中国西部地区儿童肺功能检测应用现状调查和分析  

Investigation and analysis of the application status of lung function examination in children in western China

作　　者：秦江蛟 刘莎[1] 刘芳君[1] 龚财惠[1] QIN Jiangjiao;LIU Sha;LIU Fangjun;GONG Caihui(Pulmonary Function Room of Children′s Hospital Affiliated to Chongqing Medical University/National Clinical Medical Research Center for Child Health and Diseases/Key Laboratory of Child Development Diseases,Ministry of Education/Chongqing Key Laboratory of Pediatrics,Chongqing 400014,China)

机构地区：[1]重庆医科大学附属儿童医院肺功能室/国家儿童健康与疾病临床医学研究中心/儿童发育疾病研究教育部重点实验室/儿科学重庆市重点实验室,重庆400014

出　　处：《现代医药卫生》2023年第7期1161-1164,共4页Journal of Modern Medicine & Health

摘　　要：目的了解中国西部地区已开展儿童肺功能检测的应用现状。方法2021年4-7月对中国西部地区8个省份或直辖市(四川、重庆、甘肃、广西、宁夏、陕西、云南、新疆等)93家已开展儿童肺功能检测的医院进行问卷调查,并对资料进行汇总分析。结果93家已开展肺功能检测的医疗机构中三级医院占72.04%(67/93),二级医院占27.96%(26/93)。开展项目主要有儿童常规通气功能检测[100.00%(93/93)]、婴幼儿潮气呼吸检测[87.95%(79/93)]、支气管舒张试验[96.77%(90/93)]、支气管激发试验[31.18%(29/93)]、呼出一氧化氮检测[52.69%(49/93)]等。开展脉冲振荡肺功能检测者占27.96%(26/93),肺弥散功能检测者占11.83%(11/93),运动心肺功能检测者占3.23%(3/93),婴幼儿体积描记肺功能检测者占5.38%(5/93),儿童体积描记肺功能检测者占2.15%(2/93)。95.70%(89/93)的医院肺功能工作人员曾参与儿童肺功能的相关培训,参加过短-中期培训(1~3个月及以上)和短期培训[专题培训班(1~5 d)]者分别占78.49%(73/93)、88.17%(81/93)。结论中国西部地区儿童肺功能检测项目在二、三级医院存在差异,二级医院检测项目单一,三级医院在特殊检测项目方面开展情况不佳,应推广脉冲振荡肺功能、肺弥散功能、肺容积检测在三级医院的应用。Objective To investigate the application status of lung function examination in children in western China.Methods From April to July,2021,a questionnaire survey was conducted on 93 hospitals in eight provinces or municipalities directly under the Central Government(including Sichuan,Chongqing,Gansu,Guangxi,Ningxia,Shaanxi,Yunnan and Xinjiang provinces)that had carried out lung function examination for children,and the data were summarized and analyzed.Results The 93 medical institutions carried out lung function examination for children included tertiary hospitals accounted for 72.04%(67/93),secondary hospitals accounted for 27.96%(26/93).The main projects included routine ventilation function test in children[100.00%(93/93)],moisture breathing test in infants and young children[87.95%(79/93)],bronchial relaxation test[96.77%(90/93)],bronchial provocation test[31.18%(29/93)],and fractional exhaled nitric oxide test[52.69%(49/93)],etc.Among them,27.96%(26/93)of impulse oscillometry,11.83%(11/93)of lung diffusion,3.23%(3/93)of exercise cardiopulmonary function,5.38%(5/93)of infant plethysmography,and 2.15%(2/93)of children plethysmography.In 95.70%(89/93)of hospital lung function staff had participated in the training on lung function,and 78.49%(73/93)and 88.17%(81/93)had participated in the short-medium training(1-3 months and above)and short-term training(1-5 days),respectively.Conclusion There are differences between secondary and tertiary hospitals in western China in children′s lung function examination items.examination items in secondary hospitals are single,tertiary hospitals do not perform well in special examination items.It is necessary to promote the application of impulse oscillometry,lung diffusion function and lung volume measurement in tertiary hospitals.

关 键 词：儿童 肺功能检测 应用现状 调查问卷 西部地区 

分 类 号：R725.6[医药卫生—儿科] R446[医药卫生—临床医学]