在成年人中,空气反应能力,慢性呼吸道症状的发展和缓解
X Xu1, B Rijcken, J P Schouten
1Department of Environmental Health, Harvard School of Public Health, Boston, MA, USA.
Lancet (London, England)
|November 26, 1997
概括
呼吸道对组胺的反应增加预测了新的慢性呼吸道症状,并阻碍了成年人的症状缓解. 这一发现突显了它在肺部疾病的发展和持续中的作用.
科学领域:
- 肺部医学 肺部医学
- 呼吸系统生理学 呼吸系统生理学
- 流行病学 流行病学
背景情况:
- 在慢性阻塞性肺病患者中,对胰岛素的过敏反应是常见的.
- 呼吸道对慢性呼吸道症状反应的预测价值尚未得到充分证实.
研究的目的:
- 调查是否增加的呼吸道响应预测慢性呼吸道症状的发展和缓解.
- 分析24年间气道响应度与呼吸道症状的发生率和解决之间的关联.
主要方法:
- 一项长达24年的前性队列研究 (1965-1990) 涉及荷兰的2684名参与者.
- 呼吸道反应的增加,定义为PC10 < 8 mg/mL 对于组胺.
- 对年龄,性别,吸烟状况和居住地区进行了调整后勤回归分析.
主要成果:
- 呼吸道反应能力增加的个体显著更有可能发展慢性咳,,呼吸困难,喘发作和喘息 (OR 1.7;95% CI 1.2-2.3).
- 增加的呼吸道反应率与症状缓解的可能性较低有关 (OR 0.42;95% CI 0.28-0.61).
结论:
- 增加呼吸道响应能力是成年人慢性呼吸道症状发展的重要预测因素.
- 这种高反应性也与现有的呼吸道症状的缓解有关,这表明在症状持续性方面发挥了作用.
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