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呼出气温度在儿童哮喘急性发作时及发作后的监测意义

陈振华

陈振华. 呼出气温度在儿童哮喘急性发作时及发作后的监测意义[J]. 实用临床医药杂志, 2020, 24(19): 59-62. DOI: 10.7619/jcmp.202019017
引用本文: 陈振华. 呼出气温度在儿童哮喘急性发作时及发作后的监测意义[J]. 实用临床医药杂志, 2020, 24(19): 59-62. DOI: 10.7619/jcmp.202019017
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CHEN Zhenhua. Significance of exhaled breath temperature monitoring during and after acute attack of asthma in children[J]. Journal of Clinical Medicine in Practice, 2020, 24(19): 59-62. DOI: 10.7619/jcmp.202019017
Citation: CHEN Zhenhua. Significance of exhaled breath temperature monitoring during and after acute attack of asthma in children[J]. Journal of Clinical Medicine in Practice, 2020, 24(19): 59-62. DOI: 10.7619/jcmp.202019017
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呼出气温度在儿童哮喘急性发作时及发作后的监测意义

  • 广东省佛山市高明区人民医院 儿科, 广东 佛山, 528500

基金项目: 

广东省佛山市自筹经费类科技计划项目(2017AB000914)

详细信息

  • 中图分类号: R256.12

Significance of exhaled breath temperature monitoring during and after acute attack of asthma in children

  • Department of Pediatrics, Gaoming District People's Hospital of Foshan City in Guangdong Province, Foshan, Guangdong, 528500

摘要

    摘要
  • 摘要: 目的 观察儿童哮喘急性发作期间和发作后呼出气温度(EBT)的变化。 方法 选取6~12岁哮喘急性发作的住院儿童30例,比较不同时点EBT、呼出气一氧化氮(FeNO)、肺功能参数变化,分析EBT与FeNO、肺功能的相关性。 结果 哮喘急性发作儿童EBT测量值在入院第1天、出院后1周、出院后1个月等3个时点比较,差异均有统计学意义(P<0.05)。EBT与第1秒用力呼气量与用力肺活量比值(FEV1/FVC)呈负相关(r=-0.363, P=0.031), 与用力肺活量占预计值的百分比(FVC%pred)、第1秒用力呼气容积占预计值的百分比(FEV1%pred)、用力呼气中期流量(FEF 25%~75%)无相关性。入院时、出院后1周、出院后1个月各时点EBT与FeNO无相关性。 结论 EBT在儿童哮喘急性发作期显著升高,并且与FEV1/FVC呈负相关,可反映气道炎症反应程度。
    Abstract: Objective To observe change of exhaled breath temperature(EBT)during and after acute attack of asthma in children. Methods Totally 30 hospitalized children aged 6 to 12 years due to acute attack of asthma were selected. Changes of EBT, fraction of exhaled nitric oxide(FeNO)and pulmonary function parameters at different time points were compared, and correlations between EBT and FeNO as well as pulmonary function were analyzed. Results There were significant differences in EBT values in children with acute attack of asthma at the time points of the first day after hospital admission, one week after discharge, and one month after discharge(P<0.05). EBT was negatively correlated with forced vital capacity forced expiratory volume to in the first second ratio(FEV1/FVC)(r=-0.363, P=0.031), but had no correlations with forced vital capacity as a percentage of predicted value(FVC% pred), forced expiratory volume in the first second as a percentage of predicted value(FEV1% pred)and forced mid-expiratory flow(FEF 25%~75%). There were no correlations between EBT and FeNO at the time points of hospital admission, one week and one month after discharge. Conclusion EBT increases significantly in children with acute asthma, and is negatively correlated with FEV1/FVC, which can reflect the degree of airway inflammation.
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    • 参考文献(14)

  • GINA Global Strategy for Asthma Management and Prevention updated 2018[EB/OL]. https: //ginasthma. org/2018-gina-report-global-strategy-for-asthmamanagement-and-prevention/2018-06-20.

    POPOV T A, KRALIMARKOVA T Z, LABOR M, et al. The added value of exhaled breath temperature in respiratory medicine[J]. J Breath Res, 2017, 11(3): 34001.
    中华医学会儿科学分会呼吸学组. 儿童支气管哮喘诊断与防治指南(2016 年版)[J]. 中华儿科杂志, 2016, 54(3): 167-181.
    牟向东, 刘清华. 呼出气温度可作为一种新的无创的检测肺癌的方法吗[J]. 中华结核和呼吸杂志, 2015, 20(6): 466-466.

    American Thoracic Society, European Respiratory Society. ATS/ERS recommendations for standardized procedures for the online and offline measurement of exhaled lower respiratory nitric oxide and nasal nitric oxide, 2005[J]. Am J Respir Crit Care Med, 2005, 171(8): 912-930.

    POPOV T A, DUNEV S, KRALIMARKOVA T Z, et al. Evaluation of a simple, potentially individual device for exhaled breath temperature measurement[J]. Respir Med, 2007, 101(10): 2044-2050.

    SVENSSON H, NILSSON D, BJERMER L, et al. Exhaled breath temperature increases after exercise in asthmatics and controls[J]. Respiration, 2012, 84(4): 283-290.

    WOJSYK-BANASZAK I, MIKOS M, SZCZEPANKIEWICZ A, et al. Evaluation of exhaled breath temperature(EBT)as a marker and predictor of asthma exacerbation in children and adolescents[J]. J Asthma, 2017, 54(7): 699-705.

    XEPAPADAKI P, XATZIIOANNOU A, CHATZICHARALAMBOUS M, et al. Exhaled breath temperature increases during mild exacerbations in children with virus-induced asthma[J]. Int Arch Allergy Immunol, 2010, 153(1): 70-74.

    PERONI D G, CHINELLATO I, PIAZZA M, et al. Exhaled breath temperature and exercise-induced bronchoconstriction in asthmatic children[J]. Pediatr Pulmonol, 2012, 47(3): 240-244.
    肖厚兰, 陈振华, 张栋武, 等. 呼出气温度对儿童哮喘气道炎症变化的预测意义[J]. 中国当代儿科杂志, 2019,(8): 806-811.

    PIACENTINI G L, PERONI D, CRESTANI E, et al. Exhaled air temperature in asthma: methods and relationship with markers of disease[J]. Clin Exp Allergy, 2007, 37(3): 415-419.

    PIACENTINI G L, BODINI A, ZERMAN L, et al. Relationship between exhaled air temperature and exhaled nitric oxide in childhood asthma[J]. Eur Respir J, 2002, 20(1): 108-111.

    HAMILL L, FERRIS K, KAPANDE K M, et al. Is exhaled breath temperature the new asthma inflammometer[J]. Arch Dis Child, 97(Suppl 1): A292-A230.
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出版历程
  • 收稿日期:  2020-08-24

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