煙を吸入した後の呼吸道反応性の上昇.
J Kinsella1, R Carter, W H Reid
1University Department of Anaesthesia, Glasgow Royal Infirmary.
Lancet (London, England)
|March 9, 1991
まとめ
家火による煙の吸入は,持続的な呼吸道阻害を引き起こす可能性があります. 肺機能検査は,抗炎症治療の合併症と潜在的な利点の評価に不可欠です.
科学分野:
- 肺内医学 肺内医学 肺内医学
- 毒理学 毒理学 毒理学
背景:
- 煙の吸入は,呼吸器の合併症の重要な危険因子です.
- 住宅火災の生存者は,しばしば急性呼吸器障害を呈する.
研究 の 目的:
- 煙の吸入後の火災被害者の肺機能の変化を評価するために.
- 煙への曝露指標と肺機能の相関を決定する.
主な方法:
- 肺機能検査 (スピロメトリー) を13人の火災被害者に,負傷後3日と3か月以内に実施した.
- カーボキシヘモグロビン濃度は,煙への曝露の指標として測定されました.
主要な成果:
- エアウェイズの超反応性は3ヶ月間で大幅に改善しました.
- 1秒間の強制呼気量 (FEV1) と,気道特有伝導性は,有意な変化を示さなかった.
- カーボキシヘモグロビン濃度と初期呼吸道特異伝導度 (r = 0.79,p = 0.006) の間には強い正の相関が認められた.
結論:
- 煙を吸い込んだ後の呼吸道阻害は,一般的に考えられているよりもより一般的で持続可能である可能性があります.
- 肺機能の早期評価は,肺の合併症を特定するために不可欠です.
- このデータは,煙の吸入による傷害に対する早期の抗炎症薬の介入の評価を支援しています.
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