176例慢性咳嗽肺功能检测结果分析  

Analysis of pulmonary function of patients with chronic cough

作　　者：周燕[1] 戴吉[1] 蒋贵平[1] 胡蝶[1] 杨厚宇[1] 

机构地区：[1]都江堰市人民医院呼吸科,四川都江堰611830

出　　处：《西部医学》2011年第7期1262-1264,共3页Medical Journal of West China

摘　　要：目的探讨肺功能检测在慢性咳嗽诊断的应用价值。方法对176例慢性咳嗽患者行肺通气功能及气道反应性测定,并对测定结果的临床价值进行评定。结果 176例患者肺功能异常者29例(14.48%),其中支气管激发(舒张)试验阳性17例(58.62%);肺功能正常者有147例,支气管激发(舒张)试验阳性46例(31.29%)。支气管激发(舒张)试验阳性总例数为63例,阳性率35.80%;肺功能正常且小气道病变者98例(66.67%),其中支气管激发(舒张)试验阳性者41例(41.84%);肺功能正常无小气道病变患者49例,其中支气管激发(舒张)试验阳性者5例(10.20%),肺功能正常的小气道病变患者支气管激发(舒张)阳性率高于无小气道病变者(P<0.01)。结论慢性咳嗽通气功能下降比例较少,气道高反应性比例较高;肺通气功能及气道反应性测定应作为慢性咳嗽的一线的检查。Objective To study characteristics of pulmonary function of chronic cough.Methods The pulmonary function and airway responsiveness of 176 patients with chronic cough were measured.Results There were 29 patients（14.48%） with abnormal pulmonary function and 17 cases（58.62%） with positive bronchial provocation（dilation） test.There were 46 cases（31.29%） with positive bronchial provocation（dilation） test of 147 patients with normal pulmonary function.63 cases（35.80%） were positive in bronchial provocation（dilation） test.There were 98 cases（66.67%） with mormal pulmonary function with small airway disease,including 41 cases（41.84%） with positive bronchial provocation（dilation） test.There were 49 cases with mormal pulmonary function without small airway disease,including 5 cases（10.20%） with positive bronchial provocation（dilation） test.Conclusion The decline in ventilatory function in chronic cough is relatively small and the proportion of airway hyperresponsiveness is high.The pulmonary function and airway reactivity should be measured as first-line examination of chronic cough.

关 键 词：肺功能 气道反应性 慢性咳嗽 

分 类 号：R443.6[医药卫生—诊断学]