[在喘中测试肺功能]
Andrei Malinovschi1, Sanna Kjellberg2, Kerstin Romberg3
1professor, överläkare, institutionen för -medicinska veten-skaper, klinisk fysio-logi, Uppsala universitet; VO hjärt- och lung-sjukdomar, -Akademiska sjukhuset, Uppsala.
概括
诊断喘需要多个测试. 螺旋计,PEF变异性,支气管挑战和呼出的氧化测量有助于诊断,特别是当初始测试没有确定性时.
科学领域:
- 肺部病理学 肺部病理学
- 呼吸系统医学 呼吸系统医学
- 诊断医学 诊断医学
背景情况:
- 喘诊断经常依赖于带有支气管扩展剂测试的螺旋计.
- 可变的气流阻塞和气道过敏反应是喘的主要指标.
- 新兴的指导方针越来越多地支持测量呼出的氧化用于喘诊断.
研究的目的:
- 审查喘的诊断方法,包括螺旋计,PEF变异性,支气管挑战测试和呼出的氧化.
- 突出用于识别喘中外围气道参与的技术,如振荡计和洗.
- 强调持续性喘病例的持续调查的重要性,即使初始测试结果是负面的.
主要方法:
- 用支气管扩展剂测试进行螺旋计的审查.
- 评估峰值呼气流 (PEF) 的变化.
- 支气管挑战测试的评估.
- 对排出的氧化测量的分析.
- 探索振荡计和洗用于对外围气道进行评估.
主要成果:
- 带有支气管扩展剂的螺旋计是喘的标准诊断测试.
- PEF变化和支气管挑战测试可以揭示气流阻塞和过敏反应.
- 呼出的氧化测量在喘诊断指南中越来越受欢迎.
- 在喘中常见的外周气道干扰,可以通过振荡计和洗检测到,即使使用正常的螺旋计.
结论:
- 使用各种诊断工具的综合方法对于准确的喘诊断至关重要.
- 当临床喘怀疑尽管最初的负面发现仍然存在时,调查的持续性至关重要.
- 像振荡计和洗等先进技术可以识别微妙的气道干扰.
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