儿童和成人哮喘诊断、评估和监测中的振荡测量法:综述文章。

IF 5.8 2区 医学 Q1 ALLERGY
Francine M Ducharme, Rory Chan
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引用次数: 0

摘要

诊断哮喘通常依赖于临床病史、体格检查和客观肺功能检查。肺活量测定是评估肺功能的黄金标准,被普遍推荐用于哮喘的诊断、评估和监测。它需要患者做出最大的呼吸努力,这限制了某些人群的合作,而且在检测小气道功能障碍方面也有局限性。振荡测量法只需患者付出极小的努力,无创伤,可提供有关大气道和小气道的宝贵信息。最近的特别工作组报告建议,在哮喘患者的管理中,将振荡测定法作为肺活量测定法的替代或补充肺功能测试。本综述探讨了振荡测定法在哮喘肺功能测试的三个主要用途(即诊断、控制和未来风险评估、纵向监测,包括临床实用性)方面的科学证据和心理测量特性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Oscillometry in the diagnosis, assessment, and monitoring of asthma in children and adults: review article.

Diagnosing asthma typically relies on clinical history, physical examination, and objective lung function tests. Spirometry, the gold standard for assessing lung function, is universally recommended for the diagnostic, assessment and monitoring of asthma. It requires maximal respiratory effort that limits cooperation in certain populations and has limitations in detecting small airway dysfunction. Oscillometry requires minimal patient effort, is non-invasive, and provides valuable information about both large and small airways. Recent task force reports have suggested oscillometry as an alternative or a complementary lung function test to spirometry in the management of individuals with asthma. This review explores the scientific evidence and psychometric properties regarding oscillometry in three main purposes of lung function testing in asthma, namely diagnosis, assessment of control and future risk, longitudinal monitoring including clinical utility. it addressed challenges and facilitators to implementation and future directions regarding its positioning as lung function testing in individual with asthma.

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来源期刊
CiteScore
6.50
自引率
6.80%
发文量
437
审稿时长
33 days
期刊介绍: Annals of Allergy, Asthma & Immunology is a scholarly medical journal published monthly by the American College of Allergy, Asthma & Immunology. The purpose of Annals is to serve as an objective evidence-based forum for the allergy/immunology specialist to keep up to date on current clinical science (both research and practice-based) in the fields of allergy, asthma, and immunology. The emphasis of the journal will be to provide clinical and research information that is readily applicable to both the clinician and the researcher. Each issue of the Annals shall also provide opportunities to participate in accredited continuing medical education activities to enhance overall clinical proficiency.
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