多元化指导在肺功能检查中的效果研究.docVIP

精品论文 参考文献 多元化指导在肺功能检查中的效果研究 甘春燕 辜艳 李玉红 　　（德阳市人民医院肺功能室 四川德阳 618000） 　　【摘要】目的:研究检查前多元化指导在肺功能检查中的应用效果。方法:将220例患者随机分为研究组与对照组各110例。研究组在肺功能检测前予以多元化指导，对照组在肺功能检查时实时指导，两组均测定肺通气及肺换气功能，对比两组患者流量-容积曲线、最大通气量、一口气法一氧化碳弥散量在不同检测次数内质量控质达标率，不同时段内肺功能检测成功率。结果:研究组患者在短时内，经较少次数即能达到可接受标准，质量控制达标率及检测成功率高，优于对照组（P＜0.05），差异具有统计学意义。结论:肺功能检查前多元化指导，能显著提高肺功能检查质量控制达标率和检测成功率，减少患者体力消耗，缩短检测时间。 　　【关键词】多元化 肺功能 质量控制 检测成功率 　　【中图分类号】R56 【文献标识码】A 【文章编号】1672-5085（2014）23-0027-02 　　【Abstract】Objective To explore the clinical application effect of the diverse instruction before inspection during the process of lung function inspection. Methods 220 patients are divided into two groups. One is research group of 110 patients, the other is contrastive group of 110 patients. The diverse instruction before lung function inspection is applied to research group. The real-time instruction is applied to contrastive group when lung function is checked. Functions of pulmonary ventilation and lung respiration are inspected for two groups. The qualified rate of different times in quality control and the successful inspection percentage at the different time in lung function inspection are contrasted in the aspects of flow-volume curve, maximal voluntary ventilation and DLCO Single-Breath Method DLCO ndash;SB for two groups. Results The patients in research group are able to accept the examination standard after less times practice in short time and the corresponding qualified rate in quality control and successful inspection percentage are higher than that of contrastive group(Plt;0.05). There are statistical differences between the two groups. Conclusions Diverse instruction before lung function inspection can raise the qualified rate in quality control and successful inspection percentage in lung function inspection, reduce the body energy consumption of patients and shorten the inspection time. 　　【Key words】Diversification Lung function Quality