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气道反应性测定在哮喘诊断中的临床应用

CLINICAL APPLICATIN OF BRONCHIAL RESPONSIVENESS TEST IN DIAGNOSING ASTHMA
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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
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参考文献1

  • 1支气管哮喘防治指南(支气管哮喘的定义、诊断、治疗、疗效判断标准及教育和管理方案)[J]中华结核和呼吸杂志,1997(05).

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