CAJ | 학술논문

目的：：探讨学龄前慢性咳嗽患儿强迫脉冲振荡( IOS)检查中R35的临床意义及健康指导。方法：选择我院肺功能室2013年6~12月240例诊断为慢性咳嗽患儿，有鼻塞、鼻痒等变应性鼻炎或哮喘合并鼻炎和或有早期咳嗽或体位改变咳嗽加重等上气道咳嗽综合征表现的120例患儿纳入观察组，其余没有上述综合征表现的咳嗽患儿120例纳入对照组。两组患儿均进行IOS检查，对两组5岁以上的患儿同时进行通气功能检测，观察其指标及图形变化。结果：观察组IOS各项参数与对照组比较有统计学意义(P<0.05)。两组5岁以上患儿同时兼做通气功能检查，结果比较无统计学意义(P>0.05)。结论：IOS检查能很好地反应呼吸系统各部位疾病的改变，特别是临床症状不典型患儿，对其进行早期辅助检查，能为临床治疗和护理健康指导提供早期客观依据，提高生活质量。
목적：：탐토학령전만성해수환인강박맥충진탕( IOS)검사중R35적림상의의급건강지도。방법：선택아원폐공능실2013년6~12월240례진단위만성해수환인，유비새、비양등변응성비염혹효천합병비염화혹유조기해수혹체위개변해수가중등상기도해수종합정표현적120례환인납입관찰조，기여몰유상술종합정표현적해수환인120례납입대조조。량조환인균진행IOS검사，대량조5세이상적환인동시진행통기공능검측，관찰기지표급도형변화。결과：관찰조IOS각항삼수여대조조비교유통계학의의(P<0.05)。량조5세이상환인동시겸주통기공능검사，결과비교무통계학의의(P>0.05)。결론：IOS검사능흔호지반응호흡계통각부위질병적개변，특별시림상증상불전형환인，대기진행조기보조검사，능위림상치료화호리건강지도제공조기객관의거，제고생활질량。
Objective:To explore the clinical significance of R35 in impulse oscillometry system( IOS) and the health guidance. Methods:240 cases of pa-tients with chronic cough used IOS examination to observe the indexes and the graphics changes. Patients with nasal itching,nasal congestion,sneezing and or position changes cough and clear voice of cough as the observation group,others as the control group. Results:The indexes of IOS of two groups has signifi-cant(P<0. 05),over 5 years old patients of two groups as well as coaches ventilatory function tests was no significant(P>0. 05). Conclusion:IOS can re-flect the change of each part of the respiratory system disease,especially in patients with atypical clinical symptoms and early auxiliary examination,it can provide objective basis for early clinical treatment and care for health guidance,to improve the quality of life in this part of the crowd.