脉冲振荡肺功能检测在稳定期慢性阻塞性肺疾病诊断中的价值分析  

Clinical value of pulsed pulmonary function test in the diagnosis of chronic obstructive pulmonary disease

作　　者：杨仁恒[1] 初悦美[2] 邵秀丽[1] Yang Renheng;Chu Yuemei;Shao Xiuli(Department of Respiratory Medicine, Haiyang People＇s Hospital, Haiyang, Shandong 265100, China;Department of Science and Education, Haiyang People＇s Hospital, Haiyang, Shandong 265100, China)

机构地区：[1]海阳市人民医院呼吸内科,山东省海阳265100 [2]海阳市人民医院科教科,山东省海阳265100

出　　处：《中国基层医药》2018年第12期1528-1531,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨脉冲振荡肺功能检测在稳定期慢性阻塞性肺疾病诊断中的临床价值。方法选择2016年3月至2017年3月海阳市人民医院收治的稳定期慢性阻塞性肺疾病患者32例为观察组及同期健康体检排除慢性阻塞性肺疾病患者32例为对照组，均行脉冲振荡肺功能检测，比较脉冲振荡技术检测相关指标以及肺功能检测指标。结果观察组共振频率、呼吸总阻抗、中心气道阻力及周边气道阻力分别为（16.9±1.5）kPa·L－1·s－1、（0.46±0.03）kPa·L－1·s－1、（0.56±0.05）kPa·L－1·s－1和（0.15±0.03）kPa·L－1·s－1，均高于对照组的（9.5±0.3）kPa·L－1·s－1、（0.26±0.01）kPa·L－1·s－1、（0.24±0.01）kPa·L－1·s－1和（0.02±0.01）kPa·L－1·s－1（t＝30.595、40.000、39.691和26.000，均P〈0.05），观察组第一秒用力呼气容积（FEV1%）为（41.5±1.9）%，低于对照组的（81.1±2.0）%（t＝47.229，P〈0.05），用力肺活量比值（FEV1/FVC）水平为（49.5±3.3），低于对照组的（81.9±2.6）（t＝21.678，P〈0.05）。结论脉冲振荡肺功能检测结果与常规肺功能检查具有同步性与一致性，尤其适用于老年、小儿及危重症患者。ObjectiveTo investigate the clinical value of pulsed pulmonary function in the diagnosis of chronic obstructive pulmonary disease（COPD）.Methods32 patients with chronic obstructive pulmonary disease admitted to Haiyang People＇s Hospital from March 2016 to March 2017 were selected as observation group.Another 32 cases without COPD were selected as control group.All the patients received pulsed pulmonary function test.The relevant indicators of oscillation technology and pulmonary function test indicators were compared between the two groups.ResultsThe resonance frequency, total respiratory impedance, central airway resistance and peripheral airway resistance in the observation group were （16.9±1.5）kPa ·L-1·s-1, （0.46±0.03）kPa·L-1·s-1, （0.56±0.05）kPa ·L-1·s-1 and （0.15±0.03）kPa ·L-1·s-1, which were significantly higher than those in the control group [（9.5±0.3）kPa·L-1·s-1, （0.26±0.01）kPa ·L-1·s-1, （0.24±0.01）kPa·L-1·s-1, （0.02±0.01）kPao·L-1·s-1] （t=30.595, 40.000, 39.691 and 26.000, all P〈0.05）. The FEV1% in the observation group was （41.5±1.9）%, which was lower than （81.1±2.0）% in the control group（t=47.229, P〈0.05）. The FEV1/FVC level in the observation group was （49.5±3.3）, which was lower than （81.9±2.6） in the control group（t=21.678, P〈0.05）.ConclusionThe results of pulsed pulmonary function are synchronous and consistent with routine pulmonary function test, especially for elderly, pediatric and critically ill patients.

关 键 词：肺疾病 慢性阻塞性 呼吸功能试验 气道阻力 

分 类 号：R563.9[医药卫生—呼吸系统]