CAJ | 학술논문

目的比较双肺同期大容量肺灌洗尘肺患者灌洗前与灌洗后1周肺功能指标的变化并观察肺灌洗对患者短期内肺功能的影响。方法对50例接受双肺同期大容量肺灌洗尘肺患者采用自身对照并按照肺功能判断标准分为正常组（27例）和异常组（23例），分别进行灌洗前和灌洗后1周肺功能指标变化观察比较。结果肺功能正常组患者肺活量（VC）、肺总量（TLC）、用力肺活量（FVC）灌洗后1周较灌洗前降低（P＜0.05）；其他指标灌洗前后比较差异无统计学意义（P＞0.05）。肺功能异常组患者观察指标灌洗前后比较差异均无统计学意义（P＞0.05）；灌洗后肺功能降低指标的均值仍在正常范围内。结论双肺同期大容量肺灌洗术后1周肺功能指标虽有降低，因其均值仍在正常范围，肺灌洗对尘肺患者肺功能无不利影响。
목적비교쌍폐동기대용량폐관세진폐환자관세전여관세후1주폐공능지표적변화병관찰폐관세대환자단기내폐공능적영향。방법대50례접수쌍폐동기대용량폐관세진폐환자채용자신대조병안조폐공능판단표준분위정상조（27례）화이상조（23례），분별진행관세전화관세후1주폐공능지표변화관찰비교。결과폐공능정상조환자폐활량（VC）、폐총량（TLC）、용력폐활량（FVC）관세후1주교관세전강저（P＜0.05）；기타지표관세전후비교차이무통계학의의（P＞0.05）。폐공능이상조환자관찰지표관세전후비교차이균무통계학의의（P＞0.05）；관세후폐공능강저지표적균치잉재정상범위내。결론쌍폐동기대용량폐관세술후1주폐공능지표수유강저，인기균치잉재정상범위，폐관세대진폐환자폐공능무불리영향。
Objective To compare the changes of pulmonary function indicators in the patients before and at one week after simultaneous massive whole lung lavage , to observed the impact of whole lung lavage on pulmonary function in pneumoconiosis patients in short time .Methods The self-controled methord were used in 50 patiens who received massive whole lung lavage and were divided into normal group (n=27) and abnormal group(n=23) accod-ing to pulmonary function criteria to do the comparison of preoperative and postoperative indicators of one week re -spectively.Results VC, TLC, FVC at one week after lavage in normal group of pulmonary function were reduced compared to those before lavage(P<0.05);There was no statistically significant difference in other indicators before and after lavage(P>0.05);There was no statistically significant difference before and after lavage in the abmormal group of pulmonary function (P>0.05);The mean value of reduced indicators after the lavage were in the normal range.Conclusion Although pulmonary function indictors were reduced after lavage but the mean value was in the normal range.There′re no adverse effects of whole lung lavage on pulmonary function in the patients with pneumoconi -osis.