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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La prevalencia de criterios de bronquitis cr&#243;nica en un colectivo hospitalario de 220 mujeres asm&#225;ticas&#44; no fumadoras&#44; fue de 17&#44;3&#37;&#46; En las menores de 50 a&#241;os fue de 10&#44;8&#37; y en mayores de 50 de 23&#46;8&#37; &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#41;&#46; En 92 pacientes con menos de 20 a&#241;os de evoluci&#243;n del asma la prevalencia fue de 18&#44;5&#37; y en 81 pacientes de evoluci&#243;n mayor de 20 a&#241;os fue similar &#40;19&#44;7&#37;&#41;&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se estudiaron las caracter&#237;sticas de la agudizaci&#243;n asm&#225;tica en 30 mujeres que presentaban bronquitis cr&#243;nica y en un grupo control de 60 sin bronquitis cr&#243;nica&#46; El &#250;nico dato que difer&#237;a significativamente era que las pacientes con bronquitis cr&#243;nica presentaban mayor inestabilidad &#40;24&#44;6&#37;&#41;&#44; en los registros seriados de FEV<span class="elsevierStyleInf">1</span>&#44; que en el grupo control &#40;20&#44;2&#37;&#41; &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#41;&#46; El subgrupo de asm&#225;ticas con bronquitis y menores de 50 a&#241;os presentaba una velocidad de recuperaci&#243;n de la agudizaci&#243;n m&#225;s lenta y PaCO<span class="elsevierStyleInf">2</span> m&#225;s elevadas al ingreso que el subgrupo control sin bronquitis&#59; 6&#44;1&#37; frente al 11&#44;1&#37; &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#41; y 38&#44;3<span class="elsevierStyleHsp" style=""></span>mmHg frente a 33&#44;9<span class="elsevierStyleHsp" style=""></span>mmHg &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;05&#41; respectivamente&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La larga historia de asma no se asocia con mayor prevalencia de bronquitis cr&#243;nica&#46; La presencia de bronquitis cr&#243;nica se asocia con mayor inestabilidad de la obstrucci&#243;n&#46; Las asm&#225;ticas j&#243;venes con bronquitis cr&#243;nica se recuperan lentamente de la agudizaci&#243;n e ingresan con cifras de PaCO<span class="elsevierStyleInf">2</span> m&#225;s elevadas&#46;</p></span>"
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Vol. 20. Issue 5.
Pages 188-192 (September - October 1984)
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Vol. 20. Issue 5.
Pages 188-192 (September - October 1984)
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Prevalencia de bronquitis cronica en asmaticas no fumadoras. Caracteristicas de la agudizacion asmatica
Prevalence of chronic bronchitis in non-smoking asthmatic women. Characteristics of asthmatic relapses
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G. Fernandez Rego*, A. Roman Rojo**, J.L. Menendez Del Campo**, P. Romero Alvarez***, A. Alonso Gonzalez***
* Jefe Clínico. Servicio de Neumología. Instituto Nacional de Silicosis. Oviedo
** Médico Adjunto. Servicio de Neumología. Instituto Nacional de Silicosis. Oviedo
*** Médico Residente. Servicio de Neumología. Instituto Nacional de Silicosis. Oviedo
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La prevalencia de criterios de bronquitis crónica en un colectivo hospitalario de 220 mujeres asmáticas, no fumadoras, fue de 17,3%. En las menores de 50 años fue de 10,8% y en mayores de 50 de 23.8% (p<0,05). En 92 pacientes con menos de 20 años de evolución del asma la prevalencia fue de 18,5% y en 81 pacientes de evolución mayor de 20 años fue similar (19,7%).

Se estudiaron las características de la agudización asmática en 30 mujeres que presentaban bronquitis crónica y en un grupo control de 60 sin bronquitis crónica. El único dato que difería significativamente era que las pacientes con bronquitis crónica presentaban mayor inestabilidad (24,6%), en los registros seriados de FEV1, que en el grupo control (20,2%) (p<0,05). El subgrupo de asmáticas con bronquitis y menores de 50 años presentaba una velocidad de recuperación de la agudización más lenta y PaCO2 más elevadas al ingreso que el subgrupo control sin bronquitis; 6,1% frente al 11,1% (p<0,05) y 38,3mmHg frente a 33,9mmHg (p<0,05) respectivamente.

La larga historia de asma no se asocia con mayor prevalencia de bronquitis crónica. La presencia de bronquitis crónica se asocia con mayor inestabilidad de la obstrucción. Las asmáticas jóvenes con bronquitis crónica se recuperan lentamente de la agudización e ingresan con cifras de PaCO2 más elevadas.

The prevalence of the criteria of chronic bronchitis in a group of 220 non-smoking asthmatic women seen at the hospital was 17.3%. In the patients younger than age 50 it was 10.8% and in older than age 50 it was 23.8% (p<0.05). In 92 patients with asthma of less than 20 years’ duration the prevalence was 18.5%, and it was similar (19.7%) in 81 patients with asthma of more than 20 years.

The characteristics of asthmatic relapse in 30 women with chronic bronchitis were compared to a control group of 60 women without chronic bronchitis. The only finding with a significant difference between both groups was that the patients with chronic bronchitis showed a greater instability (24.6%) in the serial recordings of FEV1 than the control group (20.2%)(p<0.05). The sugroup of patients with chronic bronchitis and who were younger than age 50 recovered from the relapse at a smaller speed and showed higher PaCO2 at admission than the control subgroup without bronchitis-6.1% versus 11.1% (p<0.05) and 38.3mmHg versus 33.9 mmHg (p<0.05), respectively.

A long history of asthma is not associated with a greater prevalence of chronic bronchitis. The presence of chronic bronchitis is associated with a greater instability of obstruction. Young asthmatic women with chronic bronchitis show a slow recovery from asthmatic relapses and higher levels of PaCO2 at admission.

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Copyright © 1984. Sociedad Española de Neumología y Cirugía Torácica
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