慢性阻塞性肺疾病合并肺结核肺通气功能障碍分析
Analysis on chronic obstructive pulmonary disease combined with tuberculosis pulmonary ventilation dysfunction
魏建华 1焦晓 1温静 2吕菊芬 2高小娜 1张冰美1
作者信息
- 1. 宁夏回族自治区第四人民医院,宁夏 银川 750021
- 2. 宁夏医科大学,宁夏 银川 750004
- 折叠
摘要
目的 研究慢性阻塞性肺疾病(简称慢阻肺,COPD)合并初治病原学阳性肺结核(PTB)肺通气功能障碍特点.方法 选择患者193 例,根据患者临床诊断将其分为3 组,A组(单纯慢阻肺组)60 例,B组(单纯初治病原学阳性肺结核组)72 例,C组(慢阻肺合并初治病原学阳性肺结核组)61 例.3 组患者住院期间均进行肺通气功能检查,对3 组患者检查的各项肺功能指标进行统计学分析.结果 在阻塞性肺通气功能障碍中,3 组患者肺通气功能障碍的程度分级差异有统计学意义(P<0.05).在限制性肺通气功能障碍中,C 组均为中重度患者(100.00%),B组与C组患者肺通气功能障碍的程度分级差异有统计学意义(P<0.05).3 组患者中肺通气功能指标测定与支气管舒张试验测定结果B组最好.结论 两病并发患者的肺功能表现为阻塞性肺通气功能障碍比例最高,肺通气功能最好的为单纯初治病原学阳性肺结核组.慢性阻塞性肺疾病合并初治病原学阳性肺结核患者肺功能检查是必要的,为临床诊疗提供良好的参考依据.
Abstract
Objective To study the characteristics of chronic obstructive pulmonary disease(COPD)combined with pulmonary ventilation dysfunction in primary pathogenetically positive tuberculosis(PTB).Methods A total of 193 patients were selected and di-vided into three groups according to their clinical diagnosis:60 patients in group A(simple chronic obstructive pulmonary group),72 pa-tients in group B(simple primary pathogenetic positive pulmonary tuberculosis group),and 61 patients in group C(chronic obstructive pulmonary group combined with primary pathogenetic positive pulmonary tuberculosis group).Pulmonary ventilation function examination was carried out for the three groups during hospitalization,and the pulmonary function indexes examined in the three groups were analyzed statistically.Results In obstructive ventilation dysfunction,the difference in the degree of pulmonary ventilation dysfunction of the three groups of patients is statistically significant(P<0.05).In restricted ventilation dysfunction,group C were moderate and severe patients(100.00%),and the difference in the degree of pulmonary ventilation dysfunction between patients in group B and group C was statisti-cally significant(P<0.05).The results of pulmonary ventilation function index and bronchial diastolic test of patients in the three groups were best in group B.Conclusion The highest proportion of obstructive ventilation dysfunction,and the best pulmonary ventila-tion function is in the simple primary treatment of pathogen-positive tuberculosis.Pulmonary function examination in patients with chro-nic obstructive pulmonary disease combined with primary pathogen-positive tuberculosis are necessary to provide a good reference for clinical diagnosis and treatment.
关键词
慢阻肺/初治/病原学/肺结核Key words
Chronic obstructive pulmonary disease/Initial treatment/Etiology,Tuberculosis引用本文复制引用
基金项目
宁夏卫生健康系统科研课题(2022NWKY023)
出版年
2024
NETL
NSTL
万方数据