肺功能检测在慢性阻塞性肺疾病诊断应用现状  

Pulmonary function tests in diagnosis of chronic obstructive pulmonary disease

作　　者：李晓峰[1] 张锋英[1] 杭晶卿[1] 

机构地区：[1]上海市普陀区人民医院呼吸科,上海200060

出　　处：《临床荟萃》2009年第5期387-389,共3页Clinical Focus

摘　　要：目的为进一步了解肺功能检测在慢性阻塞性肺疾病(COPD)诊断中的应用现状,对在我院首次行肺功能检测的COPD患者肺功能进行分析。方法根据临床症状曾诊断为COPD,首次进行肺功能检测的门诊和住院患者185例,其中门诊患者35例,住院患者150例,分析其肺功能。结果根据2007年中华医学会慢性阻塞性肺疾病诊治指南,185例患者中75例符合COPD,且均处于中、重度或极重度,无1例轻度患者,门诊患者重度和极重度者占61.5%(8/13),住院患者重度和极重度者占79.0%(49/62)。其余临床已诊断COPD的患者部分肺功能正常或呈混合性通气障碍。另有部分患者支气管扩张试验阳性。结论肺功能检测在COPD的诊断应用不足,易导致误诊和漏诊。大力推广肺功能检测,有助于疾病的早期发现和治疗。Objective To know the status of pulmonary function tests（PFTs） used in the diagnosis of chronic obstructive pulmonary disease（COPD）. Methods Totally 185 patients were diagnosed COPD and never performed PFTs before. Among those patients 35 were outpatients and 150 were inpatients. Pulmonary functions of those patients were analyzed. Results According to COPD guideline established by Chinese Medical Association, 75 patients were consistent with COPD, all of which were in moderate to very severe condition. 61.5% （8/13） outpatients and 79.0 %（49/62） inpatients were severe and very severe. Pulmonary functions of parts of patients diagnosed COPD were normal or mixed ventilation impairment. Parts of patients had positive bronchodilator test. Conclusion PFTs are infrequently used in clinical practice for diagnosis of COPD,which often leads to wrong or missed diagnosis of COPD. So extending PFTs performance is useful to diagnose and treat COPD earlier.

关 键 词：肺疾病 慢性阻塞性 呼吸功能试验 诊断 鉴别 

分 类 号：R563.9[医药卫生—呼吸系统]