首页|脉冲振荡肺功能、呼出气一氧化氮与儿童哮喘反复发作的相关性分析

脉冲振荡肺功能、呼出气一氧化氮与儿童哮喘反复发作的相关性分析

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目的 分析脉冲振荡肺功能(IOS)、呼出气一氧化氮(FeNO)与儿童哮喘反复发作的相关性.方法 回顾性选择2021年1月—2023年1月本院收治的120例支气管哮喘的儿童纳入研究,根据其经过规范治疗后6个月是否复发分为再发组(n=47)和控制组(n=73),分析脉冲振荡肺功能[振荡频率20Hz时呼吸道阻力(R20)、肺弹性阻力(X5)、共振频率(Fres)及振荡频率5Hz时呼吸道阻力(R5)]、呼出气一氧化氮与哮喘发作的相关性.结果 再发组患儿R5、R20、X5、Fres、FeNO均明显高于对照组(P<0.05).多因素Logistic回归分析结果显示,Fres以及FeNO均是儿童发生哮喘的危险因素(P<0.05);将哮喘患者R20、X5、R5、Fres、FeNO各指标作为检验变量进行ROC分析,结果显示,R20、X5、R5、Fres、FeNO的AUC分别为0.676、0.712、0.683、0.767、0.792,五项联合对哮喘预测的AUC为0.886,高于各指标单独检测(P<0.05).结论 儿童哮喘使用IOS与FeNO联合检测效果好,且与患儿哮喘反复发作呈正相关,能够为诊断提供判断依据,具有一定的临床价值.
Correlation Analysis of Pulse-oscillating Lung Function,Exhaled Nitric Oxide and recurrent asthma in children
Objective To analyze the correlation between pulse oscillating lung function,exhaled nitric oxide and recurrent asthma in children.Methods 120 children with bronchial asthma admitted to our hospital from January 2021 to January 2023 were retrospectively selected to be included in the study.According to whether they relapsed 6 months after standard treatment,they were divided into recurrence group(n=47)and control group(n=73),and pulse oscillatory pulmonary function was analyzed[oscillation frequency 20]The correlation between respiratory resistance(R20)at Hz,pulmonary elastic resistance(X5),resonance frequency(Fres),respiratory resistance(R5)at 5Hz),exhaled nitric oxide and asthma attack.Results R5,R20,X5,Fres and FeNO in recurrent group were significantly higher than those in control group(P<0.05).Multivariate Logistic regression analysis showed that both Fres and FeNO were risk factors for asthma in children(P<0.05).The indexes of R20,X5,R5,Fres and FeNO in asthma patients were used as test variables for ROC analysis,and the results showed that The AUC of R20,X5,R5,Fres and FeNO were 0.676,0.712,0.683,0.767 and 0.792,respectively,and the AUC of the five indexes combined for predicting asthma was 0.886,which was higher than that detected by each index alone(P<0.05).Conclusion IOS combined with FeNO has a good effect in the detection of asthma in children,and it is positively correlated with repeated attacks of asthma in children,which can provide a judgment basis for diagnosis and has certain clinical value.

Pulse oscillating lung functionExhaled nitric oxideChildrenAsthma

贾伟、吴海涛、李赢

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苏州明基医院,江苏 苏州 215009

江苏高新区人民医院,江苏 苏州 215000

脉冲振荡肺功能 呼出气一氧化氮 儿童 哮喘

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(1)
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