Kinematic Characteristics and Thermophoretic Deposition of Inhalable Particles in Turbulent Duct Flow

The kinematical characteristics and thermophoretic deposition of inhalable particles with the diameters of 0-2.5μm （hereafter referred to as PM2.5） suspended in turbulent air flow in a rectangular duct with temperature distribution were experimentally studied. Particle dynamics analyzer （PDA） was used for the on-line measurement of particle motion and particle concentration distribution in the cross-sections of the duct. The influences of the parameters such as the ratio of the bulk air temperature to the cold wall temperature and the air flow rate in the duct on the kinematical characteristics and the deposition efficiencies of PM2.5 were investigated. The experimental re- sults show that the deposition efficiencies of PM2.5 mainly depend on the temperature difference between the air and the cold wail, wffile the air flow rate and the particlecon^centration almost affect hardly tile clep0si-tion-effi ciency. The radial force thermophoresis to push PM2.5 to the cold wail is found the key factor for PM2.5 deposition.Based on the experimental results, an empirical modified Romay correlation for the calculation of thermophoretic deposition efficiency of PM2.5 is presenlext. The empirical correlation agrees reasonably well with the experimental data.

Variation Characteristics of Mass Concentration of Inhalable Particles in Qingdao, China

The geographical condition of Qingdao, China is relatively special;the transport of various inland pollutants, the emissions of marine aerosol and local pollutants will have an impact on the changes of atmospheric aerosol concentration. By using the stability classification method, trajectory clustering analysis and the NOAA HYSPLIT model, the seasonal distribution characteristics of atmospheric inhalable particulate matter concentration in Qingdao, China and its relationship with meteorological conditions, mixed layer height, and the seasonal characteristics of Qingdao pollutant transport were analyzed. The results show that the variation trends of PM2.5 and PM10 were about the same, and there are obvious seasonal differences, which are high in winter and spring, and low in summer and autumn. The concentration of inhalable particulate matter has a negative correlation with temperature, wind speed and relative humidity. The concentration of inhalable particulate matter is distinct in different relative humidity ranges. When the wind speed is less than 3 - 4 m/s, there are more inhalable particles, while the mass concentration shows obvious reduction with the wind speed more than 4 m/s. There is a significant negative correlation between the mass concentration of pollutants and the daily maximum mixed layer height. The larger the concentration of pollutants, the smaller the thickness of the daily largest mixed layer. Conversely, the smaller the mass concentration of pollutants, the larger the thickness of the daily largest mixed layer. The pollutant transport in Qingdao has obvious seasonal characteristics. The air mass in spring, autumn and winter is mainly medium-long distance transport from Mongolia and southern Russia, and medium-short distance transport from Inner Mongolia and northeast of China. The source of air masses in summer is mainly transported from the eastern and sea areas.

Assessment of Inhalable Particulate Matter Associated with a Refinery in Curacao

Inhalation and atmospheric pollution studies have focused on particulate matter due to correlations and associations with various morbidities and mortalities. This research analyzed ambient concentrations of inhalable particulate matter (PM10) on the island of Curaçao in order to evaluate through comparative literature analysis and recommended public health guidelines the potential health risks. Available hourly, daily and monthly PM10 measurements were accessed from June 2010 through December 2014 from a local air monitoring station in Willemstad. Mean annual concentrations of PM10 (31 - 122 μg/m3) in Curaçao are among the highest reported globally, demonstrating an increasing trend over time and exceed current public health guidelines recommended by local and international agencies. While the epidemiological evidence is inadequate to infer a causal association between health effects and long-term exposures of the measured PM10 concentrations, the results indicate that emissions controls are not adequate for compliance with international exposure standards.

Inhalable nanoparticles with enhanced cuproptosis and cGAS-STING activation for synergistic lung metastasis immunotherapy

