JaLCDOI 10.18926/14926
タイトル(別表記) 気管支喘息症例における気道過敏性と鼻腔・副鼻腔疾患の関係に関する検討
フルテキストURL 070_028_035.pdf
著者 御舩 尚志| 高田 真吾| 岡本 誠| 柘野 浩史| 芦田 耕三| 原田 誠之| 光延 文裕| 保崎 泰弘| 谷崎 勝朗| 原田 実根|
抄録 Pathological changes of nasosinus occur often in subjects with bronchial asthma. Coexisting nasosinus lesion may affect pathophysiology of lower respiratory tract in asthmatics. The extent of nasal and sinus lesion was quantified in 17 patients with bronchial asthma, and their relationships to atopic status, asthma severity and bronchial hyperresponsiveness were evaluated in this study. Opacification degree of maxillary sinuses and nasal mucosa thickening were quantified using CT scans. The opacification degree was evaluated as (total opacification area)/(total maxillary sinus area). Although the opacification degree of maxillary sinuses in atopic patients showed no significant difference compared with that in non-atopic patients, maximum nasal mucosa thickening in atopic patients had a significant difference compared with that in non-atopic patients (p=0.028). In severe asthmatics, the opacification degree of maxillary sinuses was significantly more prominent compared with those in moderate and mild asthmatics (p=0.0005, p=0.036, respectively). Significantly marked nasal mucosa thickening was recognized in mild asthmatics compared with that in moderate asthmatics (p=0.0462). Regarding bronchial hyperresponsiveness, a significant correlation between Dmin and the opacification degree of maxillary sinuses was observed (rs= -0.551, p=0.0276). Nasal mucosa thickening had no correlation with bronchial hyperresponsiveness. The results suggest that sinusitis may affect bronchial hyperresponsiveness and asthma severity. Treatment of sinusitis may lead to improvement of asthma symptoms.
キーワード 気管支喘息 (bronchial asthma) 副鼻腔炎 (sinusitis) CT所見 (CT findings) 気道過敏性 (hyperresponsiveness)
出版物タイトル 岡大三朝分院研究報告
発行日 1999-12
70巻
開始ページ 28
終了ページ 35
ISSN 0918-7839
言語 英語
論文のバージョン publisher
NAID 120002308098
JaLCDOI 10.18926/15148
タイトル(別表記) 気管支喘息における末梢血白血球および気管支肺胞洗浄液中の細胞からのヒスタミンおよびロイコトリエンC(4),B(4)遊離と気道過敏性
フルテキストURL 065_009_016.pdf
著者 谷崎 勝朗| 貴谷 光| 御舩 尚志| 光延 文裕| 梶本 和宏| 横田 聡| 高田 一郎| 越智 浩二| 原田 英雄| 多田 慎也| 原田 実根|
抄録 The proportions of cells in bronchoalveolar lavage (BAL) fluid, the release of histamine, leukotrienes C(4) and B(4) from leucocytes and BAL cells, and bronchial reactivity to methacholine were examined in 40 patients with asthma in relation to patient age. 1. The proportions of lymphocytes and neutrophils in BAL fluid were higher in older patients over age 60 than in younger patients between 20 and 49. The proportions of eosinophils and basophilic cells in BAL fluid were higher in younger patients than in older patients, and the difference in the proportion of BAL basophilic cells was significant between the two groups (p<0.05). 2. The release of histamine from BAL cells was significantly higher in younger patients than in older patients (p<0.001). The release of LTC(4) from BAL cells was higher in older patients compared to younger patients. 3. Bronchial reactivity to methacholine was higher in younger patients than in older patients. The number of patients reactive to low concentration of methacholine (390μg/mℓ or less) was larger in younger patients (12/16 ; 75.0%) than in older patients (5/14 ; 35.7%). These results suggest that bronchial hyperresponsiveness changes with aging, accompanied by changes in the release of chemical mediators from BAL cells and in the proportion of BAL cells.
