A Study of Makimg out a Prescription Norm for Health Promotion on Children with Bronchial Asthma.

本研究旨在通过练剑道，为支气管哮喘患儿制定一套改善呼吸功能、促进健康的处方规范。研究对象为6名7 ~ 12岁的哮喘男孩（轻度3名、中度1名、重度2名）和1名非哮喘对照组男孩。他们从1992年6月开始练剑道，现在从1994年3月开始练剑道。测量项目为心率（HR）、白细胞（嗜酸性粒细胞、中性粒细胞、嗜碱性粒细胞、淋巴细胞）、免疫球蛋白E（IgE）、儿茶酚胺（AD、NAD）、前列腺素F2alpha、肺通气功能（FVC、FEV1.0、PFR），并在逐渐增加负荷的自行车测力仪上测量摄氧量、呼吸频率(f)和心率（HR）。然后得到厌氧阈值（AT），计算出全力以赴状态下达到最大摄氧量时的氧脉冲（VO2/HR）、气体交换速率（VCO2/VO2）、潮气量（VE/f）。结果显示FVC、FEV1.0、PFR和IgE均无明显改善（平均845.9（±±））。[) 132.25 IU/ml)。经过一年半的剑道训练，他们表现出AT的增加，并且在休息时间忍受着两倍于HR的强度。支气管哮喘患儿在休息时间服用2次HR是一种处方规范。

This research are purposed to make out a prescription norm for improving respiratory function and promoting health codition on children with bronchial asthma by practicing the Kendo.The subjects were six asthmatic boys aged 7 to 12 years(mild 3, moderate 1, severe 2) and non-asthmatic control boy 1. They began the Kendo practice on Jun '92 and now continue to doing practice on March '94.The items of measurement were heart rate(HR), leukocyte(eosinophil, neutrophil, basophil, lymphocyte), immunoglobulin E(IgE), catecholamine(AD, NAD), prostaglandin F2alpha, pulmonary ventilating function(FVC, FEV1.0, PFR), and the subjects exercised on bicycle ergometer with a gradual increase load to measure oxygen uptake, respiratory frequency(f) and HR.And then we could get anaerobic threshold(AT) to calculate oxygen pulse(VO2/HR), exchanging rate of gas(VCO2/VO2), tidal volume(VE/f) when they reached maximal oxygen uptake in all-out state.The result did not show the improvement of FVC, FEV1.0, PFR and IgE(average 845.9 (〕SY.+-.〔) 132.25 IU/ml). After one and half year Kendo practice, they showed the increase of AT, and endured to being twice as intense as HR at the rest time.It seems that the twice of HR at rest time are a prescription norm for children with bronchial asthma and kind of exercise.