REPO

Annual Reports of Misasa Medical Center, Okayama University volume71
2001-02-01 発行

気管支喘息患者における肺機能とHRCT上のlow attenuation areaに対する喫煙の影響

Mitsunobu, Fumihiro Kaken ID publons researchmap
Mifune, Takashi
Hosaki, Yasuhiro
Ashida, Kozo Kaken ID researchmap
Tsugeno, Hirofumi
Okamoto, Makoto
Takada, Shingo Kaken ID publons
Yokoi, Tadashi
Tanizaki, Yoshiro
Publication Date
2001-02-01
Abstract
The influence of smoking on pulmonary function and emphysematous changes of the lung (percentage of attenuation area < -950 HU (% LAA) on high resolution computed tomography (HRCT) was examined in 49 patients with bronchial asthma. 1. In patients with asthma, the % residual volume (RV) in many nonsmokers was less than 129%, in contrast, the % RV in many smokers was between 130% and 189% , which was higher than that in nonsmokers. 2. Significant correlations between % RV and 96LAA value, and between % RV and CT number were observed both in nonsmokers and smokers with asthma, in which as % RV more increased, % LAA value was larger, and CT number was lower. 3. % DLco value was lower in smoking patients with asthma, whose % RV was between 130% and 189% and larger than 190% , however, the % DLco value did not change in nonsmoking patients despite of higher valure in % RV. 4. A significant correlation was also observed between % FEV1.0 value and % RV both in smoking and nonsmoking patients with asthma; as % RV value more increased, % FEV1.0 value was lower. 5. Any correlation between % FVC value and % RV was not observed. These results suggest that smoking affects the % LAA of the lung on HRCT and % DLco in patients with asthma.
Keywords
asthma
smoking
% LAA of the lungs
FEV1.0
DLco
ISSN
0918-7839
NCID
AN10430852
NAID