慢性阻塞性肺病急性加重患者膈肌影像变化  

The Imaging Changes of Diaphragm in Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease

作　　者：戴百章[1] 任朝凤[1] 郑勤玲[1] 赵云秋[1] 李梅华[1] 

机构地区：[1]昆明市第一人民医院呼吸科,650011

出　　处：《临床放射学杂志》2015年第3期386-388,共3页Journal of Clinical Radiology

基　　金：昆明市卫生局基金资助项目(编号:2012kjc06(卫))

摘　　要：目的研究慢性阻塞性肺病(COPD)急性加重患者膈肌影像变化,为选择合适的肺康复方式提供参考。方法 36例COPD急性加重患者行平板数字化X线摄影系统和肺功能检查,组间差异分析采用单因素方差分析,膈肌移动度与残气量之间采用Pearson相关分析。结果 GOLD 2级与GOLD 4级患者膈肌移动度和膈肌角度之间有显著性差异。膈肌移动度与残气量为负相关(r=-0.82,P=0.003)。结论平板数字化X线摄影膈肌参数与肺功能检查结果之间有很好的相关性,可用于评估患者肺功能。Objective To study the imaging changes of diaphragm in patients with acute exacerbation of chronic obstructive pulmonary disease（ COPD） in order to provide useful information for the selection of suitable rehabilitation method.Methods A total of 36 patients with acute exacerbation of chronic obstructive pulmonary disease were included in this study.Flat panel digital radiography and pulmonary function test were performed in all patients.Single factor analysis of variance was employed to evaluate the difference between the groups,and Pearson correlation analysis was used to analyze the correlation between diaphragm mobility and residual gas volume.Results Statistically significant difference in diaphragm mobility and costophrenic angle existed between the patients with COPD grade-2 and the patients with COPD grade-4.The diaphragm mobility bore a negative correlation with the residual gas volume（ r =- 0.82,P = 0.003）.Conclusion There is a good correlation between the diaphragmatic parameters of flat panel digital radiography and the pulmonary function test results,which can be used in evaluating pulmonary function of patient with acute exacerbation of chronic obstructive pulmonary disease.

关 键 词：慢性阻塞性 平板数字化X线摄影 肺功能 

分 类 号：R563.9[医药卫生—呼吸系统]