CAJ | 학술논문

目的：观察喘息对支气管肺炎患儿潮气呼吸肺功能的影响。方法对54例支气管肺炎患儿分为观察组喘息组25例和对照组非喘息组29例,在肺炎急性期及恢复期分别测定潮气呼吸流速容量(TBFV)环图形及参数呼吸频率(RR)、每公斤体重潮气量(VT/kg)、达峰时间比(TPTEF/TE)、达峰容积比(VPEF/VE)、吸呼比(Ti/Te)、呼出和吸入50%潮气容积时的呼气流速与吸气流速之比(TEF50/TIF50),进行分析。结果1.观察组急性期TBFV环图形分析及相关参数较对照组无统计学意义。2.观察组恢复期TBFV图形分析正常17例、阻塞性改变8例,较对照组正常26例、阻塞性改变3例,经χ2检验P<0．05,有统计学意义。观察组恢复期达峰时间比( TPTEF/TE)、达峰容积比( VPEF/VE)较对照组低,经t检验有统计学意义( P<0．05)。结论观察组气道阻塞性病变恢复较对照组慢,喘息可影响支气管肺炎患儿气道阻塞性功能障碍的恢复。
목적：관찰천식대지기관폐염환인조기호흡폐공능적영향。방법대54례지기관폐염환인분위관찰조천식조25례화대조조비천식조29례,재폐염급성기급회복기분별측정조기호흡류속용량(TBFV)배도형급삼수호흡빈솔(RR)、매공근체중조기량(VT/kg)、체봉시간비(TPTEF/TE)、체봉용적비(VPEF/VE)、흡호비(Ti/Te)、호출화흡입50%조기용적시적호기류속여흡기류속지비(TEF50/TIF50),진행분석。결과1.관찰조급성기TBFV배도형분석급상관삼수교대조조무통계학의의。2.관찰조회복기TBFV도형분석정상17례、조새성개변8례,교대조조정상26례、조새성개변3례,경χ2검험P<0．05,유통계학의의。관찰조회복기체봉시간비( TPTEF/TE)、체봉용적비( VPEF/VE)교대조조저,경t검험유통계학의의( P<0．05)。결론관찰조기도조새성병변회복교대조조만,천식가영향지기관폐염환인기도조새성공능장애적회복。
Objective To observe the effect of wheezing on tidal breathing lung function in children with bronchopneumonia. Methods 54 children with bronchopneumonia were divided into the observation group ( the wheezing group, n=25) and the control group (the non-wheezing group, n=29). Their tidal breathing flow volume ( TBFV) , cyclic graph and parameters respiratory rate ( RR) , tidal volume per kilogram of body weight ( VT/kg) , TPTEF/TE, VPEF/VE, Ti/Te and TEF50/TIF50 were measured at the acute stage and the restoration stage. Re-sults 1. There was no significant difference in acute-stage TBFV graphical analysis and relevant parameters between the observation group and the control group. 2. The restoration-stage TBFV graphical analysis showed normal result in 17 cases and obstruction in 8 cases in the observation group and normal result in 26 cases and obstruction in 3 cases in the control group (P<0. 05). The level of TPTEF/TE and VPEF/VE at restoration stage were lower in the obser-vation group than in the control group (P<0. 05). Conclusion The restoration of airway obstruction is slower in the observation group than in the control group, and wheezing may affect the restoration of airway obstructive dysfunction in children with bronchopneumonia.