潮气呼吸肺功能联合支气管舒张实验及哮喘预测指数在5岁以下儿童哮喘诊断中的应用

发布时间：2018-05-23 11:54

本文选题：潮气呼吸肺功能 + 支气管舒张试验　；参考：《广东医学》2017年S1期

【摘要】：目的通过潮气呼吸肺功能联合支气管舒张实试验检测、哮喘预测指数判断的数据进行分析,探讨诊断5岁以下儿童哮喘的特异性检测方法。方法选取0~5岁患儿115例,分为哮喘组55例,肺炎组60例。记录比较急性期两组患儿潮气呼吸肺功能(每公斤体重潮气量、达峰时间比、达峰容积比)值、支气管舒张试验阳性率、哮喘预测指数(API)阳性率;记录比较缓解期两组患儿潮气呼吸肺功能(每公斤体重潮气量、达峰时间比、达峰容积比)值,进行统计学分析。结果两组急性期潮气呼吸肺功能(每公斤体重潮气量、达峰时间比、达峰容积比)值比较,差异无统计学意义(P0.05),对支气管舒张试验阳性率和API阳性率的比较差异有统计学意义(P0.05);两组缓解期潮气呼吸肺功能(每公斤体重潮气量、达峰时间比、达峰容积比)值比较差异有统计学意义(P0.05)。结论对于5岁以下反复喘息儿童,利用潮气呼吸肺功能支气管舒张试验或API均可特异性诊断哮喘。
[Abstract]:Objective to analyze the data of tidal breathing and lung function combined with bronchodiastolic test, and to explore a specific method for the diagnosis of asthma in children under 5 years of age. Methods 115 children aged 5 years were divided into asthma group (55 cases) and pneumonia group (60 cases). The respiratory and pulmonary function (tidal volume per kg body weight, peak time ratio, peak volume ratio), bronchodiastolic test positive rate and asthma prediction index (API) positive rate were recorded and compared between the two groups in acute phase. The respiratory and pulmonary function (tidal volume, peak time ratio and peak volume ratio per kg body weight) of the two groups in remission period were recorded and analyzed statistically. Results the respiratory and pulmonary function (tidal volume per kg body weight, peak time ratio, peak volume ratio) were compared between the two groups. There was no significant difference in the positive rate of bronchodiastolic test and the positive rate of API, there was a significant difference in the positive rate of bronchodiastolic test and the positive rate of API, the respiratory and pulmonary function (tidal volume per kilogram of body weight, peak time ratio) of the two groups in the remission period were significantly higher than those in the control group. The difference of peak volume ratio was statistically significant (P 0.05). Conclusion for children under 5 years of age, asthma can be specifically diagnosed by tidal breathing and pulmonary function bronchodiastolic test or API.
【作者单位】：珠海市妇幼保健院儿内二科;
【分类号】：R725.6

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