临床儿科杂志 ›› 2023, Vol. 41 ›› Issue (5): 321-327.doi: 10.12372/jcp.2023.23e0206

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儿童支气管舒张试验检查及临床应用

张皓1, 池艳霞2   

  1. 1.上海交通大学医学院附属上海儿童医学中心(上海 200127)
    2.上海儿童医学中心福建医院福建省儿童医院(福建福州 350014)
  • 收稿日期:2023-03-20 出版日期:2023-05-15 发布日期:2023-05-10
  • 基金资助:
    上海市医学引导类(中、西医)科技支撑项目(19401931800);上海交通大学医学院中西医结合学科创新基金(18zxy007);上海市申康临床管理优化项目(SHDCI2018602)

Bronchodilation test and its clinical application in children

ZHANG Hao1, CHI Yanxia2   

  1. 1. Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China
    2. Fujian Children's Hospital / Fujian Branch of Shanghai Children's Medical Center, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou 350014, Fujian, China
  • Received:2023-03-20 Online:2023-05-15 Published:2023-05-10

摘要:

支气管舒张试验是检查气道可逆性的方法,是用于喘息性疾病诊断、鉴别诊断、治疗和随访的重要手段。随着人们对支气管舒张试验重要性认知的日渐提升,其临床应用迅速增多。目前国内外大量研究聚焦于如何对其结果进行临床解读及阳性阈值的界定。文章旨在探讨新的标准和意见,厘清思路,提出适合我国儿童的建议。

关键词: 支气管舒张试验, 阈值, 喘息性疾病, 临床应用, 儿童

Abstract:

Bronchodilation test (BDT) is a method to detect the reversibility of spastic airway, which is mainly used in the diagnosis, differential diagnosis, treatment and follow-up of wheezing diseases. As awareness of the importance of the bronchodilatation test has increased, its clinical use has rapidly increased. Recently, a large number of researches both nationally and internationally have focued on how to interpret the results in clinical and define the positive thresholds. The purpose of this paper is to explore new standards and opinions, sort out the idea and make recommendations that are suitable for Chinese children.

Key words: bronchodilation test, threshold value, asthmatic disease, clinical application, child