临床肺科杂志
臨床肺科雜誌
림상폐과잡지
Journal of Clinical Pulmonary Medicine
2015年
12期
2205-2207,2208
,共4页
变应性鼻炎%哮喘%临床控制%肺通气功能
變應性鼻炎%哮喘%臨床控製%肺通氣功能
변응성비염%효천%림상공제%폐통기공능
allergic rhinitis%asthma%clinical control%lung ventilation function
目的：分析支气管哮喘伴变应性鼻炎患者肺通气功能测定结果。方法选取我院2012年6月~2014年6月间收治入院的单纯性支气管哮喘患者100例作为I组，另选取我院同期收治入院的支气管哮喘合并变应性鼻炎患者100例作为II组。观察两组间哮喘控制测试( ACT)评分、哮喘控制问卷( ACQ)评分、最近1个月使用沙丁胺醇气雾剂次数、第1秒呼气容积占预计值百分比( FEV1%)和呼气峰流量占预计值百分比(PEF%)。结果 II组中患者ACQ 评分、ACT 评分高于I组，两组比较差异均有统计学意义(P<0．05)；II组中患者FEV1、PEF、FEF25、FEF50、FEF75等指标均低于I 组(P<0．05)；而沙丁胺醇气雾剂近一月使用次数3次多于I组(P<0．05)；FEF25-75≥80%组患者FEV1、FEF25、FEF50、FEF75、Dmin等肺功能指标明显高于FEF25-75<80%组(P<0．05)；FEF25-75≥80%组患者小气道功能障碍率明显低于FEF25-75<80%组(P<0．05)；Dmin >6．0unit组患者FEV1、FEF25、FEF50、FEF75、FEF25-75等肺功能指标明显高于Dmin≤6．0unit组(P<0．05)；Dmin >6．0unit组患者小气道功能障碍率明显低于Dmin≤6．0unit组(P<0．05)。结论伴有变应性鼻炎的支气管哮喘患者肺通气功能更差，在进行疾病治疗时应给予一定重视。
目的：分析支氣管哮喘伴變應性鼻炎患者肺通氣功能測定結果。方法選取我院2012年6月~2014年6月間收治入院的單純性支氣管哮喘患者100例作為I組，另選取我院同期收治入院的支氣管哮喘閤併變應性鼻炎患者100例作為II組。觀察兩組間哮喘控製測試( ACT)評分、哮喘控製問捲( ACQ)評分、最近1箇月使用沙丁胺醇氣霧劑次數、第1秒呼氣容積佔預計值百分比( FEV1%)和呼氣峰流量佔預計值百分比(PEF%)。結果 II組中患者ACQ 評分、ACT 評分高于I組，兩組比較差異均有統計學意義(P<0．05)；II組中患者FEV1、PEF、FEF25、FEF50、FEF75等指標均低于I 組(P<0．05)；而沙丁胺醇氣霧劑近一月使用次數3次多于I組(P<0．05)；FEF25-75≥80%組患者FEV1、FEF25、FEF50、FEF75、Dmin等肺功能指標明顯高于FEF25-75<80%組(P<0．05)；FEF25-75≥80%組患者小氣道功能障礙率明顯低于FEF25-75<80%組(P<0．05)；Dmin >6．0unit組患者FEV1、FEF25、FEF50、FEF75、FEF25-75等肺功能指標明顯高于Dmin≤6．0unit組(P<0．05)；Dmin >6．0unit組患者小氣道功能障礙率明顯低于Dmin≤6．0unit組(P<0．05)。結論伴有變應性鼻炎的支氣管哮喘患者肺通氣功能更差，在進行疾病治療時應給予一定重視。
목적：분석지기관효천반변응성비염환자폐통기공능측정결과。방법선취아원2012년6월~2014년6월간수치입원적단순성지기관효천환자100례작위I조，령선취아원동기수치입원적지기관효천합병변응성비염환자100례작위II조。관찰량조간효천공제측시( ACT)평분、효천공제문권( ACQ)평분、최근1개월사용사정알순기무제차수、제1초호기용적점예계치백분비( FEV1%)화호기봉류량점예계치백분비(PEF%)。결과 II조중환자ACQ 평분、ACT 평분고우I조，량조비교차이균유통계학의의(P<0．05)；II조중환자FEV1、PEF、FEF25、FEF50、FEF75등지표균저우I 조(P<0．05)；이사정알순기무제근일월사용차수3차다우I조(P<0．05)；FEF25-75≥80%조환자FEV1、FEF25、FEF50、FEF75、Dmin등폐공능지표명현고우FEF25-75<80%조(P<0．05)；FEF25-75≥80%조환자소기도공능장애솔명현저우FEF25-75<80%조(P<0．05)；Dmin >6．0unit조환자FEV1、FEF25、FEF50、FEF75、FEF25-75등폐공능지표명현고우Dmin≤6．0unit조(P<0．05)；Dmin >6．0unit조환자소기도공능장애솔명현저우Dmin≤6．0unit조(P<0．05)。결론반유변응성비염적지기관효천환자폐통기공능경차，재진행질병치료시응급여일정중시。
Objective To analyze the results of pulmonary ventilation function test for patients with bronchi-al asthma complicated with allergic rhinitis. Methods 100 patients only with bronchial asthma from June, 2012 to 2014 were selected as the groupⅠ, and another 100 patients with bronchial asthma complicated with allergic rhinitis as the groupⅡ. Their scores of asthma control test ( ACT) and asthma control questionnaire ( ACQ) , the use of sal-butamol aerosol during the lastest month, and the value of FEV1% and PEF% were compared between the two groups. Results The scores of ACQ and ACT were significantly higher in the group Ⅱ than in the group Ⅰ( P<0. 05). The value of FEV1, PEF, FEF25, FEF50 and FEF75 were all lower in the groupⅡthan in the groupⅠ(P<0. 05). The patients received 3 times of slbutamol aerosolthe were more in the group Ⅱ than in the group Ⅰ(P<0. 05). The value of FEV1, PEF, FEF25, FEF50, FEF75 and Dmin was significantly higher in patients with FEF25-75≥80% than those with FEF25-75 <80% (P<0. 05). The incidence of small airway dysfunction was significantly low-er in patients with FEF25-75≥80% than those with FEF25-75 <80% (P<0. 05). The value of FEF25, FEV1, FEF75, FEF50 and FEF25-75 was significantly higher in patients with Dmin>6. 0 unit than those with Dmin≤6. 0 unit ( P<0. 05). The incidence of small airway dysfunction was obviously lower in patients with Dmin>6. 0 unit than those with Dmin≤6. 0 unit (P<0. 05). Conclusion Bronchial asthma patients have poor pulmonary ventilation function while they are complicated with allergic rhinitis, which should be given more attention during the treatment.
