摘要
目的:探讨用肺功能检查鉴别诊断慢性阻塞性肺疾病(COPD)与哮喘的效果。方法:将2018年9月至2019年3月期间某医院收治的60例COPD患者设为甲组,将同期该院收治的60例哮喘患者设为乙组。对两组患者均进行肺功能检查,比较其检测结果。结果:甲组患者的一秒钟用力呼气容积(FEV1)/预计值、FEV1/用力肺活量(FVC)、肺一氧化碳弥散量(DLCO)/肺泡通气量(VA)均低于乙组患者,P<0.05;其最大呼气中段流量(MMEF)、肺活量(VC)、DLCO均少于乙组患者,P<0.05;其呼气峰流速(PEF)快于乙组患者,P<0.05;其肺残气量(RV)、肺功能残气量(FRC)均多于乙组患者,P<0.05;其RV/肺总量(TLC)高于乙组患者,P<0.05。结论:用肺功能检查鉴别诊断COPD与哮喘的效果较为理想。
Objective:To explore the effect of pulmonary function examination in the differential diagnosis of chronic obstructive pulmonary disease(COPD)and asthma.Methods:60 patients with COPD admitted to a hospital from September 2018 to March 2019 were assigned to group A,and 60 patients with asthma admitted to the hospital during the same period were assigned to group B.Lung function tests were performed in both groups and the results were compared.Results:The volume of forced expiratory volume(FEV1)/estimated value,FEV1/forced vital capacity(FVC)and pulmonary carbon monoxide diffusion volume(DLCO)/alveolar ventilation volume(VA)in group A were all lower than those in group B(P<0.05).The maximum midexpiratory flow(MMEF),vital capacity(VC)and DLCO were all lower than those in group B(P<0.05).The peak expiratory flow rate(PEF)was faster than that of group B(P<0.05).Lung residual volume(RV)and pulmonary functional residual volume(FRC)were all higher than those in group B(P<0.05).The total RV/lung volume(TLC)was higher than that of group B(P<0.05).Conclusion:Pulmonary function examination is an ideal method for the differential diagnosis of COPD and asthma.
作者
陈琛
王芳
Chen Chen;Wang Fang(Xuzhou Medical Science Institute,Xuzhou 221000;2.Xuzhou Central Hospital,Xuzhou,Jiangsu 221000)
关键词
哮喘
慢性阻塞性肺疾病
肺功能检查
Asthma
Chronic obstructive pulmonary disease
Pulmonary function test
作者简介
陈琛(1985-),主治医师,研究方向:呼吸科肺功能。
