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哮喘患者气道对运动和组胺吸入反应性的比较。

Comparison of airway responsiveness to exercise and histamine inhalation in asthmatics.

作者信息

Horie T, Enomoto S, Inazawa T, Okuma A, Hosokawa Y, Okayasu M

出版信息

Jpn J Med. 1983 Jan;22(1):26-30. doi: 10.2169/internalmedicine1962.22.26.

Abstract

In order to investigate the differences between EIA positive and negative subjects, pulmonary function data at rest, atopic tendency and bronchial sensitivity and reactivity were compared. Pulmonary function data revealed no significant difference between two groups except closing volume which was higher in EIA positive patients (p less than 0.01) and also Rrs which was higher in EIA positive patients only in female (p less than 0.05). Incidence of positive skin tests and higher levels of IgE were more frequent in EIA positive, however, IgE was not significantly different. Relationship between % fall of FEV1 after exercise and bronchial sensitivity was examined, however, no correlation was found in two parameters. Bronchial reactivity was not different in two groups. This suggests that EIA positive patients cannot be distinguished from EIA negative by pulmonary function data at rest or by atopic tendency, and also that different mechanisms play a role to produce airway constriction following exercise and inhalation challenge.

摘要

为了研究运动诱发哮喘(EIA)阳性和阴性受试者之间的差异,比较了静息时的肺功能数据、特应性倾向以及支气管敏感性和反应性。肺功能数据显示,两组之间除闭合气量(EIA阳性患者较高,p<0.01)以及比气道阻力(仅在女性EIA阳性患者中较高,p<0.05)外,无显著差异。EIA阳性患者皮肤试验阳性的发生率和较高水平的IgE更为常见,然而,IgE并无显著差异。研究了运动后第一秒用力呼气量(FEV1)下降百分比与支气管敏感性之间的关系,然而,在这两个参数中未发现相关性。两组的支气管反应性无差异。这表明,无法通过静息时的肺功能数据或特应性倾向将EIA阳性患者与EIA阴性患者区分开来,并且不同的机制在运动和吸入激发后产生气道收缩中起作用。

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