摘要
①目的评价气道反性测定的临床应用价值。②方法测定哮喘缓解期、慢性咳嗽、胸闷病人及正常人的气道反应性,并随访支气管扩张剂治疗效果。③结果气道反应性测定诊断哮喘的敏感性为90.5%,特异性为93.3%;慢性咳嗽病人中气道高反应性(BHR)者占79.6%,胸闷病人中BHR者占62.7%,其中BHR者接受支气管扩张剂治疗,总有效率达92.4%。④结论气道反应性测定对哮喘,尤其是隐匿型哮喘具有重要诊断价值。
Objective To evaluate the clinical application of the bronchial responsiveness test. Methids Bronchial re- sponsiveness was tested in patients with stable asthma, chronic cough, dyspnea and normal controls respectively by using asto- graph TCK-600CV. The post bronchodilator effect in patients with chronic cough and dyspnea was monitared by follow up study. Rerults The sensitivity of bronchial hyperresponsiveness (BHR) in diagnosing asthma was 90.5 %, specificity 93. 3%. BHR was found in 79. 6% patients with chronic cough, 62. 7% with dyspnea, and that the total effective rate was 92. 4% in those under bronchodilator therapy. Conclusion BHR is of important value in diagnosing asthma,especially in diagnosing occult asthma.
出处
《齐鲁医学杂志》
1998年第1期33-34,共2页
Medical Journal of Qilu
关键词
气道阻力
哮喘
诊断
鉴别
airway resistance
asthma
diagnosis, differential