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慢性咳嗽患者气道反应性测定的意义

The Significance of Measuring Bronchial Responsiveness to the Patients with Chronic Cough

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【作者】 温励志贾彦彦李力杨春娜林榕李素芳

【Author】 WEN Li-zhi,JIA Yan-yan,LI Li,et al.Department of Respiratory,The General Hospital of Yangquan Coal Industry (Group),Yangquan 045000,China

【机构】 山西省阳泉煤业集团总医院呼吸内科山西省阳泉煤业集团总医院呼吸内科

【摘要】 目的探讨测定咳嗽患者气道反应性的方法和意义。方法对仅有咳嗽症状,持续3周以上,无体检及X线检查阳性发现的患者,采用氧气驱动的雾化吸入器,吸入10%氯化钠灭菌溶液,以峰流速仪测定最大呼气流速,观察其下降值和氯化钠消耗量。结果测定患者68人,阳性26人,平均雾化量3.47ml。受试者多可耐受。阳性者用支气管扩张剂可缓解症状。结论雾化吸入氯化钠测定气道反应性对慢性咳嗽的诊断治疗有一定指导意义,方法简捷,适于基层医院推广。

【Abstract】 Objective To explore the value and method of measuring bronchial responsiveness of patients with chronic cough.Methods The patients with chronic cough for three weeks or more were choiced,and who have no physical examination and chest X-ray abnormal.The nebulized solution was drived by oxygen and 10%sodium chloride was inhaled.The peak expiratory flow (PEF) and the consumption of hypertonic saline were observed.Results 68 cases were surveyed.Among them 26 cases showed positive reaction.An average consumption was 3.47ml.The most subjects were tolerant of the test.The cases who showed positive reaction can be remitted by bronchodilator.Conclusion The method of measuring bronchial responsiveness by inhaling hypertonic saline is a certain guiding value to clinical diagnosis and treatment of chronic cough,and which is a simple and rapid one that is suitable for being spreaded in primary hospitals.

  • 【文献出处】 实用心脑肺血管病杂志 ,Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease , 编辑部邮箱 ,2006年05期
  • 【分类号】R56
  • 【下载频次】28
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