问卷是否有助于预测运动诱导的支气管收缩 (EIB) 和运动诱导的喉阻塞 (EILO)?
Melanie Dreßler1, Hannah Lassmann1, Celine Eichhorn1
1Goethe-University Frankfurt, University Hospital, Department of Pediatrics, Pneumology, Allergology, Infectious Diseases, Gastroenterology, Germany.
Klinische Padiatrie
|January 29, 2024
概括
两个问卷,喘控制测试 (ACT) 和喘息指数 (DI),可以帮助识别患有运动诱导喉阻塞 (EILO) 的患者,并将其与运动诱导支气管收缩 (EIB) 区分开来. 这有助于及时诊断,当运动时连续喉腔镜 (CLE) 不存在时.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 诊断工具 诊断工具 诊断工具
- 运动生理学 运动生理学
背景情况:
- 运动诱导的喉阻塞 (EILO) 经常被误诊为运动诱导的支气管收缩 (EIB) 由于运动期间 (CLE) 持续喉镜的可用性有限.
- 准确的EILO候选人的预选对于及时诊断至关重要.
研究的目的:
- 评估喘控制测试 (ACT) 和呼吸障碍指数 (DI) 是否可以区分EIB和EILO.
- 评估这些问卷在识别CLE患者中的有用性.
主要方法:
- 患有运动诱导性呼吸障碍的患者在冷室 (ECC) 接受了运动挑战,以诊断EIB.
- 在一小部分患者中进行了运动时持续喉镜检查 (CLE).
- 在两次访问中进行了喘控制测试 (ACT) 和呼吸障碍指数 (DI).
主要成果:
- 在第二次访问时,ACT显示EILO患者的值较低,而EIB患者则低.
- 在EIB患者接受喘药物治疗后,ACT没有得到改善,这表明与EILO同时存在.
- 在第一次访问时,DI在EILO患者中显示出更高的值,得分>=30预测了阳性CLE.
结论:
- ACT和DI是预选CLE候选人的有价值的工具.
- 这些问卷可以提高诊断的及时性,尽管CLE可用性的限制.
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