肺功能测定鉴别支气管哮喘,慢阻肺及哮喘慢阻肺重叠综合征的临床价值分析  

Clinical Value of Pulmonary Function Test in Differentiating Bronchial Asthma,COPD and Asthma COPD Overlap Syndrome

作　　者：吴杨 陈丽丽 陈营营 郝敬林 WU Yang;CHEN Lili;CHEN Yingying;HAO Jinglin(Department of Respiratory Medicine,Shanxian County Central Hospital,Heze,Shandong Province,274300 China)

机构地区：[1]单县中心医院呼吸内科,山东菏泽274300

出　　处：《系统医学》2023年第18期92-95,共4页Systems Medicine

摘　　要：目的分析肺功能测定在临床中鉴别支气管哮喘、慢性阻塞性肺疾病(简称慢性阻)及哮喘慢阻肺重叠综合征诊断的价值。方法选择2020年1月—2022年1月间于单县中心医院治疗的呼吸道疾病患者105例为研究对象,根据疾病的类型分成3组,每组35例,其中,设定支气管哮喘患者为哮喘组,设定慢阻肺患者为慢阻肺组,设定哮喘慢阻肺重叠综合征患者为重叠综合组,对比3组患者的肺通气功能、肺容量、弥散功能的检查结果。结果哮喘组患者肺通气功能高于慢阻肺组、重叠综合组的患者,哮喘组在肺容量等指标方面低于慢阻肺组与重叠综合组患者,慢阻肺组患者的功能残气量高于重叠综合组患者,差异有统计学意义(P<0.05)。重叠综合组患者肺CO弥散量为(71.27±9.01)%、肺泡毛细血管弥散量占(86.22±15.37)%、弥散率为(62.07±10.28)%高于慢阻肺组患者的(58.13±8.86)%、(75.30±13.97)%、(53.17±7.62)%,差异有统计学意义(t=6.588、3.110、4.115,P<0.05)。结论临床中肺功能测定将3种肺功能检测相结合则更加有利于对病症性质的诊断。Objective To analyze the diagnostic value of pulmonary function test in differentiating bronchial asthma,chronic obstructive pulmonary disease(COPD)and asthmatic COPD overlap syndrome.Methods A total of 105 patients with respiratory diseases treated in Shanxian County Central Hospital from January 2020 to January 2022 were selected as the study objects and divided into three groups according to the types of diseases,with 35 patients in each group.Patients with bronchial asthma were assigned as asthma group,COPD patients as COPD group,and patients with asthma COPD overlap syndrome as overlapping comprehensive group.The results of pulmonary ventilation function,lung volume and diffusion function were compared among the three groups.Results The pulmonary ventilation function of the asthma group was higher than that of the COPD group and the overlapping comprehensive group,and the pulmonary capacity of the asthma group was lower than that of the COPD group and the overlapping comprehensive group,the functional residual volume of COPD group was higher than that of overlapping comprehensive group,and the difference was statistically significant(P<0.05).The pulmonary CO diffusion volume[(71.27±9.01)%],alveolar capillary diffusion volume[(86.22±15.37)%]and diffusion rate[(62.07±10.28)%]in overlapping comprehensive group were higher than those in COPD group[(58.13±8.86)%,(75.30±13.97)%and(53.17±7.62)%],the differences were statistically significant(t=6.588,3.110,4.115,P<0.05).Conclusion The combination of the three kinds of lung function tests is more conducive to the diagnosis of the nature of the disease.

关 键 词：肺功能 支气管哮喘 慢阻肺 哮喘慢阻肺重叠综合征 

分 类 号：R563[医药卫生—呼吸系统]