国际呼吸杂志
國際呼吸雜誌
국제호흡잡지
INTERNATIONAL JOURNAL OF RESPIRATION
2013年
21期
1610-1612
,共3页
咳嗽变异性哮喘%支气管激发试验%诊断方法%应用
咳嗽變異性哮喘%支氣管激髮試驗%診斷方法%應用
해수변이성효천%지기관격발시험%진단방법%응용
Cough variant asthma%Bronchial provocation tests%Diagnostic methods%Application
目的 探讨在诊断咳嗽变异性哮喘(cough variant asthma,CVA)过程中支气管激发试验及肺功能测定的效果与应用价值.方法 选取我院收治的120例病因不明的慢性咳嗽患者为研究对象,对其实施支气管激发试验检测,并测定呼气峰流速、第1秒用力呼气容积、第1秒用力呼气容积/用力肺活量等各项肺功能指标,对支气管激发检测表现为阳性者吸入糖皮质激素和β2受体激动剂进行治疗,观察治疗前后该组患者症状改善情况.结果 本组120例患者中,对其实施支气管激发试验发现其中73例(60.8％)患者检测结果表现为阳性,经吸入糖皮质激素和β2受体激动剂后,59例患者各项肺功能指标与治疗前相比具有显著改善,差异有统计学意义(P ＜0.05).因而确诊为CVA.结论 在CVA各项诊断方法中,肺功能测定易于掌握,操作简单,检测费用相对低廉,联合支气管激发试验可有效检出CVA,值得在临床上广泛应用.
目的 探討在診斷咳嗽變異性哮喘(cough variant asthma,CVA)過程中支氣管激髮試驗及肺功能測定的效果與應用價值.方法 選取我院收治的120例病因不明的慢性咳嗽患者為研究對象,對其實施支氣管激髮試驗檢測,併測定呼氣峰流速、第1秒用力呼氣容積、第1秒用力呼氣容積/用力肺活量等各項肺功能指標,對支氣管激髮檢測錶現為暘性者吸入糖皮質激素和β2受體激動劑進行治療,觀察治療前後該組患者癥狀改善情況.結果 本組120例患者中,對其實施支氣管激髮試驗髮現其中73例(60.8％)患者檢測結果錶現為暘性,經吸入糖皮質激素和β2受體激動劑後,59例患者各項肺功能指標與治療前相比具有顯著改善,差異有統計學意義(P ＜0.05).因而確診為CVA.結論 在CVA各項診斷方法中,肺功能測定易于掌握,操作簡單,檢測費用相對低廉,聯閤支氣管激髮試驗可有效檢齣CVA,值得在臨床上廣汎應用.
목적 탐토재진단해수변이성효천(cough variant asthma,CVA)과정중지기관격발시험급폐공능측정적효과여응용개치.방법 선취아원수치적120례병인불명적만성해수환자위연구대상,대기실시지기관격발시험검측,병측정호기봉류속、제1초용력호기용적、제1초용력호기용적/용력폐활량등각항폐공능지표,대지기관격발검측표현위양성자흡입당피질격소화β2수체격동제진행치료,관찰치료전후해조환자증상개선정황.결과 본조120례환자중,대기실시지기관격발시험발현기중73례(60.8％)환자검측결과표현위양성,경흡입당피질격소화β2수체격동제후,59례환자각항폐공능지표여치료전상비구유현저개선,차이유통계학의의(P ＜0.05).인이학진위CVA.결론 재CVA각항진단방법중,폐공능측정역우장악,조작간단,검측비용상대저렴,연합지기관격발시험가유효검출CVA,치득재림상상엄범응용.
Objective To explore the effect of pulmonary function and bronchial provocation tests in the diagnosis of cough variant asthma.Methods Select 120 cases of chronic cough as the research object,with all patients had the implementation of bronchial provocation tests,including the index PEF,FEV1,FEV1/ FVC (％) of the lung function indicators,Gived the regarding treatment which bronchial excitation test was inhaled,observe the nsymptoms before and after treatment.Results 73 patients (60.8％) of the test results show the positive results,they were diagnoisied asCough variant Asthma (Cough variant Asthma,CVA);3 cases of CVA patients' lung function index improved significantly compared with before there are significant differences(P ＜0.05).Conclusions In the achievement of various diagnosis methods,lung function measurements to grasp,the operation is simple,the testing costs are relatively cheap,combined bronchial provocation tests can be detected with CVA effectively,is worth wide application in clinic.
