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类风湿关节炎的严重程度和病程会影响肺通气吗?

[Do the severity and duration of rheumatoid arthritis influence pulmonary ventilation?].

作者信息

Börngen U

出版信息

Z Rheumatol. 1975 Jul-Aug;34(7-8):223-33.

PMID:1101571
Abstract

Pulmonary ventilation was studied in 100 patients with rheumatoid arthritis of an outpatient clinic, using whole-body plethysmography, spirography, and pneumometry. The patients with more or less severe joint involvement, as well as the patients with shorter or longer duration of their disease, did not show any significant difference in their dynamic and static pulmonary fuction. Patients with serious joint destructions showed a bronchial obstruction in 29%. 36 patients who were treated with thioglucose gold had a significantly better expiration capacity. A causal connection with the underlying disease is discussed. Further examinations should take therapeutic procedures and longitudinal studies into consideration. It is doubtful that significant restriction of ventilation is present in rheumatoid-arthritis. Methodically there was a good argreement between whole body plethysmography and pneumometry.

摘要

采用全身体积描记法、肺量计和肺活量计,对门诊100例类风湿关节炎患者的肺通气功能进行了研究。关节受累程度轻重不一以及病程长短不同的患者,其动态和静态肺功能均无显著差异。关节严重破坏的患者中,29%出现支气管阻塞。36例接受硫代葡萄糖金治疗的患者呼气能力明显更好。文中讨论了与基础疾病的因果关系。进一步的检查应考虑治疗措施和纵向研究。类风湿关节炎患者是否存在明显的通气受限值得怀疑。在方法学上,全身体积描记法和肺活量计之间有良好的一致性。

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