慢性阻塞性肺疾病患者膈肌活动度的超声评估及其与肺量计测定结果的相关性
Ultrasonographic Assessment of Diaphragmatic Excursion and its Correlation with Spirometry in Chronic Obstructive Pulmonary Disease Patients.
作者信息
Qaiser Mahvish, Khan Nahid, Jain Abhinav
机构信息
Department of Rehabilitation Sciences, SNSAH, Jamia Hamdard, India.
Department of Radiodiagnosis, Hamdard Institute of Medical Sciences and Research, New Delhi, India.
出版信息
Int J Appl Basic Med Res. 2020 Oct-Dec;10(4):256-259. doi: 10.4103/ijabmr.IJABMR_192_20. Epub 2020 Oct 7.
Abstract
INTRODUCTION
Chronic obstructive pulmonary disease (COPD) is a common disease. Spirometry is a standard method of assessment of severity of COPD. We evaluate utility of diaphragmatic excursion using ultrasonography in COPD patients and compare this technique with spirometry.
METHODS
Twenty-six COPD patients and 18 self-reported healthy controls were included in this study. After taking the sociodemographic data, measurement of diaphragm excursion was done using M-mode and B-mode ultrasound. Lung function was assessed by spirometry.
RESULTS
In the COPD group, diaphragmatic excursion was found to be reduced, and it correlates with forced expiratory volume in 1 s (FEV1)/forced vital capacity, whereas it did not correlate with FEV1.
CONCLUSION
Ultrasound assessment of diaphragmatic excursion is an easy, noninvasive, and readily available diagnostic tool and correlates with spirometry in estimation of severity of COPD.
摘要
引言
慢性阻塞性肺疾病（COPD）是一种常见疾病。肺活量测定是评估COPD严重程度的标准方法。我们评估超声检查膈移动度在COPD患者中的应用价值，并将该技术与肺活量测定进行比较。
方法
本研究纳入了26例COPD患者和18例自我报告的健康对照者。收集社会人口统计学数据后，采用M型和B型超声测量膈移动度。通过肺活量测定评估肺功能。
结果
在COPD组中，发现膈移动度降低，且与1秒用力呼气容积（FEV1）/用力肺活量相关，而与FEV1无关。
结论
超声评估膈移动度是一种简便、无创且易于获得的诊断工具，在评估COPD严重程度方面与肺活量测定相关。
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