キーワード BAL cells (BAL細胞) histamine (ヒスタミン) leukotrienes (ロイコトリエン) bronchial hyperresponsiveness (気道過敏性) asthma (気管支喘息)
出版物タイトル 岡大三朝分院研究報告
発行日 1994-09
65巻
開始ページ 9
終了ページ 16
ISSN 0918-7839
言語 英語
論文のバージョン publisher
NAID 120002307646
JaLCDOI 10.18926/15119
タイトル(別表記) 気管支喘息患者の気管支肺胞細胞からのヒスタミンとロイコトリエンC4遊離 ―アトピー性喘息におけるヒスタミンの役割について―
フルテキストURL 066_014_020.pdf
著者 光延 文裕| 御舩 尚志| 梶本 和宏| 保﨑 泰弘| 横田 聡| 谷崎 勝朗| 越智 浩二| 原田 英雄|
抄録 To clarify the main humoral triggering factor (histamine and/or leukotriene) of the early stage of asthma attacks, the release of histamine and leukotriene C4 (LTC4) from bronchoalveolar lavage (BAL) cells stimulated with Ca ionophore A23187 was examined in 7 patients with atopic asthma, and the results were compared to those in 7 nonatopic asthma patients. 1. The proportion of BAL basophilic cells was significantly higher in atopic patients than in nonatopic patients (p<0.05). 2. The content of histamine in BAL fluid was significantly higher in atopic (2.3mcg/mℓ) comparted to that in nonatopic patients (0mcg/mℓ)(p<0.001). The content of LTC4 was high in nonatopic (2.4ng/mℓ) than in atopic patients (0.5ng/ mℓ), however, this was not significant. 3. The release of histamine from BAL cells was 32.6% in atopic and 0% in nonatopic patients, and this was significant (p<0.001). The release of LTC4 from BAL cells was significantly higher in nonatopic (11.3ng/10(6)cell) than in atopic (3.5ng/10(6)cell)(p<0.02). The results demonstrate that histamine play more important role in atopic patients as a main triggering factor of attacks than LTC4. In contrast, in nonatopic patients, LTC4 is more predominant than histamine during early stage of asthma attacks.
キーワード Histamine LTC4 BAL cells atopic asthma
出版物タイトル 岡大三朝分院研究報告
発行日 1995-09
66巻
開始ページ 14
終了ページ 20
ISSN 0918-7839
言語 英語
論文のバージョン publisher
NAID 120002307251
JaLCDOI 10.18926/15304
タイトル(別表記) 気管支喘息における気道内への好酸球の出現とその意義. 過分泌と関連して.
フルテキストURL 063_014_018.pdf
著者 谷崎 勝朗| 貴谷 光| 岡崎 守宏| 御舩 尚志| 光延 文裕| 木村 郁郎|
抄録 A correlation between the proportion of eosinophils in bronochoalveolar lavage (BAL) fluid and amount of expectoration was examined in patients with atopic asthma. The subjects were divided into two groups : cases with high proportion (20% of more) (group A) and low proportion (less than 5%) (group B) of eosinophils in the BAL fluid. Any significant difference was not paesent in the value of each ventilatory parameter between the two groups. The amount of expectoration/day was significantly higher in group A compared with group B (p<0.001). These results suggest that eosinophilia in BAL fluid correlates to mucus hypersecretion in the airways of patients with atopic asthma.
キーワード Eosinophilia (好酸球) Hypersecretion (過分泌) BAL fluid (BAL) bronchial asthma (気管支喘息)
出版物タイトル 岡大三朝分院研究報告
発行日 1992-06
63巻
開始ページ 14
終了ページ 18
ISSN 0913-3771
言語 英語
論文のバージョン publisher
NAID 120002307156
JaLCDOI 10.18926/15121
タイトル(別表記) 気管支喘息患者の血清コーチゾール値について. 副腎皮質ホルモン投与および年齢との関連
フルテキストURL 066_030_036.pdf
著者 保﨑 泰弘| 御舩 尚志| 光延 文裕| 梶本 和宏| 横田 聡| 谷崎 勝朗| 越智 浩二| 原田 英雄| 池田 敏| 武田 和久|
抄録 Serum cortisol levels were examined in 94 patients with bronchial asthma in relation to dose of glucocorticoids and age. 1. The level of serum cortisol was significantly lower in group A patients, treated with glucocorticoids (prednisolone of 5mg/day or more) for more than 2 years, (2.4±1.2mcg/㎗) than in group B, treated with glucocorticoids (prednisolone of 5mg or less) for less than 2 years, (6.8±3.7mcg/㎗) (p<0.001) and in group C, treated without glucocorticoids, (12.6±3.9mcg/㎗) (p<0.001). The serum cortisol level was also significantly lower in group B than in group C (p<0.001). 2. The level of serum cortisol was significantly lower in patients over the age of 70 compared to that in those aged between 0 and 39 years (p<0.01) and those between 40 and 49 (p<0.05), and those between 50 and 59 (p<0.02). The level was also lower in patients between 60 and 69 compared to that in those between 0 and 39, however, this was not significant. These results demonstrate that the level of serum cortisol decreases by long-term glucocorticoid regimen and with aging.
