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[支气管哮喘急性加重与治疗效果的相关性分析评估]

[The correlational analysis assessment of exacerbation in bronchial asthma and treatment efficacy].

作者信息

Anaev E Kh, Cherniaev A L, Chernik A V, Chuchalin A G

出版信息

Ter Arkh. 1996;68(3):55-8.

PMID:8744107
Abstract

Blood and sputum eosinophils, eosinophilic cation protein (ECP) in the serum and OPV1 were measured in 30 patients with atopic bronchial asthma (BA) of moderate severity showing eosinophilia at the beginning and the end of treatment week 1 and 4, respectively. In exacerbation of BA relative number of blood eosinophils averaged 10.4 + -1.4%, sputum 35.2 + -5.6%. Serum concentration of ECP, OPV1, IgE averaged 42.6% + -11.9%, 66.8 + -6.3%, 753.7 + -114 IU/ml, respectively. In exacerbation a strong correlation is noted between relative number of eosinophils in the blood and sputum, between the levels of IgE and ECP. At the end of the treatment OPV1 was higher while ECP level in the serum went down. Reduced eosinophilia in the blood and sputum correlated with OPV1 increment. In BA patients with high blood and sputum eosinophilia function of the lungs depends on eosinophilic number, while in normalization of blood eosinophil concentration and in a sharp fall of sputum eosinophil number OPV1 changes correlation with changes in ECP in the course of treatment. A close correlation between changes in eosinophil count, FVD indices, IgE and ECP levels during the treatment indicate relief of inflammation in BA patients.

摘要

分别在治疗第1周和第4周开始及结束时,对30例中度特应性支气管哮喘(BA)且伴有嗜酸性粒细胞增多的患者进行了血液和痰液嗜酸性粒细胞、血清嗜酸性粒细胞阳离子蛋白(ECP)及呼出气一氧化氮(FeNO)测定。在BA急性加重期,血液嗜酸性粒细胞相对数平均为10.4±1.4%,痰液为35.2±5.6%。血清ECP、FeNO、IgE浓度分别平均为42.6%±11.9%、66.8±6.3%、753.7±114 IU/ml。在急性加重期,血液和痰液中嗜酸性粒细胞相对数之间、IgE和ECP水平之间存在强相关性。治疗结束时,FeNO升高而血清ECP水平下降。血液和痰液中嗜酸性粒细胞增多的减少与FeNO增加相关。在血液和痰液嗜酸性粒细胞增多的BA患者中,肺功能取决于嗜酸性粒细胞数量,而在血液嗜酸性粒细胞浓度正常化且痰液嗜酸性粒细胞数量急剧下降时,治疗过程中FeNO的变化与ECP的变化相关。治疗期间嗜酸性粒细胞计数、第一秒用力呼气容积(FEV1)指数、IgE和ECP水平的变化之间密切相关,表明BA患者炎症得到缓解。

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