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[通过安静呼吸时测量比气道传导率进行气道高反应性测试]

[Airway hyperreactivity test by measurement of specific airway conductance during quiet breathing].

作者信息

Kubota K, Kagami H, Ogawa J, Yaegashi J, Hirano H, Ohura M, Unoura T, Mayer N, Mohri H, Tamura M

机构信息

Third Department of Medicine, Iwate Medical University, Morioka, Japan.

出版信息

Nihon Kyobu Shikkan Gakkai Zasshi. 1993 Jan;31(1):45-50.

PMID:8468819
Abstract

In asthmatic patients, the threshold for specific airway conductance during quiet breathing (sGawqt) in the airway hypersensitivity test was determined using our newly developed pressure corrected flow type body plethysmograph and compared with that measured by means of respiratory resistance (Grs) Astograph in relation to the following parameters: 1) Dmin, an index of airway sensitivity (accumulated methacholine concentration at the time of onset of linear decrease in the dose-response curve), 2) SsGawqt and SGrs, indicators of airway sensitivity (slope when the value begins to decrease) and 3) PD35 (accumulated methacholine concentration when the valve has decreased to 35% of the initial value). Although no significantly difference was observed in SsGawqt and SGrs, significantly lower values of Dmin and PD35, indexes of airway sensitivity, were obtained with sGawqt method as compared to Astograph. These findings may indicate that the airway hypersensitivity test using our body plethysmography technique can be performed using a smaller amount of inhaled methacholine with less patient burden as compared to Astograph.

摘要

在哮喘患者中,使用我们新开发的压力校正流量型体容积描记仪测定气道高反应性试验中静息呼吸时的特定气道传导率阈值(sGawqt),并与通过呼吸阻力(Grs)Astograph测量的结果进行比较,涉及以下参数:1)Dmin,气道敏感性指标(剂量反应曲线开始线性下降时的累积乙酰甲胆碱浓度),2)SsGawqt和SGrs,气道敏感性指标(值开始下降时的斜率),以及3)PD35(阀门降至初始值的35%时的累积乙酰甲胆碱浓度)。尽管在SsGawqt和SGrs方面未观察到显著差异,但与Astograph相比,sGawqt方法获得的气道敏感性指标Dmin和PD35的值显著更低。这些发现可能表明,与Astograph相比,使用我们的体容积描记技术进行气道高反应性试验时,可以使用较少量的吸入乙酰甲胆碱,减轻患者负担。

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