Due to the insufficient Cu^(+)accumulation,Cu^(+)efflux mechanism,and highly immunosuppressive tumor microenvironment(TME)in lung metastasis,the cuproptosis efficacy is limited.Herein,an inhalable nanodevice(CLDCu)is constructed to successfully overcome the drawbacks of cuproptosis.CLDCu consists of a Cu^(2+)-chitosan shell and low molecular weight heparin-tocopherol succinate(LMWH-TOS,LT)core with disulfiram(DSF)loading.The prepared CLDCu can be inhaled and accumulate in large amounts in lung lesions(63.6%)with 56.5 times higher than intravenous injection.Within tumor cells,the mild acidity triggers the co-release of DSF and Cu2+,thus generating bis(diethyldithiocarbamate)-copper(CuET)to block Cu^(+)efflux protein ATP7B and forming toxic Cu^(+),leading to enhanced cuproptosis.Meanwhile,the released chitosan cooperates with CLDCu-induced cuproptosis to activate stimulator of interferon genes(STING)pathway,which significantly potentiates dendritic cells(DCs)maturation,as wells as evokes innate and adaptive immunity.In lung metastatic mice model,CLDCu is found to induce cuproptosis and reverse the immunosuppressive TME by inhalation administration.Moreover,CLDCu combined with anti-programmed cell death protein ligand-1 antibody(aPD-L1)provokes stronger antitumor immunity.Therefore,nanomedicine that combines cuproptosis with STING activation is a novel strategy for tumor immunotherapy.

Compositional characteristics and toxicological responses of human lung epithelial cells to inhalable particles (PM_(10)) from ten typical biomass fuel combustions

As the primary component of haze,atmospheric inhalable particulate matters(PMio)are highly detri-mental to human health.Biomass combustion is one of China's most pivotal sources to aerosols pollution,inducing non-negligible emissions and uncertain risks.PMio samples directly from 10 representative biomass fuel combustion sources(2 groups covering the reality widely:straws of rice,wheat,corn,corncob,soybean,peanut,rape,sesame;and branches of pine,peach)were collected using the dilution channel sampler and analyzed for chemical compositions and in vitro cytotoxicity to human lung epithelial cell lines A549.The components of PMio are dominated by organic carbon(OC),followed by Water-soluble K+and Cl,and rich in metals Fe,Zn,Cr,and Ni.Generally,PMio emitted from biomass fuel combustions can weaken the antioxidant capacity of cells,and straws emissions,especially rape and peanut straws,show stronger ability to further induce oxidative stress and inflammatory damage than fuelwoods,owing to the key toxic roles of Cr,Ni,and Co.Therefore,reducing the specific source emis--sions of PMio from crop straw combustions rich in heavy metals could be an effective oriented strategy to improve environmental air quality and control aerosols pollution precisely for protecting public health.

Inhalable microparticles as drug delivery systems to the lungs in a dry powder formulations

Inhalation-administrated drugs remain an interesting possibility of addressing pulmonary diseases.Direct drug delivery to the lungs allows one to obtain high concentration in the site of action with limited systemic distribution,leading to a more effective therapy with reduced required doses and side effects.On the other hand,there are several difficulties in obtaining a formulation that would meet all the criteria related to physicochemical,aerodynamic and biological properties,which is the reason why only very few of the investigated systems can reach the clinical trial phase and proceed to everyday use as a result.Therefore,we focused on powders consisting of polysaccharides,lipids,proteins or natural and synthetic polymers in the form of microparticles that are delivered by inhalation to the lungs as drug carriers.We summarized the most common trends in research today to provide the best dry powders in the right fraction for inhalation that would be able to release the drug before being removed by natural mechanisms.This review article addresses the most common manufacturing methods with novel modifications,pros and cons of different materials,drug loading capacities with release profiles,and biological properties such as cytocompatibility,bactericidal or anticancer properties.

Threshold friction velocity influenced by soil particle size within the Columbia Plateau, northwestern United States

Wind erosion is a geomorphic process in arid and semi-arid areas and has substantial implications for regional climate and desertification.In the Columbia Plateau of northwestern United States,the emissions from fine particles of loessial soils often contribute to the exceedance of inhalable particulate matter(PM)with an aerodynamic diameter of 10μm or less(PM10)according to the air quality standards.However,little is known about the threshold friction velocity(TFV)for particles of different sizes that comprise these soils.In this study,soil samples of two representative soil types(Warden sandy loam and Ritzville silt loam)collected from the Columbia Plateau were sieved to seven particle size fractions,and an experiment was then conducted to determine the relationship between TFV and particle size fraction.The results revealed that soil particle size significantly affected the initiation of soil movement and TFV;TFV ranged 0.304-0.844 and 0.249-0.739 m/s for different particle size fractions of Ritzville silt loam and Warden sandy loam,respectively.PM10 and total suspended particulates(TSP)emissions from a bed of 63-90μm soil particles were markedly higher for Warden sandy loam than for Ritzville silt loam.Together with the lower TFV of Warden sandy loam,dust emissions from fine particles(<100μm in diameter)of Warden sandy loam thus may be a main contributor to dust in the region's atmosphere,since the PM10 emissions from the soil erosion surfaces and its ensuing suspension within the atmosphere constitute an essential process of soil erosion in the Columbia Plateau.Developing and implementing strategic land management practices on sandy loam soils is therefore necessary to control dust emissions in the Columbia Plateau.

