慢性阻塞性肺疾病采用CT诊断的效果  

CT Diagnosis Effect of Chronic Obstructive Pulmonary Disease

作　　者：葛昊天 GE Haotian(Caoxian County People's Hospital,Heze,Shandong 274400)

机构地区：[1]曹县人民医院,山东菏泽274400

出　　处：《智慧健康》2023年第22期1-5,共5页Smart Healthcare

摘　　要：目的研究慢性阻塞性肺疾病采用CT诊断的效果。方法选取2022年3月—2023年3月本院收治的慢性阻塞性肺疾病患者和健康体检人员各50例,分别纳入观察组、对照组,慢性阻塞性肺疾病患者和健康体检人员均采用CT诊断,对比两组诊断效果。结果慢性阻塞性肺疾病患者肺总量高于健康体检人员,用力肺活量、第一秒用力呼气容积分低于健康体检人员,对比结果差异显著有统计学意义(P<0.05)。慢性阻塞性肺疾病患者气管壁厚度和外径比、气道壁面积占气道总横截面积高于健康体检人员,气道腔面积低于健康体检人员,对比结果差异显著有统计学意义(P<0.05)。慢性阻塞性肺疾病患者左肺肺气肿容积比、右肺肺气肿容积比、全肺肺气肿容积比高于健康体检人员,对比结果差异显著有统计学意义(P<0.05)。重度肺动脉高压患者主肺动脉直径、升主动脉直径、降主动脉直径>轻度肺动脉高压患者>对照组健康体检人员,对比结果差异显著有统计学意义(P<0.05)。重度肺动脉高压患者D-二聚体<轻度肺动脉高压患者<对照组健康体检人员,轻度肺动脉高压患者血小板计数>重度肺动脉高压患者>对照组健康体检人员,对比结果差异显著有统计学意义(P<0.05)。重度肺动脉高压患者血红蛋白>对照组健康体检人员>轻度肺动脉高压患者,对比结果差异显著有统计学意义(P<0.05);重度肺动脉高压患者、轻度肺动脉高压患者、对照组健康体检人员红细胞压积差异不显著无统计学意义(P>0.05)。重度肺动脉高压患者动脉血二氧化碳分压>对照组健康体检人员>轻度肺动脉高压患者,对比结果差异显著有统计学意义(P<0.05)。结论慢性阻塞性肺疾病在CT诊断下支气管血管束增粗或模糊、小叶中央型肺气肿、点片状浸润影、空气潴留征、肺大泡、磨玻璃影、大气道管壁出现增厚、全小叶型肺气肿、团块状影、�Objective To study effect of CT diagnosis for chronic obstructive pulmonary disease.Methods The paper chose 50 patients with chronic obstructive pulmonary disease and 50 health examination staff admitted to our hospital from March 2022 to March 2023,and included them in observation group and control group respectively,diagnosed with CT.Results Total lung volume of patients with chronic obstructive pulmonary disease was higher than healthy staff,scores of forced vital capacity and forced expiratory volume in first second were lower than healthy staff,with significant difference(P<0.05).Thickness and outer diameter ratio of tracheal wall and proportion of airway wall area to total cross-sectional area of airway of patients with chronic obstructive pulmonary disease was higher than healthy staff,while area of airway lumen was lower than healthy staff.Comparison results showed significant difference(P<0.05).Left lung emphysema volume ratio,right lung emphysema volume ratio and whole lung emphysema volume ratio of patients with chronic obstructive pulmonary disease were significantly higher than healthy staff(P<0.05).Main pulmonary artery diameter,ascending aorta diameter and descending aorta diameter of patients with severe pulmonary hypertension were higher than patients with mild pulmonary hypertension,comparison results showed significantdifference(P<0.05).D-dimer of patients with severe pulmonary hypertension<patients with mild pulmonary hypertension<health physical examination staff in control group,platelet count of patients with mild pulmonary hypertension>patients with severe pulmonary hypertension>health physical examination staff in control group,with significant difference(P<0.05).Hemoglobin levels of patients with severe pulmonary hypertension were higher than control group and health examination group,comparison results showed significant difference(P<0.05).There was no significant difference in hematocrit between patients with severe pulmonary hypertension,patients with mild pulmonary hypertension,and h

关 键 词：慢性阻塞性肺疾病 CT诊断 肺功能指标 主动脉直径 

分 类 号：R563.9[医药卫生—呼吸系统]