临床儿科杂志 ›› 2020, Vol. 38 ›› Issue (12): 896-.doi: 10.3969/j.issn.1000-3606.2020.12.004

• 呼吸系统疾病专栏 • 上一篇    下一篇

脉冲震荡和常规肺功能检查在儿童哮喘中的相关性研究

黄丽珍 1, 郝创利 1, 蒋吴君 1,2, 张金红 1, 林颖 1, 沈美菊 1   

  1. 1 . 苏州大学附属儿童医院呼吸科(江苏苏州 215008); 2 . 苏州市吴江区儿童医院(江苏苏州 215200)
  • 出版日期:2020-12-15 发布日期:2020-12-18
  • 通讯作者: 郝创利 电子信箱:hcl_md@163.com

Correlation between impulse oscillometry and routine pulmonary function tests in asthma in children

HUANG Lizhen1 , HAO Chuangli1 , JIANG Wujun1,2 , ZHANG Jinhong1 , LIN Ying1 , SHEN Meiju1   

  1. 1. Pneumology Department, Children's Hospital of Soochow University, Suzhou 215008 , Jiangsu, China; 2 .Children's Hospital of Wujiang District, Suzhou 215200 , Jiangsu, China
  • Online:2020-12-15 Published:2020-12-18

摘要: 目的 探讨哮喘儿童脉冲震荡(IOS)和常规肺功能检查(PFT)各参数的相关性。方法 以2019年5月至12 月就诊的哮喘儿童作为研究对象,患儿就诊当天先行IOS后行PFT检测,分析两种不同肺功能检查方法之间的相关性。结 果 共纳入患儿180例,男109例、女71例,中位年龄8岁。急性发作期5 Hz时呼吸道黏性阻力R 5、R5-R20(20 Hz时呼 吸道黏性阻力)、5Hz时电抗的绝对值(|X 5 |)及响应频率(Fres)显著高于慢性持续期和临床缓解期,差异有统计学意义 (P

关键词:  脉冲震荡肺功能; 常规肺功能; 支气管哮喘; 儿童

Abstract: Objective To explore the correlation between impulse oscillometry (IOS) and routine pulmonary function tests (PFT) in asthmatic children. Methods The children with asthma visited from May to December 2019 were included as the research objects. On the same day of visiting, IOS and subsequent PFT test were performed to analyze the correlation between the two different lung function test methods. Results A total of 180 children ( 109 boys and 71 girls) were included and a median age was 8 years. During the acute stage, the airway resistance at 5 Hz (R5), resistance at 5 Hz minus resistance at 20 Hz (R5-R20), the absolute value of reactance at 5Hz (|X5|) and the resonant frequency (Fres) were significantly higher than those in the chronic stage and clinical remission stage, and the differences were statistically significant (P< 0 . 01 ). In the group of 3 - 6 year age, the forced expiratory volume in 1 second (FEV 1 ) is strongly correlated with R 5 , R5 -R20 and |X 5 |. Furthermore, the one-second rate (FEV 1 /FVC) is strongly correlated with R 5 and R 5 -R 20 . At the group of 7 - 15 year age, FEV 1 and R 5 were moderately correlated, and FEV 1 /FVC was moderately correlated with R 5 and R 20 . Conclusions There was a good correlation between IOS and PFT in asthmatic children, especially in the group of 3 - 6 year age. IOS is better reflect peripheral small airway function and is more sensitive than PFT.

Key words: impulse oscillometry lung function; pulmonary function tests; asthma; child