A toxicological study of inhalable particulates by plasmid DNA assay:A case study from Macao

Oxidative damage to plasmid DNA induced by airborne PM10 （particulate matter with an aerodynamic diameter of 10 μm or less） is caused by the bioavailable （i.e., soluble） heavy metals on the particle surface. However, quantitative analyses of the links between PM10 and oxidative damage are limited. In this study, plasmid DNA assay and ICP-MS were applied to study oxidative capacity and trace element compositions, respectively, of summer and winter PM10 samples collected at several sites （Sun Yat Sen Municipal Park （SYSP） and Av. de Horta e Costa （AHC） on the Macao peninsula and Macao University on Tai- pa Island （TI）） in Macao. At AHC and TI, the oxidative capacity of PM10 collected in winter was higher than that collected in summer, for both the whole sample and the water-soluble fraction. In contrast, no seasonal variation was noted at SYSP. PMI0 exhibited the highest oxidative capacity at SYSP and lowest oxidative capacity at TI in both seasons, demonstrating that the PMl0 collected on the Macao peninsula had a higher toxicity than that from Taipa Island. ICP-MS analyses revealed that the concentrations of total analyzed trace elements and their water-soluble components in PMI0 from TI and AHC were higher in winter than in summer, whereas SYSP displayed the opposite trend. The extents of oxidative damage induced by the wa- ter-soluble fractions and intact whole particles were generally similar, implying that the oxidative damage caused by particles in Macao resulted mainly from the water-soluble fraction. The oxidative capacities of PM10 were positively correlated with both whole and soluble Zn at the 95% confidence level, indicating that Zn was the major element responsible for the oxidative damage caused by particles in Macao. Other heavy metals, such as Cr, Cu, Cd, Ni, As, and Pb, also exhibited elevated concen- trations, and the potential health impacts of these metals should be considered.

Efficacy of budesonide/formoterol inhalation powder in treating viral pneumonia in children

BACKGROUND Respiratory viruses are increasingly detected in children with communityacquired pneumonia.Further strategies to limit antibiotic use in children with viral pneumonia are warranted.AIM To explore clinical efficacy of budesonide/formoterol inhalation powder for viral pneumonia in children and its impact on cellular immunity and inflammatory factor production.METHODS A total of 60 children with viral pneumonia were recruited:30 receiving budesonide/formoterol inhalation powder and 30 conventional symptomatic treatment.Outcome measures included peripheral blood levels of inflammatory cytokines,CD4^(+),CD8^(+),Th1,Th2,Th17 and Treg,clinical efficacy,and incidence of adverse reactions.RESULTS Compared with the control group,the observation group showed a significant reduction in interleukin-6 and high-sensitivity C-reactive protein levels after treatment.Compared with the control group,the observation group showed a significant increase in CD4^(+)/CD8^(+)and Th1/Th2 levels,and a decrease in Th17/Treg levels after treatment.The total effective rates in the observation group and the control group were 93.75%and 85.00%,respectively,which was a significant difference(P=0.003).CONCLUSION Budesonide/formoterol inhalation powder significantly improved therapeutic efficacy for viral pneumonia in children.The mechanism of action may be related to downregulation of the inflammatory response and improved cellular immune function.

Clinical Efficacy Analysis of Tiotropium Bromide Combined with Budesonide and Formoterol Inhalation in Treating COPD

Objective:To analyze the clinical efficacy of tiotropium bromide(TB)combined with budesonide formoterol(BUD/FM)inhalation in treating chronic obstructive pulmonary disease(COPD).Methods:62 COPD patients admitted to the hospital between June 2020 and December 2022 were selected as samples for this study.The patients were divided into a combination group and a conventional group using the random number table method,with 31 cases in each group.The patients in the combination group were treated with TB combined with BUD/FM inhalation,whereas the patients in the conventional group were treated with BUD/FM inhalation only.The treatment efficacy and changes in lung function indicators of both groups were compared.Results:The total efficacy of treatment in the combined group was higher than that in the conventional group,and the difference was statistically significant(P<0.05).Before treatment,there was no difference in pulmonary function indicators between the two groups(P>0.05).After three months of treatment,all lung function indicators of the combined group were higher than those of the conventional group,and the difference was statistically significant(P<0.05).Conclusion:Combining TB with BUD/FM inhalation therapy increases the efficacy of treatment for patients with COPD.Besides,it also improves lung function and leads to a better prognosis.

