網路城邦
回本城市首頁 軍事迷休閒小棧
市長:Luke-Skywalker  副市長: 塔頂的鋼鐵鯊魚燉奶(冷眼看人生)
加入本城市推薦本城市加入我的最愛訂閱最新文章
udn城市政治社會國際萬象【軍事迷休閒小棧】城市/討論區/
討論區軍武網友交流 字體:
看回應文章  上一個討論主題 回文章列表 下一個討論主題
研究:兒童時期患鼻炎與過敏 成年後易氣喘
 瀏覽5,241|回應26推薦0

Luke-Skywalker
等級:8
留言加入好友

http://n.yam.com/afp/life/200809/20080919955658.html
研究:兒童時期患鼻炎與過敏 成年後易氣喘  
法新社╱盧瑞珠 2008-09-19 14:05     

 
(法新社巴黎十九日電)根據三份類似的研究結果,長期流鼻水、嬰兒期就吃止痛藥「樸熱息痛」、小時候就哮喘,都可能引發成年期氣喘。

其中一份研究發現,嬰兒一歲前服用不需醫師處方的止痛劑「樸熱息痛」,六到七歲前出現氣喘的可能性多出一半。

根據在三十一個國家收集到的二十多萬份兒童資料,研究同時發現,幼年期曾服用樸熱息痛的小孩,氣喘機率較高,愈常吃藥,風險愈高。

紐西蘭醫學研究所研究員畢司禮領導的研究指出,濕疹、鼻眼結膜炎(因過敏造成眼睛發炎)的機率同樣增加。報告刊登在英國醫學期刊「刺胳針」。

畢司禮和同事強調,他們的發現不代表父母應停止給孩子服用樸熱息痛。

他們表示:「樸熱息痛仍是兒童鎮痛止熱的優先選擇,但應該等到孩子高燒到攝氏三十八點五度才用。」

第二篇同樣發表在「刺胳針」的研究發現,二十歲到四十四歲之間成人首度氣喘發作,和鼻炎及過敏都有密切關連。

法國國家衛生暨醫學研究所人員,利用歐洲共同體健康調查的數據,將這些研究樣本分成四個族群:患鼻炎者、患過敏者、鼻炎與過敏皆有者、鼻炎與過敏皆無者。

經過近九年追蹤,發現既無鼻炎也無過敏者,只有百分之一會出現氣喘,有過敏現象者近百分之二會氣喘,長期流鼻水者出現氣喘的機率是百分之三,鼻炎和過敏都有的孩童,發生氣喘的可能性升高到百分之四。

第三同樣刊登在刺胳針特別號的研究,由亞利桑那大學的史坦主持,研究顯示,成年初期的慢性氣喘,與數種兒童時期的疾病有密切關連。


http://news.yahoo.com/s/afp/20080918/hl_afp/healthdiseaseasthma_080918233051;_ylt=AlwfubRxIifZX_qfisD.5qWJOrgF
Childhood conditions linked to adult asthma: studies

Thu Sep 18, 7:30 PM ET

PARIS (AFP) - A chronic runny nose, taking paracetamol in infancy, and wheezing as a child are all conditions linked to the onset of adulthood asthma, a trio of studies reported Friday.

Babies who took the over-the-counter pain reliever paracetamol in the first year of life were fifty percent more likely to show symptoms of asthma by the time they were six or seven years old, according to one of the studies.

Based on data collected on more than 200,000 children in 31 countries, the study also showed an increased risk of asthma symptoms in young children who had used the medication within the previous year -- the more frequently it was taken, the higher the risk.

Rates of eczema and rhinoconjunctivitis -- inflammation of the eye due to allergies -- also increased, according to the research, led by Richard Beasley of the Medical Research Institute in New Zealand and published in the British journal The Lancet.

Beasley and his colleagues stressed that their findings did not mean that parents should stop giving the drug.

"Paracetamol remains the preferred drug to relieve pain and fever in children," they said. "But it should be reserved for children with a high fever of 38.5 degrees Celsius (101.3 degrees Fahrenheit)."

