@文章{Lehtim{\"a}ki635,作者= {Lehtim{\"a}ki, L. and Kankaanranta, H. and Saarelainen, S. and Turjanmaa, V. and Moilanen, E.},标题={吸入氟地卡松可降低哮喘患者支气管而非肺泡一氧化氮输出},体积={18},数量={4},页数={635—639},年份= {2001},doi ={10.1183/09031936.01.00000201},出版商={欧洲呼吸学会},188bet官网地址呼出一氧化氮(NO)浓度是气道炎症的一种非侵入性测量,在哮喘中增加。吸入糖皮质激素可降低呼出NO浓度,但肺泡和支气管水平对呼出NO浓度降低的相对贡献尚不清楚。肺泡NO浓度和支气管NO通量可以分别通过测量不同呼气流速下呼出的NO来近似。研究了类固醇治疗对哮喘患者肺泡和支气管NO输出的影响。对16例哮喘患者吸入氟替卡松治疗前和治疗8周期间的肺泡NO浓度和支气管NO通量进行了评估,并对16例健康对照组进行了评估。治疗前,哮喘患者支气管NO通量增加(平均{\textpm}sem: 3.6{\textpm}0.4 vs 0.7{\textpm}0.1 nL{\textperiodcentered}s-1, p\<0.001),但肺泡NO浓度正常(1.2{\textpm}0.5 vs 1.0{\textpm}0.2 ppb, p\>0.05)。吸入氟替卡松可使支气管NO通量从3.6{\textpm}0.4降至0.7{\textpm}0.1 nL{\textperiodcentered}s-1 (p\<0.01),但对肺泡NO浓度无影响(之前:1.2{\textpm}0.5;之后:1.2{\textpm}0.1 ppb, p\>0.05)。治疗期间1秒用力呼气量改善,哮喘症状评分及血清嗜酸性粒细胞阳离子蛋白、嗜酸性粒细胞蛋白X水平降低。综上所述,吸入氟替卡松可在哮喘患者临床改善的同时降低支气管而非肺泡一氧化氮排放量。The present study was supported by grants from the National Technology Agency (Tekes), Tampere University Hospital Medical Research Fund, Tampere Tuberculosis Foundation and the Academy of Finland.}, issn = {0903-1936}, URL = {//www.qdcxjkg.com/content/18/4/635}, eprint = {//www.qdcxjkg.com/content/18/4/635.full.pdf}, journal = {European Respiratory Journal} }