哮喘诊治中最大呼吸峰流速的应用价值分析.docVIP

哮喘诊治中最大呼吸峰流速的应用价值分析(论著) 中南大学湘雅医院 摘要：目的：探讨分析哮喘诊治中最大呼吸峰流速的应用价值。方法：分析我院于2012年5月~2013年9月收治的100例哮喘患者的病历资料，100例哮喘患者设为观察组，并选取我院同一年同一季度的50例哮喘患者作为对照组。对比分析两组哮喘患者诊治中最大呼吸峰流速的应用结果。结果：观察组哮喘患者红色信号中红色信号灯区有15例，其最大呼吸峰流速日间变异率为35%，黄色信号中红色信号灯区有85例，其最大呼吸峰流速日间变异率为25%，无绿色信号灯区。对照组哮喘患者红色信号中红色信号灯区有24例，其最大呼吸峰流速日间变异率为30%，黄色信号中红色信号灯区有25例，其最大呼吸峰流速日间变异率为20%，绿色信号中红色信号灯区有1例，其最大呼吸峰流速日间变异率为2%，观察组哮喘患者中黄色信号灯区的就诊率为(85%）明显高于对照组黄色信号灯区的就诊率（50%），观察组哮喘患者中红色危险区的就诊率（15%）明显低于对照组哮喘患者中红色危险区的就诊率（48%），两组间进行比较，P0.05。结论：最大呼吸峰流速在哮喘诊治中的应用，不仅仅对哮喘患者病情的变化更加灵敏的反映，同时也为哮喘情况和病情程度的诊断提供有力的科学依据，进而便于指导用药治疗，在实际的应用过程中，更应该对患者进行较为严谨的最大呼气流速检测，对患者最大呼气峰流速的值充分的掌握，并将患者对医师治疗工作的服从性加强，值得哮喘诊治的推广应用。 关键词：哮喘；诊治；最大呼吸峰流速；应用价值 Analysis of application value of maximum peak expiratory flow rate in the diagnosis and treatment of asthma The second hospital of Wenzhou Medical University Affiliated 325027 Respiratory Department of Internal Medicine Jin Lingling Dai Yuanrong Abstract: Objective: To investigate the application value analysis of maximum asthma respiratory peak velocity. Methods: retrospective analysis of our hospital in 2012 May ~2013 year in September admitted 100 cases of asthma patients medical records, 100 cases of asthma patients as the observation group, and selects my courtyard the same year with a quarter of 50 asthma patients as control group. The analysis results using a maximum of two groups of patients with asthma in the diagnosis and treatment of respiratory peak velocity contrast. Results: the observation group of patients with asthma red light district red signal in 15 cases, the maximum peak expiratory flow rate diurnal variation rate was 35%, the red light district of yellow signal in 85 cases, the maximum peak flow diurnal variation rate was 25%, no green signal light region. Red light district control group of patients with asthma red signal in 24 cases, the maximum peak expiratory flow rate diurnal variation rate was 30%, the red light district of yellow signal in 25 cases, the maximum peak expiratory flow rate diurnal v