支气管哮喘患儿肺功能改变的特征  

Characteristics of lung function changes in children with bronchial asthma

作　　者：刘传合[1] 李硕[1] 邵明军[1] LIU Chuan-he;LI Shuo;SHAO Mingjun(Department of Allergy,Asthma Center and Lung Function Laboratory,Children’s Hospital of Capital Institute of Pediatrics,Beijing 100020,China)

机构地区：[1]首都儿科研究所附属儿童医院变态反应科,哮喘防治中心与肺功能室,北京100020

出　　处：《中国实用儿科杂志》2021年第6期412-416,共5页Chinese Journal of Practical Pediatrics

基　　金：国家重点研发计划“精准医学研究”专项(2016YFC0901103);北京市医院管理局儿科学科协同发展中心专项(XTZD20180103);北京市医院管理局重点医学专业发展计划(ZYLX201829)。

摘　　要：支气管哮喘患儿肺功能改变具有特征性,突出表现在气道反应性增高和阻塞性肺通气功能障碍两个方面,其通气功能障碍具有可逆性、可变性、多样性等,并可随着病情变化而改变。肺功能检测在哮喘诊断和管理中具有不可替代的作用,但哮喘患儿肺功能改变与临床症状并非完全平行,同时需要甄别非哮喘呼吸系统疾病导致的肺功能改变,正确解析检查结果,密切结合临床,方可做到对儿童哮喘的精准诊断和管理。The changes of lung function in children with bronchial asthma are characteristic,especially in the two aspects of airway hyperresponsiveness and obstructive lung dysfunction.The lung dysfunction is reversible,variable and diverse,which varies over the process of the disease. Lung function test plays an irreplaceable role in the diagnosis and management of asthma,but it does not correlate strongly with asthma symptoms in children. The changes of lung function caused by other respiratory diseases should be recognized for differential diagnosis.Only by correctly interpreting the results of lung function test and close combination with clinical expression can asthma in children be precisely diagnosed and managed.

关 键 词：儿童 支气管哮喘 肺功能 

分 类 号：R72[医药卫生—儿科]