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不同年龄非吸烟健康志愿者对低剂量二氧化硫过度通气和冷空气的非特异性气道反应性

Non-specific airway responsiveness to hyperventilation of low doses of sulfur dioxide and cold air of non-smoking healthy volunteers of different ages.

作者信息

Islam M S, Oberbarnscheidt J, Schlipköter H W

机构信息

Med. Institute of Environmental Hygiene, Heinrich Heine University Düsseldorf.

出版信息

Zentralbl Hyg Umweltmed. 1994 Jun;195(5-6):556-66.

PMID:7916883
Abstract

We examined the effect of hyperventilation (HV) of sulfur dioxide (SO2)-air and cold air for 5 minutes on airway responsiveness of 37 (12 females and 25 males) healthy non-smoking volunteers of different ages. Body-plethysmographic measurements of airway resistance (Raw) and intrathoracic gas volume (ITGV) were performed before, 3, 10 and 20 mins. after the end of HV of SO2-air or cold air. Specific airway resistance (sRaw), product of Raw x ITGV, was used to evaluate the airway responsiveness. The mean (standard error) of percent changes of sRaw (delta %sRaw) were 121 (22), 45 (8) and 25 (4) at 3, 10 and 20 mins. after the end of HV of SO2-air. The corresponding values were 52 (8), 25 (5) and 19 (3) after HV of cold air. The differences in delta %sRaw between HV of SO2 and cold air were statistically significant (two sided t-test) for the 3 (p < 0.01) and 10 (p < 0.05) mins. values. Hyperventilation of SO2 and cold air produced delta sRaw above 100% in 14 (37.8%) and 5 (13.5%) volunteers, respectively. The difference in frequencies of delta sRaw above 100% between the HV of SO2 and cold air was statistically significant (p < 0.05, chi 2-Test). We observed a decreasing order of airway responsiveness with increasing age following HV of SO2 but not after cold air. We conclude that airway responsiveness to SO2 is poorly related to the response to cold air.

摘要

我们研究了对37名(12名女性和25名男性)不同年龄的健康不吸烟志愿者进行5分钟的二氧化硫(SO₂)-空气和冷空气过度通气(HV)对气道反应性的影响。在SO₂-空气或冷空气过度通气结束前、结束后3分钟、10分钟和20分钟,采用体容积描记法测量气道阻力(Raw)和胸腔内气体容积(ITGV)。用比气道阻力(sRaw),即Raw×ITGV的乘积来评估气道反应性。在SO₂-空气过度通气结束后3分钟、10分钟和20分钟时,sRaw的平均(标准误)变化百分比(δ%sRaw)分别为121(22)、45(8)和25(4)。冷空气过度通气后的相应值分别为52(8)、25(5)和19(3)。在3分钟(p<0.01)和10分钟(p<0.05)时,SO₂过度通气和冷空气过度通气之间的δ%sRaw差异具有统计学意义(双侧t检验)。SO₂和冷空气过度通气分别使14名(37.8%)和5名(13.5%)志愿者的δsRaw超过100%。SO₂过度通气和冷空气过度通气之间δsRaw超过100%的频率差异具有统计学意义(p<0.05,卡方检验)。我们观察到,在SO₂过度通气后,气道反应性随年龄增加而呈下降趋势,但冷空气过度通气后并非如此。我们得出结论,气道对SO₂的反应性与对冷空气的反应性相关性较差。

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