Aging Does not Affect Beta-Agonist Responsiveness after Methacholine-Induced Bronchoconstriction

作者: Annie Lin Parker

DOI: 10.1111/J.1532-5415.2004.52110.X

关键词:

摘要: Objectives: To assess the response to an inhaled beta-agonist alone or in combination with anticholinergic agent after methacholine-induced bronchoconstriction four age groups. Design: Retrospective analysis. Setting: Pulmonary function laboratory a university-affiliated hospital. Participants: Seven hundred sixty-four consecutive subjects 20% reduction more forced expiratory volume during first second (FEV1) of exhalation from total lung capacity inhaling 189 fewer cumulative units methacholine were included analysis. Intervention: The 382 received three inhalations metaproterenol (total 1.95 mg), and other albuterol ipratropium 309 μg 54 μg ipratropium) bronchoconstriction. Measurements: bronchodilators was assessed as postbronchodilator percentage change FEV1 recovering 90% better baseline use bronchodilator. Results: elderly similar that younger subjects. who recovered their also groups. Response albuterol/ipratropium all groups (all P>.05). Conclusion: Aging does not affect bronchodilator bronchoconstriction. responsiveness is

参考文章(17)
HK Reddel, Objetivos para el tratamiento del asma: ¿hasta dónde se debería llegar? European Respiratory Journal. ,vol. 6, pp. 1- 3 ,(2005)
Robert O. Crapo, Alan H. Morris, Reed M. Gardner, Reference spirometric values using techniques and equipment that meet ATS recommendations. The American review of respiratory disease. ,vol. 123, pp. 659- 664 ,(2015) , 10.1164/ARRD.1981.123.6.659
Robert A. Blouin, G. Dennis Clifton, Mary H. H. Chandler, Karen M. Wolf, Bettina A. Hamelin, In Vivo and In Vitro β2‐Adrenergic Receptor Responsiveness in Young and Elderly Asthmatics Pharmacotherapy. ,vol. 12, pp. 376- 382 ,(1992) , 10.1002/J.1875-9114.1992.TB04475.X
P J Barnes, Beta-adrenergic receptors and their regulation. American Journal of Respiratory and Critical Care Medicine. ,vol. 152, pp. 838- 860 ,(1995) , 10.1164/AJRCCM.152.3.7663795
M I Ullah, G B Newman, K B Saunders, Influence of age on response to ipratropium and salbutamol in asthma. Thorax. ,vol. 36, pp. 523- 529 ,(1981) , 10.1136/THX.36.7.523
MJ Kendall, KL Woods, MR Wilkins, DJ Worthington, Responsiveness to beta-adrenergic receptor stimulation: the effects of age are cardioselective. British Journal of Clinical Pharmacology. ,vol. 14, pp. 821- 826 ,(1982) , 10.1111/J.1365-2125.1982.TB02043.X
Vincenzo Bellia, Fabio Cibella, Giuseppina Cuttitta, Nicola Scichilone, Gianfranco Mancuso, Antonio M. Vignola, Giovanni Bonsignore, Effect of Age Upon Airway Obstruction and Reversibility in Adult Patients With Asthma Chest. ,vol. 114, pp. 1336- 1342 ,(1998) , 10.1378/CHEST.114.5.1336
R. D. Feldman, L. E. Limbird, J. Nadeau, D. Robertson, A. J. J. Wood, Alterations in Leukocyte β-Receptor Affinity with Aging New England Journal of Medicine. ,vol. 310, pp. 815- 819 ,(1984) , 10.1056/NEJM198403293101303
C P van Schayck, H Folgering, H Harbers, K L Maas, C van Weel, Effects of allergy and age on responses to salbutamol and ipratropium bromide in moderate asthma and chronic bronchitis. Thorax. ,vol. 46, pp. 355- 359 ,(1991) , 10.1136/THX.46.5.355