HRCT定量评价吸入糖皮质激素治疗哮喘患儿的效果  

HRCT Quantitative Evaluation of the Clinical Effect of Inhaled Corticosteroids in the Treatment of Children with Asthma

作　　者：莫畅游 李超 谢云 MO Changyou;LI Chao;XIE Yun(Guilin Women’s and Children’s Hospital,Guilin 541001,Guangxi,P.R.China)

机构地区：[1]桂林市妇女儿童医院,广西桂林541001

出　　处：《影像科学与光化学》2022年第2期320-324,共5页Imaging Science and Photochemistry

摘　　要：本次研究目的是探讨高分辨CT(HRCT)定量评价吸入糖皮质激素治疗哮喘患儿的临床效果。选取哮喘患儿118例,将患儿分为观察组(n=63)和对照组(n=55),对照组给予常规治疗,观察组在对照组基础上给予丙酸氟替卡松雾剂或布地奈德气雾剂,观察两组治疗疗效,采用HRCT测量肺CT的段及亚段支气管壁厚度/气道外径(T/D)和气道壁面积占气道总面积百分比(WA)。观察组治疗疗效优于对照组(P<0.05);观察组治疗后T/D、WA明显低于对照组(P<0.05);与无效患者比较,有效患者治疗后T/D、WA较低(P<0.05);在预测预测治疗有效方面,T/D、WA变化值的ROC曲线下面积分别为0.859和0.826,P<0.05。吸入性糖皮质激素治疗哮喘患儿有较好的疗效,HRCT定量参数预测治疗疗效方面有一定价值。The purpose of this study was to evaluate the clinical effect of inhaled glucocorticoids on asthmatic children by high resolution CT(HRCT). 118 children with asthma were divided into observation group(n=63) and control group(n=55). The control group was given routine treatment, the observation group was given fluticasone propionate aerosol or Budesonide aerosol on the basis of the control group, the therapeutic effects of the two groups were observed, the thickness of segmental and sub segmental bronchial wall/airway outer diameter(T/D) and the percentage of airway wall area in total airway area(WA) were measured by HRCT. The therapeutic effect of the observation group was better than that of the control group(P<0.05). T/D and WA in the observation group were significantly lower than those in the control group(P<0.05). Compared with ineffective patients, effective patients had lower T/D and WA after treatment(P<0.05). The area under ROC curve of T/D and WA was 0.859 and 0.826, respectively, P<0.05. Inhaled glucocorticoids have a good effect on children with asthma, and HRCT quantitative parameters have a certain value in predicting the therapeutic effect.

关 键 词：吸入性 糖皮质激素 哮喘 儿童 临床疗效 

分 类 号：R725.6[医药卫生—儿科] R816.92[医药卫生—临床医学]