気管支喘息の温泉療法―吸入療法

慢性閉塞性呼吸器疾患,特に気管支喘息に対する温泉療法は.温泉療法そのものの効果以外に,温泉保養地の周囲環境が疾患に極めて良好であるという利点を有している｡温泉水やヨードゾルによる吸入療法は,気管支喘息に対して有効であるが,治療効果をより良好なものにするためには,各喘息症例の気道内病態を十分把握しておく必要がある｡板状貯留を呈する過分泌型喘息や細気管支閉塞型喘息に対しては,吸入療法の効果は一般的に低い｡代表的なヨー ドゾル吸入療法の臨床効果は,気管支喘息20例中,著効4例(20%),有効11例(55%),やや有効4例(20%),無効1例であった。

In spa therapy for chronic obstructive pulmonary diseases, especially bronchial asthma, there are some advantages that the atmosphere around the health resort where spa therapy is administered is beneficial for the diseases as well as spa effects themselves. There are several kinds of inhalation methods and drugs used for inhalation. Although inhalation therapy uslng hot spring water and iodine salt solution is effective in bronchial asthma, analysis of pathophysiologlcal changes is the airways of asthma is necessary to increase effects of the therapy. Inhalation therapy is in general low in patients with hypersecretion or with bronchiolar obstruction. The clinical effects of inhalation therapy with iodine salt solution, which is one of the representative inhalation therapies, were marked in 4 (20%), moderate in 11 (55%), slight in 4 (20%), and of no value in one of the 20 asthma patients.