キーワード serum cortisol level (血清コーチゾール) bronchial asthma (気管支喘息) clinical asthma type (臨床病型) glucocorticoids (副腎皮質ホルモン) aging (加齢)
出版物タイトル 岡大三朝分院研究報告
発行日 1995-09
66巻
開始ページ 30
終了ページ 36
ISSN 0918-7839
言語 英語
論文のバージョン publisher
NAID 120002307345
JaLCDOI 10.18926/15154
タイトル(別表記) 気管支喘息における血清免疫グロブリン値,末梢血リンパ球数と気管支肺胞洗浄液中の細胞成分との関連
フルテキストURL 065_055_061.pdf
著者 光延 文裕| 貴谷 光| 御舩 尚志| 梶本 和宏| 横田 聡| 高田 一郎| 谷崎 勝朗| 越智 浩二| 原田 英雄| 多田 慎也| 原田 実根|
抄録 Changes in airway inflammation by glucocorticoids were examined in 26 patients with bronchial asthma, divided into two age groups ; 20-59 and 60+ years, in relation to serum immunoglobulin levels and peripheral lymphocyte count. 1. The levels of IgG, IgA and IgM were significantly lower in patients with steroid-dependent intractable asthma (SDIA) of age over 60 years than in those with non-SDIA of the same age group. In patients between the ages of 20 and 59, only serum IgG level was significantly lower in SDIA than in non-SDIA patients. 2. Peripheral lymphocyte count was significantly decreased in SDIA patients than in non-SDIA patients in age group over 60, but not in age group between 20 and 59. 3. Number of lymphocytes in bronchoalveolar lavage (BAL) fluid was significantly lower and number of BAL neutrophils was significantly higher in SDIA patients than in non-SDIA patients in age group over 60, but not in age group between 20 and 59. These results suggest that levels of IgG, IgA and IgM, and peripheral lymphocyte count were significantly suppressed in SDIA patients of age over 60, accompanied with decrease of BAL lymphocytes and increase of BAL neutrophils.
キーワード serum immunoglobulin levels (血清免疫グロブリン値) lymphocytes (リンパ球) neutrophils (好中球) bronchial asthma (気管支喘息) glucocorticoids (副腎皮質ホルモン)
出版物タイトル 岡大三朝分院研究報告
発行日 1994-09
65巻
開始ページ 55
終了ページ 61
ISSN 0918-7839
言語 英語
論文のバージョン publisher
NAID 120002307607
JaLCDOI 10.18926/15150
タイトル(別表記) Study of the preparation with sodium picosulfate and PEG intestinal lavage solution for total colonoscopy.
