呼出气一氧化氮检测与慢性阻塞性肺疾病的相关性研究进展
Research Progress on the Correlation between Exhaled Nitric Oxide Detection and Chronic Obstructive Pulmonary Disease
DOI: 10.12677/acm.2024.1492436, PDF,   
作者: 杨 洋, 黄爱群*:吉首大学第一附属医院全科医学科,湖南 吉首;张钰华, 毛瑞钊:吉首大学医学院,湖南 吉首
关键词: 呼出气一氧化氮慢阻肺气道炎症Exhaled Nitric Oxide Chronic Obstructive Pulmonary Disease Airway Inflammation
摘要: 目的:本文对呼出气一氧化氮检测与慢性阻塞性肺疾病的相关性进行系统综述,以期为本病相关研究的开展提供参考。方法:本文通过以“慢性阻塞性肺疾病、呼出气一氧化氮、气道炎症、嗜酸性粒细胞、肺功能、吸烟、糖皮质激素”等为关键词,检索2016年至2024年期间中国知网、万方、维普、PubMed数据库中相关文献,并进行归纳总结。结果:呼出气一氧化氮检测作为一种操作方便、可重复性高、非侵入性的检测方法,有助于反映气道炎症程度、预测慢阻肺患者急性加重的风险、辅助和鉴别诊断慢阻肺、预测激素治疗效果和评估预后。结论:FeNO检测在一定程度上有助于慢阻肺患者的病情评估、临床诊疗以及预后,具有较大的临床意义,值得推广使用。
Abstract: Objective: To systematically review the correlation between fraction of exhaled nitric oxide detection and chronic obstructive pulmonary disease, in order to provide reference for the development of related research on this disease. Methods: Using “chronic obstructive pulmonary disease, fraction of exhaled nitric oxide, airway inflammation, eosinophils, lung function, smoking, glucocorticoids” as keywords, the relevant literatures in CNI, Wanfang, VIP and PubMed databases from 2016 to 2024 were searched and summarized. Results: Fraction of exhaled nitric oxide, as a convenient, reproducible and non-invasive test, can help to reflect the degree of airway inflammation, predict the risk of acute exacerbation in patients with COPD, assist and differentiate the diagnosis of COPD, predict the effect of hormone therapy, and evaluate prognosis. Conclusion: Fraction of exhaled nitric oxide detection is helpful to the assessment, clinical diagnosis, treatment and prognosis of COPD patients to a certain extent, which has great clinical significance and is worth promoting.
文章引用:杨洋, 黄爱群, 张钰华, 毛瑞钊. 呼出气一氧化氮检测与慢性阻塞性肺疾病的相关性研究进展[J]. 临床医学进展, 2024, 14(9): 113-119. https://doi.org/10.12677/acm.2024.1492436

参考文献

[1] Agustí, A., Celli, B.R., Criner, G.J., Halpin, D., Anzueto, A., Barnes, P., et al. (2023) Global Initiative for Chronic Obstructive Lung Disease 2023 Report: GOLD Executive Summary. Archivos de Bronconeumología, 59, 232-248. [Google Scholar] [CrossRef] [PubMed]
[2] Wang, C., Xu, J., Yang, L., Xu, Y., Zhang, X., Bai, C., et al. (2018) Prevalence and Risk Factors of Chronic Obstructive Pulmonary Disease in China (the China Pulmonary Health [CPH] Study): A National Cross-Sectional Study. The Lancet, 391, 1706-1717. [Google Scholar] [CrossRef] [PubMed]
[3] Singh, D., Agusti, A., Anzueto, A., Barnes, P.J., Bourbeau, J., Celli, B.R., et al. (2019) Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease: The GOLD Science Committee Report 2019. European Respiratory Journal, 53, Article ID: 1900164. [Google Scholar] [CrossRef] [PubMed]
[4] Celli, B., Fabbri, L., Criner, G., Martinez, F.J., Mannino, D., Vogelmeier, C., et al. (2022) Definition and Nomenclature of Chronic Obstructive Pulmonary Disease: Time for Its Revision. American Journal of Respiratory and Critical Care Medicine, 206, 1317-1325. [Google Scholar] [CrossRef] [PubMed]
[5] 王凤燕, 张冬莹, 梁振宇, 等. 面向全科医生的《慢性阻塞性肺疾病诊治指南(2021年修订版)》解读[J]. 中国全科医学, 2021, 24(29): 3660-3663+3677.
[6] 李凡, 孙惠芬, 段静, 等. 从GOLD指南的演变看慢性阻塞性肺疾病的防治[J]. 中国全科医学, 2019, 22(27): 3275-3280.
[7] 安宇, 任寿安, 乔可宏. 呼出气、肺泡一氧化氮在慢性阻塞性肺疾病中的应用[J]. 临床肺科杂志, 2024, 29(6): 942-946.
