查詢結果分析
相關文獻
- Bronchial Responsiveness and Lung Function Related to Cigarette Smoking and Smoking Cessation
- 綜論吸菸與戒菸對糖尿病患者發生心臟血管疾病的影響
- 青少年互動式戒菸自助手冊教材發展及介入效果之初探性研究
- 門診戒菸衛生教育班成效之探討
- 運用網際網路於青少年戒菸行為之介入研究
- 網際網路輔助戒菸課程於青少年之成效
- The Impact of Smoking Cessation Programs on Smoking-Related Health Belief and Rate of Quit-Smoking among Schizophrenic Patients
- 重菸量吸菸者戒菸方案之建立及尼古丁貼劑效果之評估
- 空氣污染物對慢性阻塞性肺病病人肺功能及支氣管反應性之影響
- 重菸量吸菸者戒菸方案之建立及尼古丁貼劑效果之評估
頁籤選單縮合
題 名 | Bronchial Responsiveness and Lung Function Related to Cigarette Smoking and Smoking Cessation=吸菸與戒菸對支氣管反應性及肺功能的影響 |
---|---|
作 者 | 楊錫欽; 楊思標; | 書刊名 | 長庚醫學 |
卷 期 | 25:10 2002.10[民91.10] |
頁 次 | 頁645-655 |
分類號 | 415.41 |
關鍵詞 | 吸菸; 戒菸; 支氣管反應性; 支氣管敏感度; 肺功能; Cigarette smoking; Smoking cessation; Bronchial responsiveness; Bronchial reactivity; Lung function; |
語 文 | 英文(English) |
中文摘要 | 背景:吸菸對支氣管反應性的影響以及戒菸後肺功能改善的情形,文 獻上的報告仍有爭議。方法:本研究選取180位不吸菸者,109位吸菸者與82位戒菸者,利用強制性振盪法進行支氣管反應性測定,另外並作肺瀰散量及肺量測定。支氣管反應性的指標有3:(1)呼吸阻力(Rrs)的基礎值;(2)能引起Rrs昇高2倍之methacholine的累積劑量(DA),此代表?氣管敏感度;(3)呼吸傳導度(Grs)呈直線下降時的斜率(SGrs),此代表支氣管反應度。 結果:結果顯示:吸菸者其Rrs基礎值較不吸菸者及戒菸者為高。支氣管激發性試驗的陽性率(Rrs基礎值昇高2倍以上)在吸菸者為24.7%,在不吸菸者為0%,而在戒菸者為19.5%,戒菸者其激發試驗結果為陽性者的支氣管反應度與吸菸者(同為試驗結果陽性者)相同,但吸菸者DA較低。另外,吸菸者有比較顯著之FEV1/FVC,DLCO與DLCO/VA之減少。 結論:本文的結論是戒菸後,支氣管反應性偏高及肺瀰散量偏低的現象會部份回復。 |
英文摘要 | Background: The relationships between bronchial responsiveness and both cigarette smoking and smoking cessation are still controversial. Methods: To investigate the effects of cigarette smoking and smoking cessation on bronchial reactivity and the level of pulmonary function, bronchial responsiveness to methacholine using the forced oscillation method, the transfer factor, and spirometry were measured in 180 nonsmokers, 109 current smokers, and 82 ex-smokers. The following idices of bronchial responsiveness were used: (1) baseline respiratory resistance (Rrs); (2) the cumulative does of methacholine (DA) causing an increase in Rrs by twice the baseline values (bronchial sensitivity); and (3) the slope of linearly decreased respiratory conductance (SGrs) representing bronchial reactivity. Results: Current smokers had significantly higher baseline Rrs (p<0.001) and bronchial responsiveness than did nonsmokers and ex-smokers. In 24.7% of smokers, Rrs increased by twice or more upon challenge with methacholine (responders), compared with 0% of nonsmokers (p<0.0001) and 19.5% (p=0.28). SGrs for responders among ex-smokers was found not to differ from that for responders among smokers. Hwoever, smokers had a singificnatly lower DA inhaled methacholine than did ex-somkers. Cigarette smoking was also associated with an appreciable reduction I n FEV1/FVC(forced expiratory volume in 1s/forced vital capacity), DLCO (carbon monoxide diffusing capacity), and DLCO/VA (alveolar volume). Conclusion: There seems to be a partially reversible phenomenon that leads to improvement in airway responsiveness and DLCO upon smoking cessation. |
本系統中英文摘要資訊取自各篇刊載內容。