A second study, also published in The Lancet, found that the first-time onset of asthma in adults aged 20-44 was closely linked to both rhinitis -- typically a runny nose caused by inflammation -- and allergies.

Using data from the European Community Health Survey, researchers at The National Institute of Health and Medical Research in France divided the subjects into four groups: those with rhinitis, with allergies, with both or neither.

The subjects were tracked over nearly a nine year period. Only one percent of the group that had neither ailment developed asthma, and almost twice as many of the allergy sufferers did.

More than three percent of adults with chronic runny noses wound up with asthma, and the rate jumped to nearly four percent for those who previously had both rhinitis and allergies.

A third study from the same special issue, led by Debra Stern of the University of Arizona in Tucson, showed a clear link between chronic asthma in early adulthood and several childhood conditions.

Follow up data on 850 infants covering a 20 year period showed, for example, that children who wheezed at age six were seven times more likely to become asthmatic.

The risk became 14 times greater for those who wheezed as adolescents.

"These findings identify a population at risk of chronic obstructive airway disease in early adulthood," noted Susanne Lau, a researcher at Charite University Medicine in Berlin.

"Whether therapeutic approaches at early preschool age can affect progression of the disease has yet to be established."


May the Force be with you
回應 回應給此人 推薦文章 列印 加入我的文摘

引用
引用網址:https://city.udn.com/forum/trackback.jsp?no=59263&aid=3348415
 回應文章 頁/共3頁 回應文章第一頁 回應文章上一頁 回應文章下一頁 回應文章最後一頁
春天過敏氣喘增加 濕潤鼻腔及除濕可防發作
推薦0


Luke-Skywalker
等級:8
留言加入好友

 

http://n.yam.com/cna/healthy/200903/20090325340440.html
春天過敏氣喘增加 濕潤鼻腔及除濕可防發作 
中央社╱中央社 2009-03-25 13:27
    
(中央社記者陳清芳台北25日電)春天後過敏氣喘增加,醫界指出,早晚及室內外溫差超過7度,加上濕度過高,氣喘打噴嚏病人明顯增加,不妨用溫開水濕潤鼻腔,白天通風,睡前1小時除濕,可預防發作。

台灣氣喘衛教學會理事長徐世達醫師今天發表「過敏指數」的概念,他以溫度和濕度及懸浮微粒,訂出紅、黃、綠指數,台灣春季室內均溫約24度,日夜溫度為22到31度,白天室內外溫差可達7度,再加上下雨濕度增加,這種溫濕度變化易孳生塵(虫滿)過敏原,加上沙塵及空污,就刺激氣喘發作。

民眾可至氣喘衛教學會網站(http://www.asthma-edu.org.tw/asthma),以及民視的氣象預報,得到最新過敏指數預報,以今天為例,北台灣、中台灣的溫差、溼度都是紅燈,空氣品質良好;南台灣則溼度高,溫差與空氣品質出現黃燈;東台灣則溼度出現紅燈、溫差是黃燈。

根據學會網站資料,室內外溫差計算方式,是以當天最高溫、最低溫,減去台灣平均室溫,如果溫差超過7度以上,過敏病患就會出現噴嚏連連,最好拿杯溫開水濕潤鼻腔,如果濕度達到70%,睡前1小時最好先進行臥房除濕1小時。

回應 回應給此人 推薦文章 列印 加入我的文摘
引用網址:https://city.udn.com/forum/trackback.jsp?no=59263&aid=3348470
台北榮總籲氣喘病患留意氣候變化
推薦0


Luke-Skywalker
等級:8
留言加入好友

 

http://mna.gpwb.gov.tw/MNANew/Internet/NewsDetail.aspx?GUID=44821
台北榮總籲氣喘病患留意氣候變化
發稿日期:2009/02/03