フルテキストURL 065_022_026.pdf
著者 越智 浩二| 原田 英雄| Chowdhury, Riaz| 田中 淳太郎| 松本 秀次| 妹尾 敏伸| 水島 孝明| 光延 文裕| 谷崎 勝朗| 穐山 恒雄| 中井 睦郎| 蓮岡 英明| 加藤 匡宏|
抄録 Total colonoscopyの前処置における被検者の負担軽減と良好な腸管洗浄を得る目的で,50例の大腸内視鏡検査において,前日の食事制限せず, sodium picosulfate 20mℓ前夜服用,検査当日PEG腸管洗浄液1ℓ以上服用する前処置法の有用性について検討した。本前処置法によってPEG腸管洗浄液平均1230mℓの服用により,50例中48例で観察可能な腸管洗浄が得られ,PEG腸管洗浄液の服用量の減量が可能であった。腹痛,嘔気,腹鳴などの症状出現例は認めたが,重篤な副作用は認めなかった。腸管洗浄度の点で,高齢者の大腸内視鏡検査の前処置として有用である。以上よりSodium Picosulfate 20mℓをPEG腸管洗浄液と併用することにより,優れた腸管洗浄度を得られると同時にPEG腸管洗浄液服用量の減量か可能であり,total colonoscopyの前処置として有用であることが示された。
キーワード 大腸内視鏡検査 (colonoscopy) 前処置 (preparation)
出版物タイトル 岡大三朝分院研究報告
発行日 1994-09
65巻
開始ページ 22
終了ページ 26
ISSN 0918-7839
言語 日本語
論文のバージョン publisher
NAID 120002307186
JaLCDOI 10.18926/14904
タイトル(別表記) 高齢者気管支喘息における気道過敏性と温泉療法
フルテキストURL 071_010_018.pdf
著者 谷崎 勝朗| 光延 文裕| 御舩 尚志| 保﨑 泰弘| 芦田 耕三| 柘野 浩史| 岡本 誠| 高田 真吾| 越智 浩二|
抄録 Clinical effects of spa therapy were examined in 150 patients with asthma in relation tobronchial hyperresponsiveness and patient age. 1. The efficacy rate of spa therapy was larger as the patient age was higher: the rate was 73.3% in patients under age 49, 81.8% in those between the ages of 50 and 59, 86.4% in those between the ages of 60 and 69, and 90.6% in those over age 70. The mean of efficacy rates was 83.3% in all subjects. 2. The bronchial hyperresponsiveness (BH) was lower as patient age was higher: the BH in patients between the ages of 60 and 69 and in those over age 70 was significantly lower compared to the BH in those under age 49 (p < O.OOl). 3. Clinical effects of spa therapy tended to be lower in patients with increased bronchial hyperresponsiveness. The bronchial hyperresponsiveness showed a tendency to decrease after spa therapy in whom the therapy was effective, however, the BH did not change in patients with slight or no efficacy during spa therapy.
キーワード spa therapy asthma bronchial hyperresponsiveness patient age
出版物タイトル 岡大三朝分院研究報告
発行日 2001-02-01
71巻
開始ページ 10
終了ページ 18
ISSN 0918-7839
言語 英語
論文のバージョン publisher
NAID 120002308660
JaLCDOI 10.18926/15118
タイトル(別表記) ステロイド依存性重症難治性気管支喘息患者の血清コルチゾールに対する温泉療法の影響
フルテキストURL 066_008_013.pdf
著者 御舩 尚志| 光延 文裕| 梶本 和宏| 保﨑 泰弘| 横田 聡| 谷崎 勝朗|
抄録 Serum cortisol levels before and after spa therapy were compared in 30 patients with steroid-dependent intractable asthma (SDIA) in relation to clinical asthma types. 1. The mean level of serum cortisol in patients with type la-1 asthma was 2.0±0.7mcg/dℓ before spa therapy, and significantly increased to 9.0±3.1mcg/dℓ (p<0.001). The serum cortisol level of patients with type la-2 also significantly increased from 3.3±1.5mcg/dℓ before spa therapy to 5.9±3.1 mcg/dℓ after the therapy (p<0.05). 2. The level of serum cortisol in patients with type Ib increased from 4.0±1.6mcg/dℓ to 7.8±1.4mcg/ dℓ after spa therapy (p<0.001). In contrast, the serum cortisol levels in patients with type II were not significantly different before (2.7±1.3mcg/dℓ) and after spa therapy (3.5±3.0mcg/dℓ). The results showed that an increase in the levels of serum cortisol by spa therapy was more clearly observed in patients with type la-1 asthma compared to that in type la-2 or type Ib, and that, in contrast, the serum cortisol levels in patients with type II asthma did not significantly increase by spa therapy, since their asthma attacks were always severe and chronic in spite of long-term glucocorticoid regimen.
