肺功能检查在单纯性支气管结核早期诊断中的应用  

Application of pulmonary function examination in early diagnosis of simple bronchial tuberculosis

作　　者：苏东栋 李媛媛 SU Dongdong;LI Yuanyuan(Thoracic Hospital of Xinjiang Uygur Autonomous Region,Urumqi,Xinjiang 830049,China)

机构地区：[1]新疆维吾尔自治区胸科医院

出　　处：《新疆医学》2019年第7期721-722,731,共3页Xinjiang Medical Journal

摘　　要：目的探讨肺功能检查在单纯性支气管结核早期诊断中的应用价值。方法回顾性分析从2016年1月-2018年12月本院收治的单纯型支气管结核患者共32例为观察组,选取同期健康体检者32例作为正常对照组,对比两组病例肺功能结果。结果单纯性EBTB组VC、FVC、FEV1占预计值%以及FEV1/FVC(%)较正常对照组低,差异有统计学意义。大多数单纯性EBTB患者(87.5%)存在通气功能障碍,其中阻塞性通气功能障碍12例(37.5%)、限制性通气功能障碍10例(31.25%)、混合性通气功能障碍6例(18.75%)。支气管舒张试验阳性8例(25%)。结论对于抗感染治疗效果不佳,病情反复发作,拟诊支气管哮喘、咳嗽变异性哮喘的患者,肺功能检查提示阻塞型或以阻塞型为主的通气功能障碍时,应高度考虑可能存在气道病变以及并发支气管结核可能。Objective To investigate the value of pulmonary function examination in the early diagnosis of simple bronchial tuberculosis.Methods 32 cases of simple bronchial tuberculosis treated in our hospital from January 2016 to December 2018 were retrospectively analyzed as the observation group,32 healthy controls were selected to compare the pulmonary function results between the two groups.Results The proportion of VC,FVC,FEV1 and FEV1(%)in EBTB group was lower than that of the normal control group,and the difference was statistically significant.Most patients with simple EBTB(87.5%)had ventilation dysfunction,including 12 patients with obstructive ventilation dysfunction(37.5%),10 patients with restrictive ventilation dysfunction(31.25%)and 6 patients with mixed ventilation dysfunction(18.75%).Bronchodilation test was positive in 8 cases(25%).Conclusion For the patients with bronchial asthma and cough variant asthma who have poor anti-infective effect and recurrent illness,the Possibility of airway lesions and bronchial tuberculosis should be highly considered when pulmonary function tests indicate obstructive or obstructive ventilatory dysfunction.

关 键 词：支气管结核 肺功能 

分 类 号：R[医药卫生]