慢性阻塞性肺疾病合并支气管扩张的CT Bhalla评分与临床的相关性研究

发布时间：2019-02-20 09:56

【摘要】：目的本次研究拟通过慢性阻塞性肺疾病(慢阻肺)合并支气管扩张患者CT的Bhalla评分与临床症状、肺功能、BODE等指标的相关性,寻找应用CT评价慢阻肺疾病合并支气管扩张的方法,并依此确立慢性阻塞性肺疾病合并支气管扩张的影像学分类及临床特点。结果根据CT影像表现分成两个分类:A型:单慢阻肺患者(72例),其中男性50例,女性22例,年龄46-88岁,平均69.56±9.09岁,B型:慢阻肺合并支气管扩张的患者(72例),其中男性55例,女性17例,年龄28-89岁,平均65.67±13.10岁。两组慢阻肺患者的临床特征、肺功能、Bhalla评分、BODE指数及急性加重等均存在差异。结论 1、慢阻肺合并支气管扩张的患者,有必要积极早期干预。2、CT Bhalla Score作为常规肺功能的补充,同时为评估慢阻肺患者的生活质量及预后,提供临床证据。
[Abstract]:Objective To study the correlation between Bhalla score of CT and clinical symptoms, pulmonary function and BODE in patients with chronic obstructive pulmonary disease (slow-resistance lung) combined with bronchiectasis. According to this, the imaging classification and clinical characteristics of the chronic obstructive pulmonary disease combined with the bronchiectasis are established. The results were divided into two categories according to CT images: type A: single-slow-resistance lung (72 cases), of which 50 were male, 22 in female, 46 to 88 years old, 69. 56 to 9. 09, type B: patients with chronic obstructive pulmonary combined with bronchiectasis (72 cases), including 55 males and 17 females. Age 28-89 years, average 65. 67-13. 10 years. The clinical characteristics, lung function, Bhalla score, BODE index and acute exacerbation of two groups of slow-resistance lung patients were different. Conclusion 1. It is necessary to actively intervene in the patients with slow-resistance lung and bronchiectasis. 2. CT Bhalla Score is used as a supplement to the conventional lung function, and the clinical evidence is provided to evaluate the quality of life and the prognosis of the patients with slow-resistance lung.
【作者单位】：大理大学临床医学院;云南省第二人民医院呼吸科;
【分类号】：R562.22;R563.9

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