摘要
目的将肺功能检查用于慢性咳嗽临床诊断,对其诊断意义进行研究。方法参与本实验的患者共145例(2015年10月~2017年5月),其中76例慢性咳嗽患者设为研究组,另外69例典型哮喘病症患者设为对照组,安排所有患者均进行肺功能检查,将临床各肺功能指标行组间比较。结果研究组76例患者中雾化前后各肺功能指标未变化有7例,变化的69例。研究组69例患者和对照组患者雾化吸入后吸气和呼气时间均明显短于治疗前;两组患者治疗后潮气量、呼吸比、达峰容积比、呼吸频率、达峰时间比及潮气呼吸呼气风峰流速等指标均明显低于对照组(P<0.05),但是两组患者组间比较差异无统计学意义(P>0.05)。结论通常慢性咳嗽患者接受一段时间治疗症状均能够缓解,如若未缓解医护人员可以安排患者进行肺功能各指标检查,通过比对能够确定患者是否出现咳嗽变异性哮喘,对患者病症予以进一步诊断确诊,调整临床治疗方案以此提高治疗效果,改善患者临床症状表现。
Objective To explore the clinical significance of pulmonary function test in the diagnosis of chronic cough. Methods There were 145 patients who participated in this experiment（from October 2015 to May 2017）. Among them, 76 patients with chronic cough were selected as the study group, and the other 69 patients with typical asthma were selected as control group. All patients were examined for lung function, and the clinical lung function indexes were compared between the groups. Results Among the 76 patients in the study group, there were no changes in lung function indexes before and after atomization in 7 cases and changes in 69 cases. The inspiratory and expiratory time of the patients in the 69 patients of the study group and the control group after inhalation were significantly shorter than that before treatment. The indexes of tidal volume, respiratory ratio, peak volume ratio, respiratory frequency, peak time ratio and peak flow rate of tidal breathing breath wind were significantly lower than those of the control group（P〈0.05）. However, there was no significant difference between the two groups（P〈0.05）. Conclusion The symptoms of chronic cough patients are usually relieved for a period of time. If the patient is not relieved, the medical staff can arrange for the patients to perform pulmonary function tests. By comparing to determine whether the patient has cough variant asthma, the patient is further confirmed, the clinical treatment plan is adjusted to improve the treatment effect and improve the clinical symptoms.
作者
徐唐星
XU Tangxing(Heping County People＇s Hospital, Guangdong, Heyuan 517200, China)
出处
《中国医药科学》
2018年第10期221-223,共3页
China Medicine And Pharmacy
关键词
慢性咳嗽
哮喘
肺功能检查
病症诊断
Chronic cough
Asthma
Pulmonary function examination
Diagnosis of disease
