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气急鉴别指数在COPD病情评估中的应用 被引量:3

Evaluation of the COPD with Dyspnea Differentiation Index
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摘要 目的 探讨气急鉴别指数 (dyspnea differentiation index,DDI)在慢性阻塞性肺病 (chronicobstructive pulm onary disease,COPD)病情评估中的初步应用。方法 测定 5 6例 COPD患者的 Pa O2 和 PEF值 ,根据 Rajesh K.Ailani等创立的公式计算 DDI,用治疗前后的 DDI与患者的气急改善情况进行对比 ,观察其相关性。结果  DDI的大小与 COPD患者的病情改善呈明显的负相关。结论 用 DDI判别 COPD病情是一种敏感、简便可行的方法 ,值得临床上进一步推广。 Objective To explore the advantage of dyspnea differentiation index (DDI) for evaluation of chronic obstructive pulmonary disease (COPD).Methods Measured the PaO 2 and PEF of 56 COPD patients with acute dyspnea,and calculated the DDI by means of the formula created by Rajesh K. Ailani, et al. The relationship between the DDI and the severity of the clinical manifestation (dyspnea) of the COPD patients was observed. Results The magnitude of the DDI was negatively correlated with the severity of the clinical manifestations.Conclusion To evaluate the COPD by means of DDI is a sensitive and easily manageable method and should be recommended for a wider use.
出处 《临床肺科杂志》 2004年第1期11-12,共2页 Journal of Clinical Pulmonary Medicine
关键词 慢性阻塞性肺病 气急鉴别指数 病情评估 Chronic obstructive pulmonary disease Dyspnea differentiation index Evaluation
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参考文献6

  • 1杨炯,李清泉.慢性阻塞性肺病的康复--前言.第1版.湖北科学技术出版社,1998.9
  • 2Rajesh K.Ailani,Keyvan Ravakhah,Bruno Digiovine.Dyspnea Differentiation Index:A new method for the Rapid Separation of Cardiac vs Pulmonary Dyspnea.Chest,1999,116 :1100 ~ 1104
  • 3王兴友,沈毅,查云,牛宪忠.气急鉴别指数判别呼吸困难类型的初步研究[J].临床肺科杂志,2002,7(1):19-20. 被引量:5
  • 4杨炯,李清泉.慢性阻塞性肺病的康复--COPD急性加重期的定义.第1版.湖北科学技术出版社,1998.281
  • 5McNamara RM,Cionni DJ.Utility of the peak expiratory flow rate in the differentiation of acute dyspnea,Chest,1992,101:129~132
  • 6Brown LH,Gough JE,Seim RH.Can quantitative capnometry differentiate between cardiac and obstructive causes of respiratory distress? Chest,1998,113:323~326

二级参考文献4

  • 1Mcnamara RM,Cionni DJ. Utility of the peak expiratory flow rate in the differentiation of acute dyspnea,Chest 1992,101:129 ~ 132.
  • 2Ailani RK, Ravakhah K Bruno Digiovine. Dyspnea Differentiation Index:A new method for the Rapid Separation of Cardicac vs Pulmonary Dyspnea. Chest, 1999,116:1100 ~ 1104.
  • 3Brown LH,Gough JE,Seim RH. Can quantitative capnometry differentiate between cardiac and obstructive causes of respiratory distress? Chest, 1998,113: 323~ 326.
  • 4缪礼丽,刘昌起.峰值流速对心或肺源性呼吸困难的鉴别价值[J].天津医药,1998,26(9):532-534. 被引量:1

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