COPD加重期患者肺功能、血气指标及炎症指标的变化分析-医学信息.PDF

床 研究 学信息2018 年5 月第31 卷第9 期 Medical Information. May. 2018. Vol. 31. No.9 COPD 重期患者肺功能、血气指标及 炎症指标的变化分析 罗倩 贵航贵阳医院呼吸内科袁贵州 贵阳 550000冤 摘 要 目的 研究慢性阻塞性肺疾病急性加重期患者的肺功能指标尧血气以及炎性指标的变化袁为临床制定诊疗方案提供参 考依据遥方法 将我院2014 年1 月~2016 年10 月呼吸内科收治的42 例慢阻肺急性加重期患者纳入A 组袁对其采用相应的治疗 措施袁另选取42 例同期收治的慢阻肺稳定期患者纳入B 组袁并选取同期42 例正常体检者为对照组遥 对三组患者的肺功能指 标尧血气分析以及炎性指标进行分析对比遥结果 A 组尧B 组三项指标均比正常体检者低袁差异有 计学意义 0.05冤曰A 组三项 指标均低于B 组袁差异有 计学意义 0.05冤曰血气指标尧炎性因子表达变化与急性加重期患者肺功能改变均具有相关性 0.05冤遥结论 急性加重期患者肺功能尧血气及炎性指标与其他分期或健康者有较大的差异袁在临床上需要对病情进行详尽分析袁 确定合适的治疗方案遥 关键词 慢性阻塞性肺疾病曰加重期曰肺功能曰血气 中图分类号 R563.9 文献标识码 A DOI 10.3969/j .issn.1006-1959.2018.09.034 文章编号 1006-1959 2018冤09-0114-03 Changes of Pulmonary Function,Blood Gas and Inflammation in Patients with COPD Exacerbation LUO Qian (Department of Respiratory Medicine,Guihang Guiyang Hospital,Guiyang 550000,Guizhou,China) Abstract Obj ective To study the changes of pulmonary function, blood gas and inflammatory indexes in patients with acute exacerbation of chronic obstructive pulmonary disease (COPD)and to provide reference for clinical diagnosis and treatment. Methods 42 patients with acute exacerbation of COPD admitted in our hospital from January 2014 to October 2016 were included in group A and treated with corresponding treatment measures.Another 42 patients with stable chronic obstructive pulmonary disease admitted in the same period were included in the group B.42 cases of normal physical examination were selected as control group in the same period.Pulmonary function index,blood gas analysis and inflammatory index were analyzed and compared among the three groups. Results T