渗透性气道高反应性哮喘患者肺充气测定方法

E. Afanas'eva
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引用次数: 0

摘要

的目标。目的:建立用力呼气流量-容积肺活量法测定肺充气的方法。材料和方法。对43例合并渗透性气道高反应性的轻度持续性不受控制哮喘患者,采用肺活量测定法、支气管扩张试验和体体积描记术评估肺功能指标。从整个参数集出发,采用回归分析,构建两个方程,其中包括主要肺活量指标(FEV1占应有值的%,支气管舒张试验后AFEVt和AFEF75占应有值的%)。所得公式可用于计算渗透性气道高反应性哮喘患者的肺充气指数,以选择转诊患者进行肺体积脉搏图和肺部多螺旋ct检查,以诊断高充气的严重程度。建立的回归模型为初步评估渗透性气道高反应性哮喘患者的肺部过度膨胀的存在和程度提供了机会,从而确定基本抗炎治疗的个人方法,并在必要时及时纠正。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Method for lung inflation determining in asthma patients with osmotic airway hyperresponsiveness
Aim. To develop a method for determining the lung inflation by the indexes of forced expiratory flow­volume spirometry.Materials and methods. In 43 patients with mild persistent uncontrolled asthma in combination with osmotic airway hyperresponsiveness, the lung function indexes were assessed by spirometry using a bronchodilation test and bodyplethysmography.Results. From the entire set of parameters, using regression analysis, two equations were con­structed, with the inclusion of the main spirometric indicators (FEV1 in % of the due value, AFEVt and AFEF75 after the bronchodilation test, in %). The equations obtained make it possible to calculate lung inflation indices in asthma patients with osmotic airway hyperresponsiveness to select patients for referral for bodyplethysmography and multispiral computed tomography of the lungs in order to diagnose the severity of hyperinflation.Conclusion. The developed regression models provide an opportunity for a preliminary assessment of the presence and degree of lung hyperinflation in asthma patients with osmotic airway hyperresponsiveness, to determine personal approaches to basic anti-inflammatory therapy and, if necessary, to correct it in a timely manner.
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