   (軍聞社記者孔繁嘉台北三日電)時令進入立春,季節交替氣候多變,台北榮民總醫院呼吸治療科提醒氣喘患者,早晚應多加留意氣候變化,隨時注意身處溫度,以避免引發過敏,造成氣喘的發生。
    台北榮榮呼吸治療科主治醫師何莉櫻表示,台灣有百分之廿九的氣喘病患,均有胸部呼吸不規則與呼吸急促等不正常的現象,尤其以年輕女性最多,現為春冬交替季節,患者必須格外注重氣候的變化,建議患者可配合瑜珈所進行的呼吸、肌肉運動,促使肺功能進步,對呼吸不正常的氣喘病患可改善其症狀。
    此外,何醫師也提出食療法,根據研究,限制鹽量的攝取不會改善肺功能,魚油、維他命C也沒效,但缺乏維他命A、C、E,肺功能會較差。而蜂膠則略有療效,國外曾針對四十六個輕、中度氣喘病患研究,發現蜂膠可以改善肺功能,減少夜間發作,及血中促使發炎的細胞激素。因此,何醫師擔心,蜂膠是蛋白質,有蛋過敏的人可能會出現過敏的現象。
    至於目前極為盛行的針灸療法,何醫師說,有兩百篇的論文證實,針灸對減輕氣喘無效,病患在肺功能、尖峰吐氣流量、症狀、藥物使用都沒有改善,甚至有造成氣胸、肝炎的安全疑慮,更有三名病患因為兩側氣胸、心內膜炎,治療時急性氣喘發作死亡。
    何醫師強調,另類治療有效與否,應特別小心副作用,使用前務必謹慎,如部分草藥對氣喘確實有效,但卻可能會與其他藥物交互作用,導致腎臟的傷害,病友應特別留意,才能確保健康。

回應 回應給此人 推薦文章 列印 加入我的文摘
引用網址:https://city.udn.com/forum/trackback.jsp?no=59263&aid=3348461
成大醫院:氣喘首重保養和預防
推薦0


Luke-Skywalker
等級:8
留言加入好友

 

http://n.yam.com/cna/healthy/200811/20081126936583.html
成大醫院:氣喘首重保養和預防 
中央社╱中央社 2008-11-26 13:12
    
(中央社記者張榮祥台南市26日電)秋高氣爽,氣喘好發,成大醫院今天表示,很多人把氣喘初期症狀當成感冒治療,但目前氣喘無根治藥物,首重保養和預防,發作後再以藥物治療。

成大醫院胸腔內科醫師李政宏指出,每當夜晚有咳嗽、呼吸困難、胸悶或哮鳴聲時,就得注意是否氣喘發作,莫以為只是感冒,反而拖延治療。

氣喘首重保養和預防,避免接觸特定的過敏原,包括二手菸、狗、貓、蟑螂等。

李政宏表示,氣喘惡化時毫無警訊,有時會致死,使用尖峰呼氣流速器,可以探測氣喘發炎的程度。

氣喘的藥物治療,包含控制發炎的藥物、緩解藥物,例如類固醇、咽達永樂、白三烯受體拮抗器、乙二型交感神經興奮劑等。

李政宏說,和很多疾病一樣,氣喘只有透過早期診斷、藥物治療,才能控制病情,避免急性發作而住院。

回應 回應給此人 推薦文章 列印 加入我的文摘
引用網址:https://city.udn.com/forum/trackback.jsp?no=59263&aid=3348452
未適當檢驗 逾三成氣喘患者據報可能無病
推薦0


Luke-Skywalker
等級:8
留言加入好友

 

http://n.yam.com/afp/life/200811/20081119686060.html
未適當檢驗 逾三成氣喘患者據報可能無病  
法新社╱張仲琬 2008-11-19 23:50     

 
(法新社渥太華18日電)今天公佈的研究報告指出,1/3的加拿大氣喘患者可能都遭到醫師誤診。研究認為,已開發國家氣喘病例暴增是因為未進行適當檢驗。

「加拿大醫學會期刊」(Canadian Medical Association Journal)刊登的研究報告指出:「約1/3經醫師診斷罹患氣喘的民眾,並未患有氣喘。」

