老年健康者与慢性阻塞性肺病肺功能5年随访
Five years follow-up observation on pulmonary function in healthy persons and patients with chronic obstructive pulmonary disease
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摘要: 目的:探讨老年慢性阻塞性肺病(COPD)和老年健康者肺功能随龄变化规律。方法:收集60例老年COPD患者(分为轻、中、重度组)缓解期和20例老年健康者5年随访肺功能数据进行分析。结果:在健康组、COPD轻度、中度、重度组VC、FEV1、FVC、PEF4项指标年降值依次为PEF>FEV1>FVC>VC。以上4指标COPD组随龄下降大于健康组。重度COPD组随龄下降大于轻、中度组。结论:上述指标的规律性变化较好地反映了COPD轻重程度,同时COPD患者加速肺功能随龄下降,因此应积极防治COPD。Abstract: Objective:To study the age-related changes of pulmonary function in healthy and chronic obstructive pulmonary diseased aged persons.Methods:The data of five years follow up observation on pulmonary function were collection and analized in 60 cases with senile COPD at remission (mild, moderate and severe COPD, 20 patients in each group) and in 20 cases of healthy aged persons. Results:In all 4 groups the VC, FEV1, FVC and PEF decreased with the increase of age, and their amplitudes of decrement were in the following order: PEF>FEV1>FVC>VC. The age-dependent declination of these parameters was more marked in patients with COPD than in the health group and more prominaut in severe COPD group than in the mild and moderate COPD groups.Conclusion:The actual values of FEV1, FVC, and PEF, may perfectly reflex the statistical differences among different degrees of COPD. Therefore, the plysician should pay more attention to the early and mild cases with COPD and catch all the possible chances to treat them.
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