首页|呼出气一氧化氮和肺泡气一氧化氮与慢性阻塞性肺疾病患者小气道功能的关系

呼出气一氧化氮和肺泡气一氧化氮与慢性阻塞性肺疾病患者小气道功能的关系

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目的 探讨呼出气一氧化氮(FeNO)和肺泡气一氧化氮(CaNO)与慢性阻塞性肺疾病(COPD)患者小气道功能的关系.方法 选取 2021 年 6 月至 2022 年 3 月于我院疗养的 50 例稳定期COPD患者作为观察组,并选取同期于我院疗养的50 例患者(排除COPD)作为对照组.检测两组的肺功能指标和FeNO50、FeNO200 及CaNO.采用Pearson相关性分析探讨FeNO200、CaNO与肺功能指标的关系.结果 观察组的各肺功能指标均低于对照组(P<0.05).观察组的FeNO200、CaNO高于对照组(P<0.05).观察组的FeNO200、CaNO与 25%肺活量最大呼气流速(MEF25%)、50%肺活量最大呼气流速(MEF50%)及最大呼气中期流速(MMEF75/25)呈负相关(P<0.05).结论 FeNO200、CaNO在COPD患者中升高,其可以作为COPD患者小气道炎症的生物标志物.
Relationship between fractional exhaled nitric oxide and alveolar nitric oxide and small airway function in patients with chronic obstructive pulmonary disease
Objective To investigate the relationship between fractional exhaled nitric oxide(FeNO)and alveolar nitric oxide(CaNO)and small airway function in patients with chronic obstructive pulmonary disease(COPD).Methods Fifty patients with stable COPD who were recuperated in our hospital from June 2021 to March 2022 were selected as observation group,and 50 patients(excluding COPD)who were recuperated in our hospital during the same period were selected as control group.The pulmonary function indexes,FeNO50,FeNO200 and CaNO were detected in the two groups.Pearson correlation analysis was used to explore the relationship between FeNO200,CaNO and pulmonary function indexes.Results The pulmonary function indexes of the observation group were lower than those of the control group(P<0.05).The FeNO200 and CaNO of the observation group were higher than those of the control group(P<0.05).FeNO200 and CaNO in the observation group were negatively correlated with maximum expiratory flow at 25 percent(MEF25%),maximum expiratory flow at 50 percent(MEF50%)and maximal med-expiratory flow(MMEF75/25)(P<0.05).Conclusion FeNO200 and CaNO are elevated in COPD patients,which can be used as biomarkers of small airway inflammation in COPD patients.

chronic obstructive pulmonary diseasefractional exhaled nitric oxidealveolar nitric oxidesmall airway function

程玉武、袭祥印、张静、李淋

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山东省第一荣军优抚医院呼吸内科,山东 济南,250013

慢性阻塞性肺疾病 呼出气一氧化氮 肺泡气一氧化氮 小气道功能

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(23)
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