脉冲震荡法在儿童支气管哮喘诊疗中的研究进展  

Research progress of impulse oscillometry in the diagnosis and treatment of bronchial asthma in children

作　　者：金玲玲 杨磊[2] JIN Lingling;YANG Lei(Medical College,Wuhan University of Science and Technology,Hubei Province,Wuhan430065,China;Department of Pediatric Respiratory,Maternal and Child Health Hospital of Hubei Province,Hubei Province,Wuhan430070,China)

机构地区：[1]武汉科技大学医学院,湖北武汉430065 [2]湖北省妇幼保健院儿童呼吸科,湖北武汉430070

出　　处：《中国医药导报》2023年第11期49-52,56,共5页China Medical Herald

基　　金：湖北省卫生健康委员会面上项目(WJ2019M231)。

摘　　要：支气管哮喘是儿童呼吸系统常见的气道慢性炎症性疾病,其发病率呈逐年上升趋势,因此,早期诊断和控制疾病进展尤其重要。目前我国儿童支气管哮喘诊断主要依据症状、体征和肺功能检查等,但常规肺功能检查需用力呼吸配合,对年幼患儿其检测结果可信度差,因此,针对年幼患儿需要一种新的检测方法。脉冲震荡法(IOS)的出现弥补了常规肺功能检测方法的不足,作为一种评估肺功能的方法,其操作简单,易于完成,为儿童支气管哮喘的准确诊断与治疗提供有效信息。IOS的临床应用不仅体现在支气管哮喘的诊断方面,在评估气道反应性、疗效监测和预后评估等方面均具有较大的价值,本文就IOS的基本原理及其在儿童支气管哮喘中的临床应用进行综述,以期为该病的诊疗提供新思路。Bronchial asthma is a common chronic inflammatory disease of airway in children’s respiratory system,and its incidence is increasing year by year.Therefore,early diagnosis and control of disease progression are particularly important.At present,the diagnosis of bronchial asthma in children is mainly based on symptoms,signs,and pulmonary function examination.However,the routine pulmonary function examination requires strenuous breathing,and its detection results are not reliable for young children.Therefore,a new detection method is needed for young children.The emergence of impulse oscillometry(IOS)makes up for the deficiencies of conventional lung function detection methods.As a method to evaluate lung function,it is simple to operate and easy to complete,providing effective information for the accurate diagnosis and treatment of bronchial asthma in children.The clinical application of IOS is not only reflected in the diagnosis of bronchial asthma,but also has great value in the assessment of airway reactivity,efficacy monitoring,and prognosis assessment.This paper reviews the basic principles of IOS and its clinical application in children with bronchial asthma,in order to provide new ideas for the diagnosis and treatment of this disease.

关 键 词：支气管哮喘 脉冲震荡法 诊断 治疗 

分 类 号：R725.4[医药卫生—儿科]