摘要
目的探讨肺功能检查在老年性哮喘与慢性阻塞性肺疾病鉴别诊断中的作用。方法选择2020年12月-2021年5月本院收治的35例老年性哮喘患者作为哮喘组,另选择同期本院收治的35例慢性阻塞性肺疾病作为慢阻肺组。两组均行肺功能检查,对比两组相关指标差异。结果哮喘组VC(79.68±14.03)L显著高于慢阻肺组(65.37±15.02)L(P<0.05)。哮喘组PEF(62.03±12.11)L/min显著高于慢阻肺组(46.38±10.97)L/min(P<0.05)。哮喘组FEV1(63.05±17.48)L显著高于慢阻肺组(47.52±9.67)L(P<0.05)。哮喘组FVC(78.52±15.37)L显著高于慢阻肺组(68.02±14.58)L(P<0.05)。哮喘组FEV1/FVC(72.01±11.67)显著高于慢阻肺组(62.47±10.57)(P<0.05)。哮喘组DLco[(90.89±17.98)mL·kPa-1]显著高于慢阻肺组[(77.02±12.06)mL·kPa-1](P<0.05)。哮喘组DLco/VA(85.89±10.79)显著高于慢阻肺组(65.03±14.02)(P<0.05)。哮喘组支气管舒张试验阳性率(82.86%)显著高于慢阻肺组(11.42%)(P<0.05)。结论与老年性哮喘相比,慢性阻塞性肺疾病患者肺功能损伤较为严重,肺功能检查可为两者鉴别诊断提供可靠的参考资料,并可指导临床规范治疗,临床应用价值较高。
Objective To explore effect of pulmonary function examination in differential diagnosis of elderly asthma and chronic obstructive pulmonary disease.Methods The paper chose 35 elderly patients with asthma admitted to our hospital from December 2020 to May 2021 as asthma group,and 35 patients with chronic obstructive pulmonary disease admitted to our hospital at the same time as chronic obstructive pulmonary disease group.Both groups were treated with pulmonary function examination,difference of relevant indexes between two groups was compared.Results VC(79.68±14.03)L in asthma group was significantly higher than COPD group(65.37±15.02)L,(P<0.05).PEF in asthma group(62.03±12.11)L/min was significantly higher than COPD group(46.38±10.97)L/min(P<0.05).FEV1(63.05±17.48)L in asthma group was significantly higher than COPD group(47.52±9.67)L(P<0.05).FVC in asthma group(78.52±15.37)L was significantly higher than COPD group(68.02±14.58)L(P<0.05).FEV1/FVC in asthma group(72.01±11.67)was significantly higher than COPD group(62.47±10.57)(P<0.05).DLco[(90.89±17.98)mL·kPa-1]in asthma group was significantly higher than COPD group[(77.02±12.06)mL·kPa-1](P<0.05).DLco/VA in asthma group(85.89±10.79)was significantly higher than COPD group(65.03±14.02)(P<0.05).Positive rate of bronchial relaxation test in asthma group(82.86%)was significantly higher than COPD group(11.42%)(P<0.05).Conclusion Compared with elderly asthma,lung function of COPD patients is more seriously damaged.Lung function examination can provide reliable reference data for differential diagnosis of them,and guide clinical standard treatment,which has high clinical application value.
作者
梁雪玲
何平
LIANG Xueling;HE Ping(Respiratory and Critical Care Medicine Department,Zhongshan Torch Development Zone Hospital,Zhongshan,Guangdong,528437)
出处
《智慧健康》
2022年第30期102-105,共4页
Smart Healthcare
关键词
肺功能检查
老年性哮喘
慢性阻塞性肺疾病
鉴别诊断
肺通气
肺弥散
支气管舒张试验
Pulmonary function test
Elderly asthma
Chronic obstructive pulmonary disease
Differential diagnosis
Lung ventilation
Lung diffusion
Bronchial relaxation test
