国际呼吸杂志
國際呼吸雜誌
국제호흡잡지
INTERNATIONAL JOURNAL OF RESPIRATION
2012年
13期
992-996
,共5页
高怡%刘文婷%郑劲平%虞欣欣%安嘉颖%吴仲平
高怡%劉文婷%鄭勁平%虞訢訢%安嘉穎%吳仲平
고이%류문정%정경평%우흔흔%안가영%오중평
肺活量测定%用力肺活量%肺功能检查%不良反应%安全性
肺活量測定%用力肺活量%肺功能檢查%不良反應%安全性
폐활량측정%용력폐활량%폐공능검사%불량반응%안전성
Spirometry%Forced vital capacity%Lung function testing%Adverse reaction%Safety
目的 观察用力肺功能检查的不良反应及探讨其安全性.方法 采用问卷调查方式对996例行用力肺功能检查的受试者进行不良反应评价.调查内容主要包括:不良反应的症状、程度、处理措施和恢复情况.结果 270例(27.1％)出现了294个不良反应,其中有24例受试者同时出现2～3个不良反应.以呼吸症状发生率最高,其次为神经肌肉和咽喉部症状,其中呼吸困难129例,咳嗽79例,头晕43例,发生率分别为13.0％、7.9％、4.3％.气道阻塞组的呼吸困难发生率为33.4％,显著高于无气道阻塞组(P=0.000),并随着通气障碍的程度加重,呼吸困难的发生率逐渐增高,以极重度组发生率最高,达75.4％.轻度和中度不良反应分别占81.0％和19.0％,无重度不良反应.结论 用力肺功能检查可引起不良反应的出现,但只要临床上应严格掌握检查指征,及时恰当地处理不良反应,用力肺功能检查是安全的.
目的 觀察用力肺功能檢查的不良反應及探討其安全性.方法 採用問捲調查方式對996例行用力肺功能檢查的受試者進行不良反應評價.調查內容主要包括:不良反應的癥狀、程度、處理措施和恢複情況.結果 270例(27.1％)齣現瞭294箇不良反應,其中有24例受試者同時齣現2～3箇不良反應.以呼吸癥狀髮生率最高,其次為神經肌肉和嚥喉部癥狀,其中呼吸睏難129例,咳嗽79例,頭暈43例,髮生率分彆為13.0％、7.9％、4.3％.氣道阻塞組的呼吸睏難髮生率為33.4％,顯著高于無氣道阻塞組(P=0.000),併隨著通氣障礙的程度加重,呼吸睏難的髮生率逐漸增高,以極重度組髮生率最高,達75.4％.輕度和中度不良反應分彆佔81.0％和19.0％,無重度不良反應.結論 用力肺功能檢查可引起不良反應的齣現,但隻要臨床上應嚴格掌握檢查指徵,及時恰噹地處理不良反應,用力肺功能檢查是安全的.
목적 관찰용력폐공능검사적불량반응급탐토기안전성.방법 채용문권조사방식대996례행용력폐공능검사적수시자진행불량반응평개.조사내용주요포괄:불량반응적증상、정도、처리조시화회복정황.결과 270례(27.1％)출현료294개불량반응,기중유24례수시자동시출현2～3개불량반응.이호흡증상발생솔최고,기차위신경기육화인후부증상,기중호흡곤난129례,해수79례,두훈43례,발생솔분별위13.0％、7.9％、4.3％.기도조새조적호흡곤난발생솔위33.4％,현저고우무기도조새조(P=0.000),병수착통기장애적정도가중,호흡곤난적발생솔축점증고,이겁중도조발생솔최고,체75.4％.경도화중도불량반응분별점81.0％화19.0％,무중도불량반응.결론 용력폐공능검사가인기불량반응적출현,단지요림상상응엄격장악검사지정,급시흡당지처리불량반응,용력폐공능검사시안전적.
Objective To investigate the adverse reactions and safety in patients who underwent spirometry.Methods Adverse reactions of 996 patients who underwent spirometry in the lung function testing laboratory were assessed by questionnaire survey,Results A total of 294 adverse reactions were present in 270 patients (27.1％),of whom 24 subjects experienced two or three distinct adverse reactions.The incidence rate of adverse reactions was ordered as respiratory tract symptoms,neuromyic symptoms and laryngopharyngeal symptoms,with dyspnea ( 129 cases,13.0 ％),coughing (79 cases,7.9 ％) and vertigo (43 cases,4.3 ％ ) being most common.The incidence rate of dyspnea in patients with airway obstruction was significantly higher than those without airway obstruction ( P =0.000),and the rate increased as lung disfunction upgraded.Of 294 adverse reactions,81.0％ were mild,which could be ameliorated by resting,19.0％ (56/294) belonged to moderate,which could only be recovered through clinical intervention.No severe adverse reaction was reported.Conclusions Despite that spirometry may result in certain adverse reactions,this measurement remains safe provided that indications of teat were under rigorous clinical monitoring and emergency was managed in a timely manner.