[8] Lehtimäki, L., Karvonen, T. and Högman, M. (2020) Clinical Values of Nitric Oxide Parameters from the Respiratory System. Current Medicinal Chemistry, 27, 7189-7199. [Google Scholar] [CrossRef] [PubMed]
[9] 王述红, 何正光, 邱容, 等. 呼出气一氧化氮测定在慢性阻塞性肺疾病频繁加重表型中的作用研究[J]. 临床肺科杂志, 2021, 26(12): 1861-1865.
[10] Liu, X., Zhang, H., Wang, Y., Lu, Y., Gao, Y., Lu, Y., et al. (2020) Fractional Exhaled Nitric Oxide Is Associated with the Severity of Stable COPD. COPD: Journal of Chronic Obstructive Pulmonary Disease, 17, 121-127. [Google Scholar] [CrossRef] [PubMed]
[11] Maniscalco, M., Vitale, C., Vatrella, A., Molino, A., Bianco, A. and Mazzarella, G. (2016) Fractional Exhaled Nitric Oxide-Measuring Devices: Technology Update. Medical Devices: Evidence and Research, 9, 151. [Google Scholar] [CrossRef] [PubMed]
[12] 谢昭鑫. 慢性阻塞性肺疾病患者病期与呼出气一氧化氮(FENO)、肺功能水平的相关性研究[J]. 吉林医学, 2019, 40(9): 1973-1975.
[13] Gong, S., Pu, Y., Xie, L., Yang, X. and Mao, H. (2020) Fraction of Exhaled Nitric Oxide Is Elevated in Patients with Stable Chronic Obstructive Pulmonary Disease: A Meta-Analysis. The American Journal of the Medical Sciences, 360, 166-175. [Google Scholar] [CrossRef] [PubMed]
[14] 朱能洋, 韩志海, 陈旭昕, 等. 慢性阻塞性肺疾病患者肺功能MMEF/FVC与FeNO、血清标志物的相关性及意义[J]. 解放军医学院学报, 2022, 43(4): 371-376.
[15] 汪夙兴. 呼出气一氧化氮水平与诱导痰嗜酸性粒细胞联合检测对哮喘-慢性阻塞性肺疾病重叠综合征、哮喘、慢性阻塞性肺疾病患者的诊断价值[J]. 中国当代医药, 2020, 27(5): 12-15.
[16] Kobayashi, S., Hanagama, M., Ishida, M., Ono, M., Sato, H. and Yanai, M. (2021) Exhaled Nitric Oxide: A Biomarker for Chronic Obstructive Pulmonary Disease. Respiratory Investigation, 59, 364-366. [Google Scholar] [CrossRef] [PubMed]
[17] Lu, Z., Huang, W., Wang, L., Xu, N., Ding, Q. and Cao, C. (2018) Exhaled Nitric Oxide in Patients with Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis. International Journal of Chronic Obstructive Pulmonary Disease, 13, 2695-2705. [Google Scholar] [CrossRef] [PubMed]
[18] Negewo, N., McDonald, V., Baines, K., Wark, P., Simpson, J., Jones, P., et al. (2016) Peripheral Blood Eosinophils: A Surrogate Marker for Airway Eosinophilia in Stable COPD. International Journal of Chronic Obstructive Pulmonary Disease, 11, 1495-1504. [Google Scholar] [CrossRef] [PubMed]
[19] Fachri, M., Hatta, M., Lestari, F.I., Akaputra, R., Fatimah, F., Wahab, A., et al. (2023) Eosinophil Values in Exacerbation and Stable Chronic Obstructive Pulmonary Disease and Its Relationship to Maintenance Therapy in Stable Chronic Obstructive Pulmonary Disease Patients. Annals of Medicine & Surgery, 85, 4799-4805. [Google Scholar] [CrossRef] [PubMed]
[20] Celli, B.R. and Criner, G.J. (2019) Using the Peripheral Blood Eosinophil Count to Manage Patients with Chronic Obstructive Pulmonary Disease. Annals of the American Thoracic Society, 16, 301-303. [Google Scholar] [CrossRef] [PubMed]
[21] 李玉磊, 陈国忠, 刘莉敏, 等. 慢性阻塞性肺疾病患者呼出气一氧化氮与外周血嗜酸性粒细胞相关性分析[J]. 实用医学杂志, 2018, 34(21): 3521-3524.
[22] 刘土轩, 彭敏, 刘旺, 等. 外周血嗜酸性粒细胞计数与慢性阻塞性肺疾病急性加重期患者呼出气一氧化氮及预后的相关性[J]. 中国老年学杂志, 2023, 43(4): 817-821.
