中国全科医学Issue(5)：507-510,4.DOI:10.3969/j.issn.1007-9572.2016.05.003
心肺运动试验对慢性阻塞性肺疾病患者肺功能的评估价值研究
Value of Cardiopulmonary Exercise Test in the Evaluation of the Pulmonary Function of Patients With Chronic Obstructive Pulmonary Disease
桂珍珍 1夏岑峰 1高艳 1王绍金 1张鹏 1张锦1
作者信息
- 1. 750004 宁夏回族自治区银川市，宁夏医科大学总医院呼吸与危重症医学科
- 折叠
摘要
Abstract
Objective To investigate the features of cardiopulmonary exercise test(CPET)in the evaluation of the pulmonary function of patients with chronic obstructive pulmonary disease ( COPD) and its consistency with conventional pulmonary function test(PFT)in the evaluation of pulmonary function of COPD patients. Methods We enrolled 26 patients who were at the stable period of COPD and received treatment in the outpatient department of Ningxia Medical University General Hospital from January to September in 2014. We also enrolled 29 healthy volunteers who received physical examinations in the same period. PFT and CPET were conducted on both groups,and relevant parameters were recorded and compared between the two groups. The consistency between PFT and CPET in the assessment of the lung function of COPD patients was analyzed. Results The result of PFT showed that the two groups were not significantly different in forced vital capacity( FVC)( P ﹥0. 05);the trial group was lower than control group in FEV1 ,FEV1% pred and FEV1 / FVC(P ﹤ 0. 05 for all). The result of CPET showed that the two groups were not significantly different in peakVCO2 and VE/ VCO2 (P ﹥ 0. 05 for all);trial group was lower in Wmax,peakVO2 ,peakVO2 / kg,peakVO2% pred,AT,HRmax,O2 / HRmax,VEmax and BRmax and was higher in SaO2 before and after exercise than control group(P ﹤ 0. 05 for all);there were significant differences between PFT and CPET in the assessment of the distribution of lung function abnormality severity(u = 3. 290,P = 0. 001). Among the 26 patients,there were 8(30. 8% )patients who had consistency in the results made by the two assessment methods;there were 16(61. 5% ) patients who had higher grade in lung function abnormalities assessed by CPET than by PFT;of the 10 patients who were severe and extremely severe in lung function abnormalities assessed by PFT,only 2 patients had results inconsistent with CPET. Conclusion CPET may be a more sensitive test in early diagnosis in patients with COPD compared with resting pulmonary function test.关键词
肺疾病,慢性阻塞性/心肺运动试验/肺功能Key words
Pulmonary disease,chronic obstructive/Cardiopulmonary exercise testing/Lung function分类
医药卫生引用本文复制引用
桂珍珍,夏岑峰,高艳,王绍金,张鹏,张锦..心肺运动试验对慢性阻塞性肺疾病患者肺功能的评估价值研究[J].中国全科医学,2016,(5):507-510,4.
