Vargha G
Acta Med Hung. 1983;40(4):271-6.
Pulmonary function (VC, FEV1, RV) was assessed in patients with pulmonary tuberculosis discharged in 1958/59 as cured or markedly improved. According to FEV1/VC% the patients were divided into 40 obstructive and 59 non-obstructive cases and the tests were repeated by the same method in 1974. The control included physical and X-ray examinations, a questionnaire and the assessment of airway resistance (Rt). In the non-obstructive group the change in VC in 15 years was only -27.7 ml/year, in the obstructive group, -54.3 ml/year. There was little difference between the two groups in the diminution of FEV1 (28.8 and 35.3 ml/year, respectively). The material was subdivided into surgically and drug treated groups and studied statistically. The only significant change of function in the surgically treated group was in RV, whereas in the other group nearly all of the functional changes were significant statistically.
对1958/59年出院时被判定为治愈或明显好转的肺结核患者进行了肺功能(肺活量、第一秒用力呼气量、残气量)评估。根据第一秒用力呼气量/肺活量百分比,将患者分为40例阻塞性病例和59例非阻塞性病例,并于1974年采用相同方法重复进行测试。对照检查包括体格检查、X线检查、问卷调查以及气道阻力(Rt)评估。在非阻塞性组中,15年间肺活量的变化仅为每年-27.7毫升,在阻塞性组中为每年-54.3毫升。两组间第一秒用力呼气量的减少差异不大(分别为每年28.8毫升和35.3毫升)。将资料细分为手术治疗组和药物治疗组并进行统计学研究。手术治疗组中唯一有显著变化的功能指标是残气量,而在另一组中,几乎所有功能变化在统计学上均有显著意义。