[23] 王祝君, 王忠平, 梁咏雪, 等. 呼出气一氧化氮在嗜酸性粒细胞表型慢阻肺患者中的检测价值[J]. 云南医药, 2022, 43(5): 25-28.
[24] Menzies-Gow, A., Mansur, A.H. and Brightling, C.E. (2020) Clinical Utility of Fractional Exhaled Nitric Oxide in Severe Asthma Management. European Respiratory Journal, 55, Article ID: 1901633. [Google Scholar] [CrossRef] [PubMed]
[25] 刘晓茜, 王颖, 鲁月, 等. 呼出气一氧化氮波动与慢性阻塞性肺疾病患者肺功能及生活质量的关系[J]. 中国医刊, 2020, 55(2): 143-146.
[26] 汪伯宇, 丁洁珠, 徐平. 稳定期COPD患者呼出气一氧化氮与不同血嗜酸性粒细胞水平的相关性分析[J]. 西部医学, 2023, 35(7): 1024-1029.
[27] 辛雯艳, 刘冬, 许西琳, 等. 慢性阻塞性肺疾病患者EBC中IL-17及FENO变化的相关性研究[J]. 吉林医学, 2018, 39(3): 406-408.
[28] 韩丽歌, 刘景春. 一氧化氮、白细胞介素6在慢性阻塞性肺疾病中的变化及临床意义[J]. 医药论坛杂志, 2023, 44(5): 45-49.
[29] Lugg, S.T., Scott, A., Parekh, D., Naidu, B. and Thickett, D.R. (2021) Cigarette Smoke Exposure and Alveolar Macrophages: Mechanisms for Lung Disease. Thorax, 77, 94-101. [Google Scholar] [CrossRef] [PubMed]
[30] 张希春, 刘晓芳, 白澎, 等. 慢性阻塞性肺疾病稳定期患者外周血嗜酸性粒细胞表型及临床特征分析[J]. 临床内科杂志, 2023, 40(7): 462-465.
[31] Arif, A.A. and Mitchell, C. (2015) Use of Exhaled Nitric Oxide as a Biomarker in Diagnosis and Management of Chronic Obstructive Pulmonary Disease. Journal of Primary Care & Community Health, 7, 102-106. [Google Scholar] [CrossRef] [PubMed]
[32] 张彩云, 韩志海, 孟激光, 等. 稳定期COPD患者呼出气一氧化氮与外周血嗜酸性粒细胞水平的相关性分析[J]. 解放军医学院学报, 2022, 43(4): 377-382+389.
[33] 崔可慧, 苏新明. 呼出气一氧化氮检测与稳定期慢性阻塞性肺疾病患者小气道改变及预后的相关性[J]. 中国医科大学学报, 2023, 52(1): 12-17.
[34] 向治俞, 薛金梅. 糖皮质激素受体在慢性气道炎症性疾病激素抵抗中的研究进展[J]. 中国耳鼻咽喉颅底外科杂志, 2023, 29(4): 108-112.
[35] 杨益成, 丁国正. 呼出气一氧化氮在慢性阻塞性肺疾病急性加重患者激素使用中的应用价值研究[J]. 中国新药杂志, 2023, 32(5): 507-512.
[36] Ryu, S., Oh, S.k., Cho, S.U., You, Y., Park, J.S., Min, J.H., et al. (2021) Utility of the Blood Urea Nitrogen to Serum Albumin Ratio as a Prognostic Factor of Mortality in Aspiration Pneumonia Patients. The American Journal of Emergency Medicine, 43, 175-179. [Google Scholar] [CrossRef] [PubMed]
[37] Li, Q., Larivée, P., Courteau, J., Couillard, S., Poder, T.G., Carrier, N., et al. (2019) Greater Eosinophil Counts at First COPD Hospitalization Are Associated with More Readmissions and Fewer Deaths. International Journal of Chronic Obstructive Pulmonary Disease, 14, 331-341. [Google Scholar] [CrossRef] [PubMed]
[38] 刘靖, 孙洪, 雷映红, 等. 老年慢性阻塞性肺疾病急性加重期患者呼出气NO的临床意义[J]. 内科急危重症杂志, 2019, 25(5): 367-369+377.
[39] Yamaji, Y., Oishi, K., Hamada, K., Ohteru, Y., Chikumoto, A., Murakawa, K., et al. (2020) Detection of Type 2 Biomarkers for Response in COPD. Journal of Breath Research, 14, Article ID: 026007. [Google Scholar] [CrossRef] [PubMed]
[40] Uppalapati, A., Gogineni, S. and Espiritu, J.R. (2016) Association between Body Mass Index (BMI) and Fraction of Exhaled Nitric Oxide (FENO) Levels in the National Health and Nutrition Examination Survey (NHANES) 2007-2010. Obesity Research & Clinical Practice, 10, 652-658. [Google Scholar] [CrossRef] [PubMed]