Home-Nebulized Inhaled Glucocorticoid Therapy in Pediatric Respiratory Diseases

Objective:To evaluate the therapeutic effect of home-nebulized inhaled glucocorticoid therapy in pediatric respiratory diseases.Methods:60 cases of children with respiratory diseases admitted between October 2022 and October 2023 were selected as study subjects and randomly divided into the control group and the observation group,30 cases each.The control group was provided with conventional treatment only,while the observation group was provided with home-nebulized inhalation glucocorticosteroid treatment,and the treatment effects,clinical symptom relief time,disease recurrence rate,and treatment satisfaction of the children’s families were recorded and compared between the two groups.Results:A comparison of the two groups in terms of gender and age showed that the differences were not statistically significant(P>0.05).In terms of clinical efficacy,the total effective rate of the observation group was 90.00%,which was significantly higher than that of the control group of 66.67%(P<0.05).Compared with the control group,the disappearance time of the clinical symptoms of the observed group was significantly shortened(P<0.05).In addition,the satisfaction scores of the families of the children in the observation group were significantly higher than those of the control group(P<0.05).Conclusion:Home-nebulized inhalation glucocorticoid therapy shows significant clinical efficacy in pediatric respiratory diseases,significantly reduces the time of disappearance of clinical symptoms,and improves the satisfaction of patients’families,which provides an effective treatment option for children.

A chitosan-mediated inhalable nanovaccine against SARS-CoV-2

Severe acute respiratory syndrome coronavirus 2(SARS-CoV-2),with several antigenic variants,has grown into a global challenge,and the rapid establishment of an immune barrier is crucial to achieving long-term control of the virus.This has led to a great demand for easy preparation and scalable vaccines,especially in low-income countries.Here,we present an inhalable nanovaccine comprising chitosan and SARS-CoV-2 spike protein.The chitosan-mediated nanovaccine enabled a strong spike-specific antibody immune response and augmented local mucosal immunity in bronchoalveolar lavage and lungs,which might be capable of protecting the host from infection without systemic toxicity.In addition,the enhanced adaptive immunity stimulated by chitosan showed potential protection against SARS-CoV-2.Furthermore,inhalation of the nanovaccine induced a comparable antibody response compared to intramuscular injection.This inhalable nanovaccine against SARS-CoV-2 offers a convenient and compliant strategy to reduce the use of needles and the need for medical staff.

Recent progress of respiratory inhalation drug delivery systems

With the influence of many factors such as the aging of the population,the younger smokers,and the serious air pollution,the incidence of chronic respiratory diseases is increasing year by year.In the treatment of respiratory diseases,clinical intervention is still mainly based on drug control of pulmonary symptoms.However,systemic drugs have disadvantages such as many adverse reactions and severe systemic side effects.In recent years,the research and development of local drug delivery systems for the respiratory tract has brought new changes to the treatment of respiratory diseases.Locally delivered drugs can directly act on the airways and have the characteristics of fast onset,good curative effect and small side effects.It is a simple,efficient and safe treatment method,which has a very significant effect,and has become a hot topic of current research and promotion.This paper briefly reviews the development track and latest research progress of respiratory local drug delivery systems at home and abroad,in order to provide reference for clinical workers in drug selection and application.

Effectiveness of one-to-one feedback methods of teaching with proper metered-dose inhaler technique and correcting errors in chronic obstructive lung disease patients

