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好酸球性副鼻腔炎における呼気中一酸化窒素濃度のモニタリングについての検討
https://hiroshima.repo.nii.ac.jp/records/2005026
https://hiroshima.repo.nii.ac.jp/records/2005026bf53d453-b1f7-4e98-b128-e31c7c1cac75
名前 / ファイル | ライセンス | アクション |
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Item type | デフォルトアイテムタイプ_(フル)(1) | |||||||||
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公開日 | 2014-11-21 | |||||||||
タイトル | ||||||||||
タイトル | Monitoring of oral and nasal exhaled nitric oxide in eosinophilic chronic rhinosinusitis : a prospective study | |||||||||
言語 | en | |||||||||
タイトル | ||||||||||
タイトル | 好酸球性副鼻腔炎における呼気中一酸化窒素濃度のモニタリングについての検討 | |||||||||
言語 | ja | |||||||||
作成者 |
野田, 礼彰
× 野田, 礼彰
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アクセス権 | ||||||||||
アクセス権 | open access | |||||||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||||||
権利情報 | ||||||||||
権利情報 | Copyright(c) by Author | |||||||||
主題 | ||||||||||
主題Scheme | NDC | |||||||||
主題 | 490 | |||||||||
内容記述 | ||||||||||
内容記述 | Background: We aimed to examine the effect of different therapeutic modalities on levels of fractional concentrations of exhaled nitric oxide (FeNO) in patients with eosinophilic chronic rhinosinusitis (ECRS). Methods: Thirty-six ECRS patients with nasal polyps were treated either medically or surgically. Oral and nasal FeNO levels were measured using an electrochemical NO analyzer initially and at 1 and 6 months. The mRNA expression and localization of nitric oxide synthase (NOS) isoforms in sinus mucosa and nasal polyps were analyzed by real-time polymerase chain reaction (PCR) and immunohistochemistry. Results: The mean oral FeNO levels in the surgical group had decreased significantly from 50.9 to 36.8 ppb 6 months after endoscopic sinus surgery. All patients in this group showed significantly higher nasal FeNO levels after treatment. The mean nasal FeNO levels were 62.3 ppb at 1 month and 93.6 ppb at 6 months. Mean oral and nasal FeNO levels in the medical group after treatment remained unchanged when compared with the baseline levels. Positive immunoreactivity of inducible NOS (iNOS) was observed in both epithelial cells and submucosal inflammatory cells. Real-time PCR analysis showed significant up-regulation of iNOS and IL-5 mRNA expression. Conclusion: A combination of oral and nasal FeNO measurements is useful to monitor the extent of inflammation in CRS patients. The increase in nasal FeNO in the surgical group indicates prompt recovery of NO release from healed sinus mucosa through the opened sinus ostia. Reduction of oral FeNO levels may reflect a cessation of the underlying lower airway inflammation that is characteristic of ECRS. | |||||||||
言語 | en | |||||||||
日付 | ||||||||||
日付 | 2014-11-21 | |||||||||
日付タイプ | Created | |||||||||
言語 | ||||||||||
言語 | eng | |||||||||
資源タイプ | ||||||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_db06 | |||||||||
資源タイプ | doctoral thesis | |||||||||
出版タイプ | ||||||||||
出版タイプ | NA | |||||||||
出版タイプResource | http://purl.org/coar/version/c_be7fb7dd8ff6fe43 | |||||||||
関連情報 | ||||||||||
関連タイプ | references | |||||||||
関連名称 | Noriaki Noda, Sachio Takeno, Takashi Fukuiri and Katsuhiro Hirakawa; Monitoring of oral and nasal exhaled nitric oxide in eosinophilic chronic rhinosinusitis: A prospective study; American Journal of Rhinology & Allergy, Volume 26, Number 4, July/August 2012, pp. 255-259(5) (doi: 10.2500/ajra.2012.26.3772) | |||||||||
関連情報 | ||||||||||
関連タイプ | references | |||||||||
識別子タイプ | DOI | |||||||||
関連識別子 | http://dx.doi.org/10.2500/ajra.2012.26.3772 | |||||||||
学位授与番号 | ||||||||||
学位授与番号 | 甲第6244号 | |||||||||
学位名 | ||||||||||
言語 | ja | |||||||||
学位名 | 博士(医学) | |||||||||
学位名 | ||||||||||
言語 | en | |||||||||
学位名 | Philosophy in Medical Science | |||||||||
学位授与年月日 | ||||||||||
学位授与年月日 | 2013-09-25 | |||||||||
学位授与機関 | ||||||||||
学位授与機関識別子Scheme | kakenhi | |||||||||
学位授与機関識別子 | 15401 | |||||||||
言語 | ja | |||||||||
学位授与機関名 | 広島大学 | |||||||||
学位授与機関 | ||||||||||
言語 | en | |||||||||
学位授与機関名 | Hiroshima University | |||||||||
旧ID | 36271 |