運動在小兒氣喘病診斷上之應用價值

The Diagnostic Value of Exercise in Childhood Asthma

謝貴雄(Kue-Hsiung Hsieh) ； 陳烱霖(Chiung-Lin Chen)

《Acta Paediatrica Sinica》 15卷1期 (1974/03) Pp. 1-5

摘要

利用自由奔跑7分鐘且維持心跳每分鐘150以上的運動方式，測驗20例氣喘病兒及15例正常兒童在運動後出力呼氣量(FEV1)之變化，其結果如下：(1)除1例外，所有氣喘病兒在運動後其FEV1都降低10%以上（平均21%）；而正常兒童則都在9%以下（平均4%）。(2)所有氣喘病兒都有氣管運動易變性（其運動易變度平均為32%），且四分之三之病兒都在20%以上；而正常兒童有運動易變性者不到一半且其運動易變度都在18%以下（平均11%）(3)故測驗運動前後FEV1之變化，可以幫助氣喘病之鑑別診斷。(4)利用運動試驗可以幫助預測藥物之使用效果。

並列摘要

Twenty cases of childhood asthmatics and fifteen cases of healthy children were checked for their postexercise changes in FEV1 (Forced Expiratory Volume One Second) by utilizing exercise in the form of free-range running for seven minutes with the speed capable of maintaining the heart rate of at least 150 per minute. The results were summarized as follows:
1) The postexercise decrease of FEV1 was over 10% in all, but one, of the asthmatic children and the average decrease for the whole group was 21%. The decrease in each of all normal children was less than 9% and their average decrease was 4%.
2) All the asthmatic children were found to have bronchial exercise lability. In three fourths the lability was higher than 20% and the average for the whole group was 32%. In contrast, only half of the normal children had exercise lability, but all the labilities were lower than 18% and with an average of 11%.
3) The exercise pulmonary function test, therefore, could be of great help in the differential diagnosis of bronchial asthma.
4) The exercise pulmonary function test is useful in predicting the clinical effect of antiasthmatic drugs.