摘要
目的探讨肺功能检查在社区医院的应用价值。方法选择进行肺功能检查的635例具有吸烟史及(或)环境职业污染接触史及(或)咳嗽、咳痰或呼吸困难史者作为研究对象,并选择76例健康者进行对照,测定第1秒用力呼气容积(FEV1)占预计值百分比(FEV1%)、用力肺活量(FVC)和第1秒用力呼吸容积/用力肺活量(FEV1/FVC)等指标。结果社区医院初诊中慢阻肺误诊率为22.92%,漏诊率22.09%;轻度、中度、重度和极重度慢阻肺患者的FEV1%和FEV1/FVC均明显低于健康人。结论肺功能检查在社区医院慢阻肺的诊断中具有较高的临床应用价值。
Objective To explore the application of pulmonary function testing in community hospitals.Method Make pulmonary function testing to 635 patients with history of smoking and(or) exposure history of occupation environment pollution and(or) history of cough,expectoration or dyspnea as objects of study,and selected 76 cases of healthy people as controls to those diagnosed COPD patients,tested their FEV1% and FEV1/ FVC.Result The rate of misdiagnosis and missed diagnosis was 22.92% and 22.09% in the first diagnosis of chronic obstructive pulmonary disease in community hospital;FEV1% and FEV1/ FVC of mild,moderate,severe and very severe COPD patients were significantly lower than healthy people.Conclusion Pulmonary function testing has high value of clinical application in COPD diagnosis in community hospital.
出处
《现代诊断与治疗》
CAS
2012年第5期450-451,共2页
Modern Diagnosis and Treatment
关键词
肺功能
社区
慢阻肺
诊断
应用
pulmonary function
community
chronic obstructive pulmonary disease
diagnosis
application
