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支气管哮喘患者运动诱发支气管收缩期间的血浆儿茶酚胺

Plasma catecholamines during exercise-induced bronchoconstriction in bronchial asthma.

作者信息

Zieliński J, Chodosowska E, Radomyski A, Araszkiewicz Z, Kozlowski S

出版信息

Thorax. 1980 Nov;35(11):823-7. doi: 10.1136/thx.35.11.823.

Abstract

Plasma levels of adrenaline and noradrenaline during and after submaximal exercise in patients with bronchial asthma were investigated. Three groups were studied comprising 10 patients with exercise-induced bronchoconstriction (EIB), 10 asthmatic patients without EIB and four normal control subjects. Plasma catecholamines were measured at rest, at the end of exercise, and five and 15 minutes after exercise. Changes in airway resistance were assessed by measuring peak expiratory flow rate. Significant differences in catecholamine levels between reacting and non-reacting patients were found. In 10 patients developing EIB adrenaline and noradrenaline levels had risen significantly by the end of exercise and remained elevated up to the fifth minute of recovery. The rise in catecholamine levels in non-reacting asthmatics was insignificant. In control subjects noradrenaline had increased significantly by the end of exercise.

摘要

对支气管哮喘患者在次最大运动期间及之后的血浆肾上腺素和去甲肾上腺素水平进行了研究。研究了三组,包括10名运动诱发性支气管收缩(EIB)患者、10名无EIB的哮喘患者和4名正常对照者。在静息时、运动结束时以及运动后5分钟和15分钟测量血浆儿茶酚胺。通过测量呼气峰值流速评估气道阻力的变化。发现反应性和非反应性患者的儿茶酚胺水平存在显著差异。在10名发生EIB的患者中,运动结束时肾上腺素和去甲肾上腺素水平显著升高,并在恢复的第5分钟前一直保持升高。非反应性哮喘患者的儿茶酚胺水平升高不显著。在对照者中,运动结束时去甲肾上腺素显著增加。

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