中国疗养医学
中國療養醫學
중국요양의학
CHINESE JOURNAL OF CONVALESCENT MEDICINE
2009年
8期
677-679
,共3页
袁扬%黄京慧%马国宣%陈刚%刘贺%张志浩%陈志远
袁颺%黃京慧%馬國宣%陳剛%劉賀%張誌浩%陳誌遠
원양%황경혜%마국선%진강%류하%장지호%진지원
大容量肺灌洗%肺功能%远期效果
大容量肺灌洗%肺功能%遠期效果
대용량폐관세%폐공능%원기효과
Large volume lung lavage%Lung function%Long-term effect
目的 通过对大容量肺灌洗(WLL)治疗煤工尘肺远期肺功能效果的分析,来探讨WLL治疗和控制尘肺病的效果.方法 选择陕西省韩城矿务局某煤矿,采用回顾性队列研究的方法,日本捷斯特(CHEST)肺功能仪作为检测仪器,对入列现存活的90例(肺灌洗组21例.非肺灌洗组69例)Ⅰ期煤工尘肺患者的肺功能进行横断面检测;将肺灌洗组和非肺灌洗组患者的肺功能按VC,FVC,FEV1,FEV1%.MMF,PEF,FEF25,FEF50,FEF75,MVV等10个指标进行比较分析.结果 肺灌洗组在PEF、FEF25及MVV指标检测结果分别为50.6±28.5,49.2±26.7,72.6±34.8;非肺灌洗组分别为30.8±16.2,30.8±17.3和49.0±20.0,两组比较,肺灌洗组好于非肺灌洗组,差异有统计学意义(P＜0.05);其他指标两组比较,差异无统计学意叉(P＞0.05).结论 WLL对尘肺患者的远期肺功能有一定的改善,是尘肺病治疗及二级预防的一种有效方法.
目的 通過對大容量肺灌洗(WLL)治療煤工塵肺遠期肺功能效果的分析,來探討WLL治療和控製塵肺病的效果.方法 選擇陝西省韓城礦務跼某煤礦,採用迴顧性隊列研究的方法,日本捷斯特(CHEST)肺功能儀作為檢測儀器,對入列現存活的90例(肺灌洗組21例.非肺灌洗組69例)Ⅰ期煤工塵肺患者的肺功能進行橫斷麵檢測;將肺灌洗組和非肺灌洗組患者的肺功能按VC,FVC,FEV1,FEV1%.MMF,PEF,FEF25,FEF50,FEF75,MVV等10箇指標進行比較分析.結果 肺灌洗組在PEF、FEF25及MVV指標檢測結果分彆為50.6±28.5,49.2±26.7,72.6±34.8;非肺灌洗組分彆為30.8±16.2,30.8±17.3和49.0±20.0,兩組比較,肺灌洗組好于非肺灌洗組,差異有統計學意義(P＜0.05);其他指標兩組比較,差異無統計學意扠(P＞0.05).結論 WLL對塵肺患者的遠期肺功能有一定的改善,是塵肺病治療及二級預防的一種有效方法.
목적 통과대대용량폐관세(WLL)치료매공진폐원기폐공능효과적분석,래탐토WLL치료화공제진폐병적효과.방법 선택합서성한성광무국모매광,채용회고성대렬연구적방법,일본첩사특(CHEST)폐공능의작위검측의기,대입렬현존활적90례(폐관세조21례.비폐관세조69례)Ⅰ기매공진폐환자적폐공능진행횡단면검측;장폐관세조화비폐관세조환자적폐공능안VC,FVC,FEV1,FEV1%.MMF,PEF,FEF25,FEF50,FEF75,MVV등10개지표진행비교분석.결과 폐관세조재PEF、FEF25급MVV지표검측결과분별위50.6±28.5,49.2±26.7,72.6±34.8;비폐관세조분별위30.8±16.2,30.8±17.3화49.0±20.0,량조비교,폐관세조호우비폐관세조,차이유통계학의의(P＜0.05);기타지표량조비교,차이무통계학의차(P＞0.05).결론 WLL대진폐환자적원기폐공능유일정적개선,시진폐병치료급이급예방적일충유효방법.
Objective To analyse long-term therapeutic effects of large volume lung lavage on lung function of coal workers'pneumoconiosis, discuss treatment effect of WLL and pneumuconiosis. Methods Through retrospective cohort study, 90 existing patients with Ⅰ stage coal worker's pneumoconinsis from one coal mine of Hancheng Coal Mining Administration, Shaanxi Province were selected and divided into lung lavage group(21 case) and non-lung lavage grooup(69cases) .The lung functions of all patients were measured by Japan CEEST lung functional apparatus through cross-section study.Ten parameters such as VC,FVC,FEV1,FEV1%, MMF, PEF, FEF25, FEF50, FEF75 and MVV were compared and analyzed in two groups. Results PEF, FEF25 and MVV were (50.6±28.5),(49.2±26.7),(72.6±34.8) respectively in the lung lavage group,and (30.8±16.2),(30.8±17.3) and (49.0±20.0) respectively in the non-lung lavage group.These parameters in the long lavage group were superior than that in the non- lung lavage group,there was statistical significance between them.There were no significant difference of other parameters between the two groups. Conclusion Large volume lung lavage can improve long-term lung function.It is an effective method for the treatment of pneumoconiosis and the second level prevention.
