Comparison of changes in lung function measured by plethymography and IOS after bronchoprovocation

作者: Nizar Naji , Elaine Keung , James Kane , Rick M. Watson , Kieran J. Killian

DOI: 10.1016/J.RMED.2012.12.022

关键词:

摘要: Summary Aim Lung function tests are essential for the diagnosis and management of bronchial asthma. Impulse oscillation (IOS) system is an alternative way to measure lung mechanics some patients. We investigated relative sensitivities IOS, body plethysmography spirometry in detecting allergen- methacholine-induced bronchoconstriction. Method Twenty-two subjects had single allergen inhalation 8 3 methacholine challenges. The were stopped when FEV 1 fell by 20%. was measured using IOS (R5, R20, R5-R20, X5, AX, fres), (sRaw, sGaw, FRC, volumes) (FEV , FVC, PEF, FEF 50% ) during challenges, expressed as percent change from pre-challenge baseline. Results All non-smoking adults with mild allergic Following most sensitive index R5–R20 measurements sRaw, sGaw . challenge measurement sRaw. Overall, (R5–R20, X5Hz) proved be more than following allergen-induced Conclusion Our result shows that other challenge. In addition, can act technique airway resistance obstruction patients where manoeuvres involved prove difficult perform.

参考文章(45)
Peter König, Nancy L. Hordvik, Russell L. Pimmel, Forced Random Noise Resistance Determination in Childhood Asthma Chest. ,vol. 86, pp. 884- 890 ,(1984) , 10.1378/CHEST.86.6.884
Reichert Ww, Hyde Rw, Speers Dm, Kjeldgaard Jm, Frequency dependence of total respiratory resistance in early airway disease. The American review of respiratory disease. ,vol. 114, pp. 501- ,(2015) , 10.1164/ARRD.1976.114.3.501
Anne L. Fuhlbrigge, Robert J. Adams, Theresa W. Guilbert, Evie Grant, Paula Lozano, Susan L. Janson, Fernando Martinez, Kevin B. Weiss, Scott T. Weiss, The burden of asthma in the United States: level and distribution are dependent on interpretation of the national asthma education and prevention program guidelines. American Journal of Respiratory and Critical Care Medicine. ,vol. 166, pp. 1044- 1049 ,(2002) , 10.1164/RCCM.2107057
Beno W. Oppenheimer, Roberta M. Goldring, Kenneth I. Berger, Distal Airway Function Assessed by Oscillometry at Varying Respiratory Rate: Comparison with Dynamic Compliance COPD: Journal of Chronic Obstructive Pulmonary Disease. ,vol. 6, pp. 162- 170 ,(2009) , 10.1080/15412550902918410
NEIL G. CARROLL, STEVEN PERRY, ARTEE KARKHANIS, SALIMA HARJI, JOHN BUTT, ALAN L. JAMES, FRANCIS H. Y. GREEN, The airway longitudinal elastic fiber network and mucosal folding in patients with asthma. American Journal of Respiratory and Critical Care Medicine. ,vol. 161, pp. 244- 248 ,(2000) , 10.1164/AJRCCM.161.1.9805005
F. Marchal, H Mazurek, M. Habib, C. Duvivier, J. Derelle, R. Peslin, Input respiratory impedance to estimate airway hyperreactivity in children: standard method versus head generator European Respiratory Journal. ,vol. 7, pp. 601- 607 ,(1994) , 10.1183/09031936.94.07030601
Selena Harrison, Raffaele Gatti, Simonetta Baraldo, Kim Lokar Oliani, Eunice Andre, Marcello Trevisani, David Gazzieri, Marina Saetta, Pierangelo Geppetti, Montelukast inhibits inflammatory responses in small airways of the Guinea-pig Pulmonary Pharmacology & Therapeutics. ,vol. 21, pp. 317- 323 ,(2008) , 10.1016/J.PUPT.2007.07.005
Adel H. Mansur, Sarah Manney, Jon G. Ayres, Methacholine-induced asthma symptoms correlate with impulse oscillometry but not spirometry. Respiratory Medicine. ,vol. 102, pp. 42- 49 ,(2008) , 10.1016/J.RMED.2007.08.007
Ali G. Bassiri, Reda E. Girgis, Ramona L. Doyle, James Theodore, Detection of Small Airway Dysfunction Using Specific Airway Conductance Chest. ,vol. 111, pp. 1533- 1535 ,(1997) , 10.1378/CHEST.111.6.1533
D. W. Cockcroft, F. E. Hargreave, Airway hyperresponsiveness. Relevance of random population data to clinical usefulness. The American review of respiratory disease. ,vol. 142, pp. 497- 500 ,(1990) , 10.1164/AJRCCM/142.3.497