キーワード Serum cortisol level (血清コルチゾール値) SDIA (ステロイド依存性重症難治性気管支喘息) clinical asthma type (気管支喘息臨床病型) spa therapy (温泉療法)
出版物タイトル 岡大三朝分院研究報告
発行日 1995-09
66巻
開始ページ 8
終了ページ 13
ISSN 0918-7839
言語 英語
論文のバージョン publisher
NAID 120002307485
JaLCDOI 10.18926/15299
タイトル(別表記) ステロイド依存性重症難治性喘息に対する温泉療法の重要性。過去10年間の181例を対象に。
フルテキストURL 064_001_010.pdf
著者 谷崎 勝朗| 貴谷 光| 御船 尚志| 光延 文裕| 梶本 和宏| 杉本 啓介| 横田 聡| 平松 順一| 瓦屋 正志| 越智 浩二| 原田 英雄| 多田 慎也| 木村 郁郎|
抄録 Characteristics of 181 patients with steroid-dependent intractable asthma (SDIA) who were admitted to our hospital and had spa therapy for last 10 years were examined in relation to the methods of spa therapy. For last 10 years, three kinds ofspa therapies were administered: spa therapy A (swimming training in a hot spring pool) in the first atage (1982-1985), spa therapy B (swimming training + inhalation of iodine salt solution) in the middle stage (1986 -1989), and spa therapy C (swimming training + inhalation of iodine salt solution + fango therapy) in the last stage (1990-1991) of this study. 1. The number of patients with SDIA who were admitted to our hospital and had spa therapy tended to increase from 2 in 1986 to 35 in 1991. 2. The number of SDIA patients over the age of 60 or over the age at onset of 40 tended to increase from the first stage to the last stage. 3. The proportion of patients from distant areas (prefectures other than Tottori) was decreasing for the last stage, although the number of these patients was increasing in recent years. 4. The proportions of patients divided by serum IgE levels and by clinical asthma types did not change for last 10 years. 5. The proportion of type Ib and type II asthma was considerably high in patients with SDIA for last 10 years. 6. Clinical effects of spa therapy were observed in 21 of the 30 (70.0%)patients with SDIA in the first stage (1982-1985) with spa therapy A, 68 of the 83 (74.7%) patients with SDIA in the middle stage (1986-1989) with spa therapy B, and 61 of the 68 (89.7%) patients with SDIA in the last stage (1990-1991) with spa therapy C.
キーワード swimming training in a hot spring pool (温泉プール水泳訓練) inhalation of iodine salt solution (ヨードゾル吸入) fango therapy (鉱泥湿布療法) SDIA
出版物タイトル 岡大三朝分院研究報告
発行日 1993-06
64巻
開始ページ 1
終了ページ 10
ISSN 0918-7839
言語 英語
論文のバージョン publisher
NAID 120002307391
JaLCDOI 10.18926/14988
タイトル(別表記) 慢性膵炎患者の全消化管通過に関する研究
フルテキストURL 068_059_063.pdf
著者 水島 孝明| 越智 浩二| 松村 直樹| 妹尾 敏伸| 原田 英雄| 御舩 尚志| 光延 文裕| 谷崎 勝朗|
抄録 Abnormalities of whole gut transit could contribute to the maldigestion and digestive symptoms of chronic pancreatitis patients. Whole gut transit was measured by radiopaque markers method. Fifteen chronic pancreatitis patients (2 females, 13 males; age range 40-78 years) and 17 controls (4 females, 13 males, 32-73 years) were studied. Additionally, we also looked for evidence of autonomic neuropathy in the chronic pancreatitis patients by using cardiovascular tests. In chronic pancreatitis, whole gut transit was shorter than controls. These abnormalities were not influenced by the degree of autonomic neuropathy. We conclude that whole gut transit is shorter in chronic pancreatitis patients.
キーワード 慢性膵炎 (Chronic pancreatitis) 全消化管通過 (Whole gut transit)
出版物タイトル 岡大三朝分院研究報告
発行日 1997-12
68巻
開始ページ 59
終了ページ 63
ISSN 0918-7839
言語 英語
論文のバージョン publisher
NAID 120002308490
JaLCDOI 10.18926/14959
タイトル(別表記) n-3系脂肪酸食の気管支喘息に対する臨床効果:n-6系脂肪酸との比較
フルテキストURL 069_040_048.pdf
著者 岡本 誠| 芦田 耕三| 光延 文裕| 御舩 尚志| 保崎 泰弘| 柘野 浩史| 原田 誠之| 湯本 英一朗| 高田 真吾| 谷崎 勝朗| 片岡 幹男| 原田 実根|
抄録 N-3 fatty acids, such as fish oil, have been reported to have some beneficial effects in patients with bronchial asthma by suppressing leukocyte function, followed by reduction of the need for pharmacologic agents. To examine the effects of dietary supplementation with perilla seed oil rich in α-linolenic acid (ALA), 23 patients with asthma took corn oil rich in linoleic acid (LA) for the former two weeks, perilla seed oil for the later two weeks. The asthmatic patients were classified into two groups by the changes of the generation of leukotrienes B4 (LTB4), C4 (LTC4), and B5 (LTB5) during the two courses of dietary modification: one was sensitive to dietary modification, and the other was insensitive to dietary supplementation. We compared the two groups in clinical characteristics. Significant differences were observed in peak flow (PEF), forced expiratory volume in one second (FEV1.0), IgE, sex, obesity index (OI), concentration of serum total cholesterol, albumin, low density lipoprotein {LDL)-cholesterol, β-lipoprotein and phospholipids between two groups. This study indicated that these factors influence the generation of LTB4, C4 and B5 of asthmatic patients in dietary supplementation.
