알레르기 비염 환자에서 계절에 따른 저온저습공기 자극 전후 역설적 반응

박기익; 장태영; 김성훈; 김기남; 김영효

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자료유형: 학술저널

저자정보: 박기익 장태영 김성훈 김기남 김영효

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제62권 제10호

발행연도: 2019.1

수록면: 568 - 574 (7page)

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연구주제

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연구배경

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연구방법

🏆

연구결과

초록· 키워드

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Background and Objectives We investigated the seasonal variation of nonspecific hyperreactivityby performing the cold dry air (CDA) provocation test in both summer and winter inpatients with rhinitis. Subjects and Method We performed the CDA provocation test in 57 patients with allergic rhinitis(AR) or non-allergic rhinitis (NAR). Depending on the season and the type of rhinitis, wedivided patients into four groups (Summer AR group, n=17; Winter AR group, n=15; SummerNAR group, n=18 and Winter NAR group, n=7) and compared the changes in nasal symptoms,total nasal volume (TNV), and minimal cross-sectional area (MCA) measured by acoustic rhinometryafter CDA provocation in each group. Results When the CDA provocation was performed for AR patients in summer, nasal symptomsimproved slightly, which was significantly different from those shown in winter (SummerAR vs. Winter AR, p=0.012). In addition, there was a significant difference in symptom changebetween AR and NAR patients in the summer (Summer AR vs. Summer NAR, p=0.033). Therewas no significant difference in TNV or MCA changes after CDA provocation depending onthe type of rhinitis and season (p＞0.05). Conclusion When performing CDA provocation in AR patients in summer, the examinershould pay attention to the possible paradoxical response.

참고문헌 (9)

참고문헌 신청

Rhee CS / 2014 / Prevalence, risk factors and comorbidities of allergic rhinitis in South Korea : the Fifth Korea National Health and Nutrition Examination Survey / Am J Rhinol Allergy 28(2):e107~14

Kamijo A / 2013 / Prevalence of allergic rhinitis among asthmatic patients in two different seasons / Arerugi 62(12):1642~1650

Van Gerven L / 2012 / Short-time cold dry air exposure : a useful diagnostic tool for nasal hyperresponsiveness / Laryngoscope 122(12):2615~2620

Kim YH / 2011 / Diagnostic criteria of nonspecific hyperreactivity using cold dry air provocation with acoustic rhinometry / Otolaryngol Head Neck Surg 144(1):91~95

Kim YH / 2008 / Evaluation of acoustic rhinometry in a nasal provocation test with allergic rhinitis / Otolaryngol Head Neck Surg 139(1):120~123

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