肺功能检查2015ppt课件.pptVIP

* I am very grateful indeed to the organisers for this kind invitation to speak at this conference. The links between New Zealand and China are increasingly strong Even although New Zealand is a very small country with only 4 million inhabitants, our governments recently signed China’s first free trade agreement with any other sovereign country and I am sure that it will have a significant impact on the relationship between our two countries * * I am very grateful indeed to the organisers for this kind invitation to speak at this conference. The links between New Zealand and China are increasingly strong Even although New Zealand is a very small country with only 4 million inhabitants, our governments recently signed China’s first free trade agreement with any other sovereign country and I am sure that it will have a significant impact on the relationship between our two countries * * * 黄某某，男性，77岁，COPD患者，行通气+支气管舒张试验 黄某某，男性，77岁，COPD患者，行通气+支气管舒张试验 * I am very grateful indeed to the organisers for this kind invitation to speak at this conference. The links between New Zealand and China are increasingly strong Even although New Zealand is a very small country with only 4 million inhabitants, our governments recently signed China’s first free trade agreement with any other sovereign country and I am sure that it will have a significant impact on the relationship between our two countries * 禁忌证 相对禁忌症 基础肺功能呈中度阻塞（FEV1＜70%预计值） 肺通气功能检查已诱发气道阻塞发生，在未吸入激发剂的状态下FEV1即下降＞20％ 不能做好基础肺功能检查的受试者 近期呼吸道感染（＜4周） 妊娠、哺乳妇女 正在使用胆碱酶抑制剂（治疗重症肌无力）的患者不宜做乙酰甲胆碱激发试验 正在使用抗组织胺药物的患者不宜做组胺激发试验 影响因素及药物停用时间 影响因素 停用时间 支气管舒张剂 吸入型 短效 (如：沙丁胺醇、特布他林) 4～6h 中效 (如：异丙托溴胺) 8h 长效 (如：沙美特罗、福莫特罗、噻托溴胺) 24h 口服型 短效 (如：氨茶碱) 8h 长效 (如：缓释茶碱或长效?2受体兴奋剂) 24～48h 糖皮质激素 吸入型 （如：布地奈德、氟替卡松、丙酸倍氯米松） 12～24h 口服型 (如：强的松、甲基强的松龙） 48h 抗过敏药及白细胞三烯拮抗剂 抗组织胺药 (如：氯雷他定、扑尔敏、酮替芬) 48h 肥大细胞膜稳定药 (如：色甘酸钠) 8h 白细胞三烯拮抗剂（如：孟鲁司特） 24h 其它 食物 (如：茶、咖啡、可口可乐饮料、巧克力) 6h 剧烈运动、冷空气吸入 2h 阳性： FEV1↓≥20% 气道反应性增高（A