行吸入激发试验。通过肺量计测量用力肺活量(FVC)和一秒用力呼气量(FEV1)。FEV1相对于初始值的降低百分比标志着支气管高反应性的程度。恢复正常取决于初始支气管高反应性的程度。148例患者(36.6%)的激发试验结果恢复正常,即FEV1降低幅度小于初始值的15%。支气管高反应性程度较低(即FEV1降低幅度在初始值的15%至30%之间)的患者,其激发试验恢复正常的频率明显高于支气管高反应性程度较高的患者。吸烟者和非吸烟者的支气管高反应性病程存在显著差异。后者恢复正常的频率更高。病程还受患者年龄的进一步影响。年龄较小者恢复正常的倾向更高。患有支气管哮喘的患者大多属于支气管高反应性程度较高的组,且病程较为稳定。

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