「研究發現,加拿大等已開發國家診斷出的氣喘病例過多。」

全球數百萬民眾可能為了治療這種慢性呼吸疾病,不但花費高昂醫療費用,並無謂地改變生活作息。罹患氣喘時,呼吸道會因過敏原、冷空氣、運動或情緒壓力等刺激而突然收縮。

1980年到1994年之間,加拿大與美國的氣喘罹患率增加了75%。

加拿大統計署(Statistics Canada)指出,2005年,8.3%的12歲以上兒童經診斷患有氣喘。寰宇藥品資料管理公司加拿大分公司(IMS Health Canada)指出,2007年,醫師共開出340萬份頂級氣喘藥物的處方,總支出近3億2900萬加幣。

最新資料顯示,全球約有3億人罹患氣喘,並可望在2025 年增至4億。

加拿大研究人員表示,晚近氣喘症狀與診斷出的病例之所以增加,或許是對此病的警覺性提高,而其原因之一在藥廠宣傳新式氣喘藥物。

http://news.yahoo.com/s/afp/20081118/hl_afp/canadahealthresearchasthma_081118192337;_ylt=AibbpeQrgWzPgqyguaxT4TuJOrgF
One-third of asthma cases not asthma: study

by Michel Comte – Tue Nov 18, 2:23 pm ET

OTTAWA (AFP) – One-third of Canadians with asthma have likely been wrongly diagnosed by their doctor, said a study Tuesday that blames an explosion of asthma cases in developed countries on lack of proper testing.

"About one-third of individuals with physician-diagnosed asthma did not have asthma," said the study published in the Canadian Medical Association Journal (CMAJ).

"This finding suggests that, in developed countries such as Canada, asthma is over-diagnosed."

Thus, millions of people worldwide may be taking costly medications and making life changes needlessly to treat the chronic respiratory disorder in which airways suddenly constrict in response to allergens, cold air, exercise, or emotional stress.

Between 1980 and 1994, the prevalence of asthma increased by 75 percent in Canada and the United States.

In 2005, 8.3 percent of Canadians aged 12 or older were identified as having asthma, said Statistics Canada. And in 2007, 3.4 million prescriptions were issued for the top asthma medications, at a total cost of nearly 329 million Canadian dollars (268 million US), according to IMS Health Canada.

Globally, the latest data indicates 300 million people have asthma and the figure is projected to rise to 400 million cases by 2025.

The Canadian researchers said the higher prevalence of both symptoms and diagnoses of late may be due to increased awareness of the disorder, stemming in part from the pharmaceutical industry's advertising of new asthma medications.

The Canadian study looked at 540 individuals diagnosed with asthma, putting them through a battery of tests that showed a third of them actually did not have the disorder.

Based on its findings, researchers estimated that less than half of Canadians diagnosed with asthma underwent a test used to measure lung function, called spirometry.

The test is said to be one of the most efficient ways to diagnose asthma and other pulmonary diseases, but it is costly and time consuming.

This lack of proper testing is "unacceptable," said CMAJ deputy editor Matthew Stanbrook and Alan Kaplan of the Family Physician Airways Group of Canada, in an editorial on the Canadian Medical Association Journal's website.

"A physician who attempted to manage hypertension without measuring blood pressure or to manage hypercholesterolemia without measuring serum cholesterol levels would not be considered to be maintaining an adequate standard of care," they said.

"Treating asthma without having performed at least spirometry is no different."

Some inhaled steroids used to control the symptoms of asthma, doctors note, have been linked to cataracts, glaucoma and osteoporosis.

Also, Health Canada has warned of the possible increased risk of death associated with use of some asthma medications.