キーワード n-3系脂肪酸 (n-3 fatty acids) エゴマ油 (perilla seed oil) 気管支喘息 (bronchial asthma) LTB4 LTC4
出版物タイトル 岡大三朝分院研究報告
発行日 1998-12
69巻
開始ページ 40
終了ページ 48
ISSN 0918-7839
言語 英語
論文のバージョン publisher
NAID 120002308199
JaLCDOI 10.18926/14936
タイトル(別表記) 腰椎MRI画像と腰痛の関係
フルテキストURL 070_067_072.pdf
著者 高田 真吾| 湯本 英一朗| 岡本 誠| 柘野 浩史| 原田 誠之| 保崎 泰弘| 御舩 尚志| 光延 文裕| 谷崎 勝朗| 原田 実根|
抄録 The purpose of this study was to examine the potential role of magnetic resonance imaging (MRI) in the evaluation of low back pain (LBP). The study group, 19 patients with low back pain (2 subjects aged 32-39 years and 17 aged 59-78), underwent MRI of the lumbar spine. Disc degeneration at L4/5 was the most common finding (68.4%). Overall in present study, all patients with LBP had abnormalities around the lumbar spine (evidence of disc degeneration, deformity of lumbar spine, disc bulging or protrusion, facet hypertrophy, nerve root compression and so on).
キーワード MRI (Magnetic resonance imaging) 腰椎 (Lumbar spine) 椎間板変性 (Disc disease)
出版物タイトル 岡大三朝分院研究報告
発行日 1999-12
70巻
開始ページ 67
終了ページ 72
ISSN 0918-7839
言語 英語
論文のバージョン publisher
NAID 120002308559
JaLCDOI 10.18926/15313
フルテキストURL 063_034_038.pdf
著者 谷崎 勝朗| 貴谷 光| 岡崎 守宏| 御舩 尚志| 光延 文裕| 谷水 将邦| 本家 尚子| 草浦 康浩| 木村 郁郎|
抄録 The serum levels of total IgE, IgG and IgG(4) were compared among five age groups of patients with bronchial asthma. 1. The level of serum IgE was significantly higher in the patients before the age of 29 than in those between the ages of 30 and 49 (p < 0.02), between 50 and 59 (p < 0.01) and between 60 and 69 (p < 0.01). The serum IgE level tended to increase in the patients over age 70. 2. The serum level of total IgG was significantly higher in the patients over age 70 compared with the level in the 30-49 (p < 0.05) and the 60-69 year old groups (p < 0.05). 3. The serum IgG(4) level was increased with aging, although no significant difference was found among the five age groups. 4. The IgG(4) level correlated to a certain extent with the level of serum IgE. The results reveal that the levels of total IgE, IgG and IgG(4) are increased in the elderly patients over age 70, and that there is a relationship between serum levels of total IgE and IgG(4).
