在運(yùn)動(dòng)醫(yī)學(xué)界,有一種運(yùn)動(dòng)作為誘發(fā)哮喘唯一因素的運(yùn)動(dòng)性疾病,稱為運(yùn)動(dòng)性哮喘(EIA),是哮喘的特殊類型,發(fā)病地點(diǎn)多在運(yùn)動(dòng)場(chǎng),起病較急,可危及運(yùn)動(dòng)員的生命,其發(fā)病機(jī)制至今尚未完全明了。速尿是一種袢利尿劑,也是15-羥前列腺素脫氫酶抑制劑,吸入速尿后對(duì)特應(yīng)性和非特應(yīng)性哮喘所致的支氣管收縮有對(duì)抗作用[1]。目前國(guó)內(nèi)尚未見(jiàn)應(yīng)用速尿防治EIA的臨床報(bào)道。我們通過(guò)觀察患者吸入速尿前后、運(yùn)動(dòng)前后肺功能指標(biāo)第1秒用力呼氣容積(FEV1)占預(yù)計(jì)值百分比(FEV1%pred)及峰流速(PEF)的變化,探討霧化吸入速尿?qū)IA的防治作用。
引用本文: 王志華. 霧化吸入速尿防治運(yùn)動(dòng)性哮喘的臨床研究. 中國(guó)呼吸與危重監(jiān)護(hù)雜志, 2007, 6(1): 62-63. doi: 復(fù)制
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5. | Inman MD,Watson RM,Killian KJ,et al.Methacholine airway responsiveness decreases during exercise in asthmatic subjects.Am Rev Respir Dis,1990,141:1414-1417. |
6. | Parvord ID,Wisniewski A,Tatterfield AE.Inhaled frusemide and exercise induced asthma:evidence of a role for inhibitory prostanoids.Thorax,1992,47:797-800. |
7. | Miyanoshita A,Terada M,Endou H.Furosemide directly stimulates prostaglandin E2 production in the thick ascending limb of Henle’s loop.J Pharmacol Exp Ther,1989,251:1155-1159. |
8. | McFadden ER Jr.Hypothesis:Esercise-induced asthma as a vascular phenomenon.Lancet,1990,335:880-883. |
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- 1. Shimizu T,Mochizuki H,Morikawa A,et al.Inhaled furosemide prevents ultrasonically nebulized water bronchoconstricition in children with both atopic and nonatopic asthma.Chest,1993,104:1723-1726.
- 2. Eggleston PA,Rosenthal RR,Anderson SA,et al.Guidelines for the methodlody of exercise challenge in asthmaties.J Allergy Clin Immunol,1979,64:642-645.
- 3. Cypcar D,Lemanske RF Jr.Asthma and exercise.Clin Chest Med,1994,15:351-367.
- 4. Rupp NT,Guill MF,Brudno DS.Unrecognized exercise-induced bronchospasm in adolescent athletes.Am J Dis Child,1992,146:941-944.
- 5. Inman MD,Watson RM,Killian KJ,et al.Methacholine airway responsiveness decreases during exercise in asthmatic subjects.Am Rev Respir Dis,1990,141:1414-1417.
- 6. Parvord ID,Wisniewski A,Tatterfield AE.Inhaled frusemide and exercise induced asthma:evidence of a role for inhibitory prostanoids.Thorax,1992,47:797-800.
- 7. Miyanoshita A,Terada M,Endou H.Furosemide directly stimulates prostaglandin E2 production in the thick ascending limb of Henle’s loop.J Pharmacol Exp Ther,1989,251:1155-1159.
- 8. McFadden ER Jr.Hypothesis:Esercise-induced asthma as a vascular phenomenon.Lancet,1990,335:880-883.
- 9. Bianco S,Vajhi A,Robushi M,et al.Prevention of exerciseinduced bronchoconstriction by inhaled frusemide.Lancet,1988,2:252-255.