Objective:To determine the most common mistakes made during the use of a metered-dose inhaler(MDI),and the effect of the repeated trainings performed with demonstration method by providing one-to-one feedback on these mistakes.Methods:This is a quasi-experimental study with a control group.A total of 100 chronic obstructive pulmonary disease(COPD)patients(50 in the control group and 50 in the experimental group)were included in the research.“Patient Information Form(PIF)”(to determine the descriptive characteristics of patients)through the face-to-face interview method,using“MDI Skill Assessment Form”(MDISAF)(it is composed of 10 skill steps about the use of MDI)through observation method was used.Patients in both the groups were asked to use MDI and their abilities regarding use of MDI were assessed.Then in the intervention group,usage of MDI was explained by a nurse via demonstration and placebo MDI.Trainings were repeated on days 1,3,and 5 as from hospitalization of the patient.In the intervention group,three methods were used in this study:“face-to-face training,”“one-to-one,”and“with feedbacks and repeated.”Routine training regarding use of MDI was given by the nurses in the clinic to patients in the control group.The use of an MDI was assessed using MDISAF before training and after the training on the first,third and fifth days of hospitalization.On the seventh day,the last measurement was performed.Percentage,chi square,and mean were used to assess the data.Results:After repetitive training with one-to-one feedback,several differences between the groups in favor of the experimental group were found in 7 of the 10 skill levels of the MDI.There was a significant difference after“training”between the groups in the third,fourth,fifth,sixth,seventh,eighth and ninth MDI steps in posttest measurement(P<0.05).Evaluating the skills of the groups to use MDI from pretest to posttest,it was determined that while the intervention group made less mistakes in steps in which mistakes were made mostly,the control group continued to make mistakes.Conclusions:Inhaler technique intervention with repeated,face to face,and one-to-one feedback trainings can significantly enhance the MDI techniques in COPD patients.The patients in the intervention group made less mistakes during MDI application and their application skills improved.It may be asser ted that the training provided to the intervention group was effective for using the device correctly,while the training provided in the clinic for the control group was inadequate.

Human Health Risks from Exposure to Heavy Metals of Suspended Particulate Matter around the Tongon Gold Mine, Côte d’Ivoire

The Tongon mine, the largest gold mine in C?te d’Ivoire, has been in operation since April 2010. However, to our knowledge to date, no study has been conducted on metallic contamination in suspended particulate matter (PM10 and PM2.5) where there is a lack of information on the carcinogenic and non-carcinogenic risk to human health associated with the exposure of populations in the Tongon area to these pollutants. The general objective of this study is to evaluate the level of contamination of PM10;PM2.5 by heavy metals and their impact on the health of populations exposed to these pollutants in the Tongon gold mine area. The sampling and measurement of suspended particulate matter (PM10 and PM2.5) were done using a MiniVol TAS passive air sampler. Heavy metal concentrations were determined by inductively coupled plasma mass spectroscopy (Nex ION 2000 ICP-MS, USA). The results indicate that the average concentrations of suspended particles (PM2.5 and PM10) obtained are all above the recommended exposure limits. In addition, among the heavy metals contained in the suspended particles, the concentrations of arsenic and nickel are high and all above the standard limit values. The assessment of the health risks related to the inhalation of PM10 particles reveals that their inhalation over a long period could cause a carcinogenic risk.

Inhalation therapy for pulmonary fibrosis:chemical medicines and herbal medicines

Pulmonary fibrosis(PF)is a chronic,progressive,and irreversible pulmonary interstitial disease with unclear pathogenesis.Currently,there are few treatment options for managing PF.Inhalation therapy,as a routine treatment for respiratory diseases,is being used to study the treatment of PF.Some herbal medicines and their active ingredients have been reported to have anti-PF effects.This review aims to provide an overview of the latest developments in inhalation therapy,focusing on the utilization of chemical medicines and herbal medicines for the treatment of PF in both clinical practice and basic research.The inhalation of chemical drugs such as pirfenidone,nintedanib,N-acetylcysteine,and interferon-γhas been shown to demonstrate anti-PF effects.Additionally,the inhalation of various natural products derived from herbal medicines,encompassing polyphenols,alkaloids,flavonoids,saponins,terpenoids,and herbal extracts,contributes to the therapeutic management of PF through diverse mechanisms.The inhalation of both chemical and herbal medicines presents promising advantages in the treatment of PF.Further clinical trials are required to investigate the effectiveness,safety,and mechanism of action of inhalation therapy utilizing natural products derived from herbal medicines.

Toxicity of Radon-222 in Groundwater across Keana in Nasarawa,Nigeria

The most common supply of freshwater for drinking,irrigation,and other domestic uses is groundwater;however,because of increased radon concentrations brought on by mining activities,its quality is still a severe concern.Using a liquid scintillation detector,this study investigated the radon content,its related toxicity,and its risk to human health in the groundwater of the Keana in Nasarawa,Nigeria.Ten(10)borehole samples and five(5)well samples totaling fif­teen(15)groundwater samples were taken.The results showed that the average radon concentration in water samples from Keana was 2.25 Bq/L.The mean annual effective dosage(ingestion)for adults and children in Keana was 0.016 mSv/y and 0.027 mSv/y,respectively.In Keana,the additional lifetime cancer risk per adult was 5.65×10^(-5),and per child,it was 8.79×10^(-5).The study’s radon concentration was lower than the benchmark of 11.1 Bq/L established in 1991 by the Nigerian Standard Organization and the US Environmental Protection Agency.The results of this study indicate that the level of radon is safe;as a result,people can continue farming and other activities.To reduce the risk of cancer,however,more research could be done in the area.Further research should be done by looking at additional sources in the study area in order to cover the entire zone.Further investigation should be carried out both during the dry and wet seasons because radon concentrations in groundwater alter over time due to dilution by recharge from rainfall.