キーワード Total IgE IgG IgG(4) aging bronchial asthma
出版物タイトル 岡大三朝分院研究報告
発行日 1992-06
63巻
開始ページ 34
終了ページ 38
ISSN 0913-3771
言語 英語
論文のバージョン publisher
NAID 120002307767
JaLCDOI 10.18926/15314
タイトル(別表記) 気管支肺胞洗浄液中に一過性の好中球増多をきたしたアトピー型喘息
フルテキストURL 064_052_059.pdf
著者 谷崎 勝朗| 貴谷 光| 御船 尚志| 光延 文裕| 梶本 和宏| 杉本 啓介| 横田 聡| 平松 順一| 瓦屋 正志| 中桐 善康| 多田 慎也| 木村 郁郎|
抄録 Clinical course of one asthma patient (64 years old, female), who had an increased proportion of neutrophils in bronchoalveolar lavage (BAL) fluid, was observed in relation to the proportion of BAL cells and ventilatory function. The patient had large asthma attacks two times during her clinical course for 15 months observed. 1. An increased proportion of BAL neutrophils and suppression of ventilatory function were found after her first large asthma attacks. The increased proportion of BAL neutrophils continued for more than 5 months. A reduction in the proportion of BAL neutrophils was found 3 months after her second large asthma attack, accompanied by improvement of clinical symptoms and ventilatory function. The numbers of total cells and neutrophils in BAL fluid were also reduced. Transient increase in number of BAL lymphocytes was found 13 months after the first large attack when the number of BAL neutrophils was markedly decreased. The number of BAL eosinophils did not change during her clinical course.
キーワード Bronchial asthma (気管支喘息) transient BAL neutrophilia(一過性BAL液中好中球増多) ventilatory function (換気機能)
出版物タイトル 岡大三朝分院研究報告
発行日 1993-06
64巻
開始ページ 52
終了ページ 59
ISSN 0918-7839
言語 英語
論文のバージョン publisher
NAID 120002307805
JaLCDOI 10.18926/15151
フルテキストURL 065_027_039.pdf
著者 Chowdhury, Riaz| 越智 浩二| 田中 淳太郎| 松本 秀次| 妹尾 敏伸| 原田 英雄| 水島 孝明| 谷崎 勝朗|
抄録 Tropical calcific pancreatitis is a nonalcoholic type of chronic pancreatitis affecting the childrens and young adults characterized clinically by recurrent abdominal pain in childhood, diabetes in adolescent and death in early childhood. Although the exact etiology is not known, malnutrition and chronic cassava toxicity either singly or in combination are presumed to be the prime factor in pancreatic injury unopposed by detoxification of free radical. Moreover micronutrients deficiency, oxidant stress and antioxidant deficiency might play substantial role. Diabetes secondary to tropical calcific pancreatitis is a distinctive and frequent problem, being named by W.H.O. study group as 'fibrocalculous pancreatic diabetes (FCPD) and classified as one of the variant of the so-called malnutrition related diabetes mellitus (MRDM).
キーワード Tropical calcific pancreatitis (TCP) malnutrition cassava diabetes abdominal pain
出版物タイトル 岡大三朝分院研究報告
発行日 1994-09
65巻
開始ページ 27
終了ページ 39
ISSN 0918-7839
言語 英語
論文のバージョン publisher
NAID 120002307678
JaLCDOI 10.18926/15091
タイトル(別表記) Ⅱ型喘息(細気管支閉塞型)と気管支肺胞洗浄液の好中球数
フルテキストURL 067_079_084.pdf
著者 谷崎 勝朗| 御舩 尚志| 光延 文裕| 保崎 泰弘| 芦田 耕三| 横田 聡| 柘野 浩史| 竹内 一昭| 名和 由一郎| 越智 浩二| 原田 英雄| 池田 敏| 武田 和久|
抄録 Bronchial asthma is classified into three types ; type Ia (Ia-1 and Ia-2), type Ib, and type Ⅱ, by clinical symptoms (clinical diagnosis). Asthma is also classified by clinical findings and examinations (score diagnosis). Both classification systems show that markedly increased proportion of BAL neutrophils and marked decrease in % V25 value are characteristic of type Ⅱ, bronchiolar obstruction, asthma. However, there are some type Ⅱ asthma patients without BAL neutrophilia. In these patients, age is higher compared to those with BAL enutrophlia. Decrease in FEV1.0% value and decrease in the proportion of BAL lympocytes and serum IgG level, are not so remarkable as decrease in those with BAL neutrophilia. It has been suggested that type Ⅱ asthma with BAL neutrophilia correlates with suppression of humoral and cellular immunity, and same type of astma without BAL neutrophilia is in part caused by aging.
