| 摘要: |
| ［摘要］ 目的 比较双肺同期大容量肺灌洗尘肺患者灌洗前与灌洗后1周肺功能指标的变化并观察肺灌洗对患者短期内肺功能的影响。方法 对50例接受双肺同期大容量肺灌洗尘肺患者采用自身对照并按照肺功能判断标准分为正常组（27例）和异常组（23例），分别进行灌洗前和灌洗后1周肺功能指标变化观察比较。结果 肺功能正常组患者肺活量（VC）、肺总量（TLC）、用力肺活量（FVC）灌洗后1周较灌洗前降低（P<0.05）；其他指标灌洗前后比较差异无统计学意义（P>0.05）。肺功能异常组患者观察指标灌洗前后比较差异均无统计学意义（P>0.05）；灌洗后肺功能降低指标的均值仍在正常范围内。结论 双肺同期大容量肺灌洗术后1周肺功能指标虽有降低，因其均值仍在正常范围，肺灌洗对尘肺患者肺功能无不利影响。 |
| 关键词: 双肺同期大容量肺灌洗 煤工尘肺 肺功能 |
| DOI：10.3969/j.issn.1674-3806.2013.09.01 |
| 分类号:R 56 |
| 基金项目:中国煤矿尘肺病防治基金会资助项目(编号：201107) |
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| The impact of simultaneous massive whole lung lavage on pulmonary function of pneumoconiosis patients |
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GUO Xian-yong,WANG Yue-gang,LI Guo-feng,et al.
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Department of Pneumoconiosis,Occupational Disease Prevention Hospital of China Pingmei Shenma Group, Pingdingshan Henan 467099, China
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| Abstract: |
| ［Abstract］ Objective To compare the changes of pulmonary function indicators in the patients before and at one week after simultaneous massive whole lung lavage, to observed the impact of whole lung lavage on pulmonary function in pneumoconiosis patients in short time.Methods The self-controled methord were used in 50 patiens who received massive whole lung lavage and were divided into normal group(n=27) and abnormal group(n=23) accoding to pulmonary function criteria to do the comparison of preoperative and postoperative indicators of one week respectively.Results VC, TLC, FVC at one week after lavage in normal group of pulmonary function were reduced compared to those before lavage（P<0.05）；There was no statistically significant difference in other indicators before and after lavage(P> 0.05);There was no statistically significant difference before and after lavage in the abmormal group of pulmonary function（P>0.05）；The mean value of reduced indicators after the lavage were in the normal range.Conclusion Although pulmonary function indictors were reduced after lavage but the mean value was in the normal range.There′re no adverse effects of whole lung lavage on pulmonary function in the patients with pneumoconiosis. |
| Key words: Massive whole lung lavage Coal worker′s pneuoconiosis Pulmonary function |