回應 回應給此人 推薦文章 列印 加入我的文摘
引用網址:https://city.udn.com/forum/trackback.jsp?no=59263&aid=3348446
久咳不癒 醫師:恐引發氣喘 民眾需注意
推薦0


Luke-Skywalker
等級:8
留言加入好友

 

http://n.yam.com/cna/healthy/200810/20081003361576.html
久咳不癒 醫師:恐引發氣喘 民眾需注意 
中央社╱中央社 2008-10-03 10:46
    
(中央社記者黃國芳嘉義市三日電)署立嘉義醫院胸腔內科主任林冠群今天表示,天氣變冷,有人咳不停,以為是感冒,看醫生、吃感冒藥卻沒改善,有可能是得氣喘,最近發現幾位病患因慢性咳嗽,看了耳鼻喉科卻沒改善,最後才發現是氣候變化誘發氣喘,他呼籲,民眾久咳不癒,應趕緊至胸腔內科看診,避免延誤病情。

林冠群說,一般人認為氣喘的症狀,是胸悶、吸不到空氣才是氣喘,其實氣喘最常見的徵兆,是慢性咳嗽,民眾只要連續咳三個禮拜以上,就是慢性咳嗽。

林冠群指出,氣喘患者,每次感冒都會咳很久,早晚溫差大時也會咳,有時半夜更會爬起來咳嗽,颱風、下雨天,咳嗽更加明顯,這時就不要拖,趕快看胸腔內科,控制病情,否則真的造成胸悶、吸不到空氣,氣喘發作時,病情就很嚴重。

林冠群強調,有氣喘病史的人,每到季節交替時,就必須注意保暖,早晚出門時,口罩、圍巾,甚至暖暖包都要帶著,隨時保持口鼻溫暖,減少冷空氣接觸;另外,吃東西也要注意,冰品、屬性涼的東西不要吃,才能避免氣喘的發作。

林冠群表示,從臨床上發現,病人若是吃了涼性的食物,會加重病情,由於本身也是合格的中醫師,因此,看診一定要求病人,禁食寒冷、冰冷的食物,任何冰品、西瓜、水梨、柚、椰子等涼性水果,都不能吃,另外,辛辣、燥、燒烤、油炸的食物,也不要碰,飲食也會影響病情。

回應 回應給此人 推薦文章 列印 加入我的文摘
引用網址:https://city.udn.com/forum/trackback.jsp?no=59263&aid=3348438
季節交替氣喘易發作 可採中西醫整合治療
推薦0


Luke-Skywalker
等級:8
留言加入好友

 

http://n.yam.com/cna/healthy/200809/20080923100084.html
季節交替氣喘易發作 可採中西醫整合治療 
中央社╱中央社 2008-09-23 14:24
    
(中央社記者郝雪卿台中市二十三日電)季節交替容易引發氣喘宿疾發作,中山醫學大學附設醫院中西整合科醫師游明謙今天表示,門診中發現還未到季節交替就有氣喘病人求診,顯示氣喘有提早發作情形,急性發作期仍以西醫治療為主,控制以後再配合中藥調理,可以減少病人發作的頻率及嚴重度。

游明謙指出,氣喘急性發作期仍以西醫的治療為主,因為氣喘發作最嚴重時會導致呼吸衰竭,有生命的危險,病患一定不可輕忽。當急性期控制後,如果可以配合中藥的調理,依據不同體質,利用宣肺、補脾腎的方式,不但可以幫助病人排痰,減輕氣喘的症狀,透過中藥對病患腸道免疫的調節,可以減少病人發作的頻率及嚴重度。

對於氣喘不穩定的病人,游明謙建議,不要吃冰或喝冰飲,因為「哮喘遇寒則發」,這是古代就留下來的智慧,臨床上的確有許多病患在吃冰之後氣喘變得不穩定,當然在中秋過後季節交替變化大的時候,沒有控制穩定的氣喘病人,就要更加小心了!

至於小兒氣喘的症狀,游明謙說,常以咳嗽為表現,當感冒後咳嗽超過十天、運動後引發咳嗽或是夜咳,都不能忽略氣喘或是氣道的過度反應。在進行打掃等工作時,對塵(虫滿)過敏的病人至少要帶口罩來減少過敏原接觸的量,以免引發急性發作。

回應 回應給此人 推薦文章 列印 加入我的文摘
引用網址:https://city.udn.com/forum/trackback.jsp?no=59263&aid=3348429
頁/共3頁 回應文章第一頁 回應文章上一頁 回應文章下一頁 回應文章最後一頁