CAJ | 학술논문

目的探讨肺功能检测在慢性阻塞性肺疾病(COPD)中临床应用价值.方法回顾分析2011年7月至2012年7月我院收治的135例慢性阻塞性肺疾病患者的临床资料,分析COPD的漏诊率及肺功能检测情况.结果 135例COPD患者漏诊63例,漏诊率为46.7％.漏诊率随COPD的严重程度增加逐渐降低,差异有显著性(P＜0.05).COPD组患者的FEV1％、FEV1/FVC(％)低于正常对照组(P＜0.05).随着COPD的严重程度增加,FEV1％、FEV1/FVC(％)均呈降低趋势,差异有显著性(P＜0.05).结论肺功能检测对慢性阻塞性肺疾病的诊治具有重要临床意义,有必要作为常规检查项目,以利于COPD早期诊断及治疗.
목적 탐토폐공능검측재만성조새성폐질병(COPD)중림상응용개치.방법 회고분석2011년7월지2012년7월아원수치적135례만성조새성폐질병환자적림상자료,분석COPD적루진솔급폐공능검측정황.결과 135례COPD환자루진63례,루진솔위46.7％.루진솔수COPD적엄중정도증가축점강저,차이유현저성(P＜0.05).COPD조환자적FEV1％、FEV1/FVC(％)저우정상대조조(P＜0.05).수착COPD적엄중정도증가,FEV1％、FEV1/FVC(％)균정강저추세,차이유현저성(P＜0.05).결론 폐공능검측대만성조새성폐질병적진치구유중요림상의의,유필요작위상규검사항목,이리우COPD조기진단급치료.
Objective To investigate the clinical evaluation of pulmonary function test in chronic obstructive pulmonary disease (COPD).Methods 135 clinical data with COPD from July 2011 to July 2012 were analyzed retrospectively.Omission diagnosis rate and pulmonary function test were analyzed.Results Among 135 COPD patients,63 patients were omission diagnosis with the rate of 46.7％.Omission diagnosis rate gradually decreased with the increasing in the severity of COPD(P ＜ 0.05).The values of FEV1％、FEV1/FVC(％) in COPD group were lower than those in control group (P ＜ 0.05).With the increasing in the severity of COPD,the values of FEV1％、FEV1/FVC(％) all decreased (P ＜ 0.05).Conclusion Pulmonary function test has important significance in the diagnosis and treatment of COPD.It is necessary for inpatients to do a routine examination,which is helpful for early diagnosis and treatment of COPD.