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目的探讨慢性阻塞性肺疾病急性加重期(AECOPD)患者残气量与肺部感染相关性分析。方法选取2009年12月至2010年12月郑州人民医院呼吸内科治疗的62例慢性阻塞性肺疾病急性加重期患者,比较治疗前后的残气量及血清中C反应蛋白(CRP)与白细胞总数(WBC)的变化。并对其相关性进行分析。结果经研究比较发现,AECOPD患者在治疗后残气量明显高于治疗前(P<0.05),CRP及白细胞总数水平显著高于治疗前(P<0.05)。二者相关性明显(r=0.578)。结论 CRP及白细胞总数作为AECOPD肺部感染炎性指标,残气量与二者关系密切,故残气量与AECOPD肺部感染有密切相关性,可准确了解患者的疾病严重程度及为治疗提供治疗依据。
Objective To investigate the correlation between residual volume and pulmonary infection in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Methods Sixty-two patients with acute exacerbation of chronic obstructive pulmonary disease who underwent respiratory medical treatment in Zhengzhou People’s Hospital from December 2009 to December 2010 were enrolled in this study. Residual gas volume, serum C-reactive protein (CRP) and total white blood cell count (WBC) )The change. And analyze its relevance. Results The study found that the residual volume of AECOPD patients after treatment was significantly higher than that before treatment (P <0.05), and the levels of CRP and leukocytes were significantly higher than those before treatment (P <0.05). The correlation between the two was significant (r = 0.578). Conclusions CRP and white blood cell count are the inflammatory markers of AECOPD pulmonary infection. The residual volume is closely related to the two. Therefore, the residual volume and the AECOPD pulmonary infection are closely related to accurately understand the severity of the disease and provide the basis for treatment.