The Effect of Nebulized Budesonide Inhalation in Treating Children with Asthma and its Influence on Immune Indexes

Objective:To explore and analyze the effect of nebulized budesonide inhalation on children with asthma and its influence on immune indexes.Methods:300 children who were with asthma admitted to the Pediatric Respiratory Department of our hospital from January 2021 to January 2023 were selected as the research subjects.The patients were divided into a nebulization group(n=150)and a reference group(n=150)by drawing lots.The nebulization group received routine treatment along with budesonide nebulization inhalation therapy,while the reference group only received routine treatment.The treatment effect,the immune indicators,the time taken for the disappearance of symptoms,and the pulmonary function indicators of both groups were compared.Results:The total efficacy of treatment received in the nebulization group was significantly higher than that in the reference group(P<0.05).Before treatment,there was no statistically significant difference in the CD4^(+),CD8^(+),CD4^(+)/CD8^(+),between the two groups(P>0.05);after treatment,the nebulization group’s CD4^(+),CD8^(+),CD4^(+)/CD8^(+)and other immune indicators were significantly better than the reference group(P<0.05).The time taken for the disappearance of symptoms like wheezing,coughing,crackles,shortness of breath,and other symptoms in the nebulization group was significantly shorter than in the reference group(P<0.05).Before treatment,there was no statistically significant difference in the pulmonary function indexes such as FEV1,PEF,and FVC between the two groups(P>0.05);after treatment,the pulmonary function indexes of the patients in the nebulization group were significantly better than those in the reference group(P<0.05).Conclusion:Nebulized budesonide inhalation therapy has shown significant efficacy in the treatment of pediatric asthma,with notable improvements in immune indicators.Therefore,it is worthy of recommendation and further promotion.

EFFECT OF INHALED NANO-TiO_2 ON LUNG AND SERUM BIOCHEMICAL INDEXES OF MICE

The effect of inhaled nano-TiO2 on lung histology and serum biochemical indexes is evaluated in healthy and adult Kunming mice（eight in each group）after exposure to TiO2 aerosols（1 500 mg/m3）in a sealed chamber.Another eight mice are exposed to indoor air to be served as a control group.Lung tissue and blood are collected after euthanizing the animals.The results show that lactate dehydrogenase（LDH）activity increases in all experimental groups.Alanine aminotransferase（ALT）activity and blood urea nitrogen（BUN）levels are increased in the group exposed to TiO2 aerosols for 28 d,and creatinine（Cr）levels are increased in 14 d and 28 d samples（P0.05）.No obvious changes are observed in other serum indexes.Lungs of mice exposed to 28 d exposure show significant but moderate increase in pulmonary inflammation,and many TiO2 particles are found in the interstitium of pulmonary alveoli.

吸入用N-乙酰半胱氨酸雾化治疗在急性鼻窦炎中的疗效和炎症指标的临床观察

目的 观察吸入用N-乙酰半胱氨酸雾化在急性鼻窦炎患者中的疗效,分析其对鼻呼出气一氧化氮(nasal nitric oxide,nNO)和炎症指标的影响。方法 选取就诊于绵阳市中心医院耳鼻咽喉科急性鼻窦炎患者164例,采用随机对照和自身对照方法,观察两组治疗效果,并比较两组治疗前、后各症状视觉模拟评分法(VAS)评分、鼻内镜检查Lund-Kennedy评分、nNO含量、炎症因子(TNF-α、IL-6、IL-8、IL-10)水平、血清C反应蛋白(C-reactive protein,CRP)和降钙素原(procalcitonin,PCT)水平。结果 实验组疗效明显优于对照组(P<0.05);两组患者治疗后VAS和Lund-Kennedy评分显著降低(P<0.05)、炎症因子(TNF-α、IL-6、IL-8、IL-10)和两项感染指标水平均显著下降(P<0.05),但上述指标比较实验组改变较为显著(P<0.05)。结论 吸入用N-乙酰半胱氨酸能促进急性鼻窦炎患者nNO释放、降低炎症因子和全身感染指标,提高治疗效果。