The study of bronchial hyperresponsiveness in asthmatic children by forced oscillation technique

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Abstract

We have studied the bronchial hyperresponsiveness (BHR) of children with normal controls and asthma by methacholine inhalation challenge, using a forced oscillation method. Four parameters, respiratory conductance (Grs), bronchial responsiveness (PD35Grs), bronchial sensitivity (Dmin) and reactivity (SGrs) were studied. There were three patterns of dose-response curves identified in this study, which were significantly correlated to the clinical severity of asthma. (r=0.848, p<0.001, Spearman's rank correlation). There were significant negative correlations between control Rrs (Rrs cont.) and age (r=0.514, p<0.001) or body height (r=0.685, p<0.001). Positive correlations between SGrs and subjects' age (r=0.457, p<0.001) and body height (r=0.496, p<0.001) were also noted. In the normal controls, Dmin and PD35Grs were over 25 units and 50 units, respectively. The Grs for normal children was statistically higher than that of asthmatic children (p<0.05). In the asthmatic children, there were significant differences among all subgroups in PD35Grs (p<0.001) and Dmin (p<0.01). In summary, the bronchial provocation test using the forced oscillation technique is simple, fast and easy to be applied to children. In addition to being capable of investigating BHR, it may offer valuable intormation for the clinical diagnosis and treatment of asthmatic children.

Original languageEnglish
Pages (from-to)51-56
Number of pages6
JournalAsian Pacific Journal of Allergy and Immunology
Volume9
Issue number1
Publication statusPublished - 1991 Jan 1

All Science Journal Classification (ASJC) codes

  • Immunology and Allergy
  • Immunology

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