キーワード Asthma classification (喘息分類) BAL lymphocytes (BALリンパ球) BAL neutrophils (BAL好中球) % V25 value Ⅱ型喘息
出版物タイトル 岡大三朝分院研究報告
発行日 1996-11
67巻
開始ページ 79
終了ページ 84
ISSN 0918-7839
言語 英語
論文のバージョン publisher
NAID 120002307924
JaLCDOI 10.18926/15327
タイトル(別表記) Inhibitory effect of furosemide on histamine release from human basophils
フルテキストURL 063_095_098.pdf
著者 貴谷 光| 草浦 康浩| 本家 尚子| 谷水 将邦| 光延 文裕| 御舩 尚志| 岡崎 守宏| 谷崎 勝朗|
抄録 furosemideは利尿剤として知られているが,吸入することにより気道収縮に対して抑制的に作用することが近年報告されている。その抑制作用の機序を明らかにする目的で,furosemide添加による末梢血好塩基球からのヒスタミン遊離に対する抑制効果を検討した。健常人4例,アトピー型気管支喘息患者8例を対象として全血法で抗ヒトIgE刺激によるヒスタミン遊離を観察した。なお,furosemideの最終濃度は0,1,10,100μg/mlに調整して添加実験を行った。健常人,気管支喘息いずれにおいても,furosemide添加による末梢血好塩基球からのヒスタミン遊離に対する抑制効果はみられなかった。
キーワード 気管支喘息 (Bronchial asthma) フロセミド (Furosemide) ヒスタミン遊離 (Histamine release)
出版物タイトル 岡大三朝分院研究報告
発行日 1992-06
63巻
開始ページ 95
終了ページ 98
ISSN 0913-3771
言語 日本語
論文のバージョン publisher
NAID 120002307119
JaLCDOI 10.18926/14993
タイトル(別表記) Diet therapy with α-linolenic acid-enriched perilla seed oil on pulmonary emphysema.
フルテキストURL 068_099_106.pdf
著者 柘野 浩史| 芦田 耕三| 光延 文裕| 御舩 尚志| 岡本 誠| 岩垣 尚史| 保崎 泰弘| 辻 孝夫| 谷崎 勝朗|
抄録 症例は67歳,男性。主訴は労作時呼吸困難。【第一回目入院】平成7年9月から12月まで入院し,薬物療法,複合温泉療法を行なった。自覚症状はやや改善がみられたが,呼吸機能検査所見の改善は得られなかった。【第二回目入院】平成8年8月から12月まで入院。n-3系脂肪酸強化食事療法も併用した。自覚症状および,呼吸機能検査上,FVC,FEV(1.0),PEFなどに改善を認めた。n-3系脂肪酸はアラキドン酸代謝を通してロイコトリエン合成に関与すると推定されるが,経過中に白血球のLTB(4)産生能の減少を認めた。この症例は肺気腫に対するn-3系脂肪酸強化食事療法の有用性が示唆され,病態を考える上でも興味深いと考えられたので報告する。
キーワード 肺気腫 (pulmonary emphysema) n-3系脂肪酸 (n-3 fatty acid) 食事療法 (diet therapy) ロイコトリエン合成 (leukotriene)
出版物タイトル 岡大三朝分院研究報告
発行日 1997-12
68巻
開始ページ 99
終了ページ 106
ISSN 0918-7839
言語 日本語
論文のバージョン publisher
NAID 120002308310
JaLCDOI 10.18926/14964
タイトル(別表記) The effects of perilla seed oil ointment for atopic dermatitis
フルテキストURL 069_076_081.pdf
著者 宮本 美由紀| 穐山 千晶| 能見 美智代| 高田 純子| 西村 伸子| 中村 寿美江| 川上 恭弘| 岡本 誠| 芦田 耕三| 光延 文裕| 谷崎 勝朗|
抄録 近年アトピー性皮膚炎が増加しており,工ゴマ油を使った食事療法がアレルギー抑制に有用であることが報告されている。そこで今回,エゴマ油を外用剤として使用するため,亜鉛華単軟膏を基剤とした工コマ軟膏を作製し,アトピー性皮膚炎患者3例を対象にその臨床応用を試みた。その結果,掻痒感の軽減に効果がみられ,また皮膚症状では,丘疹.表皮剥離,苔癬化,落屑などの所見が改善される傾向が見られた。
キーワード アトピー性皮膚炎 エゴマ軟膏 掻痒感
出版物タイトル 岡大三朝分院研究報告
発行日 1998-12
69巻
開始ページ 76
終了ページ 81
ISSN 0918-7839
言語 日本語
論文のバージョン publisher
NAID 120002308418