老年人肺纤维化和肺气肿综合征临床特点探讨

The elderly pulmonary fibrosis and emphysema syndrome clinical characteristics

目的:对比分析老年人肺纤维化和老年人肺气肿综合征的临床特点。方法:纳入某医院收治的45例肺纤维化患者(观察1组)和50例肺气肿综合征患者(观察2组)作为研究对象,对比两组患者的影像学诊断资料、肺功能、动脉血气状况。结果:两组患者的Pa O2、Pa CO2比较差异无统计学意义(P>0.05),Sa O2比较差异具有统计学意义(P<0.05)。肺功能指标中,仅FEV1比较差异无统计学意义(P>0.05),其余指标比较差异均具有统计学意义(P<0.05)。影像学检查结果显示两组患者中大部分患者均可见纵隔淋巴结均肿大、支气管牵拉扩张、蜂窝肺,观察1组患者的网格影高于观察2组(P<0.05)。结论:老年肺纤维化患者和老年肺气肿患者在影像学表现、肺功能、动脉血气状况等观察指标上差异具有统计学意义,有利于临床进行鉴别诊断。

Objective：To analysis the elderly pulmonary fibrosis and the clinical characteristics of pulmonary emphysema syndrome in the elderly.Methods：45 patients with pulmonary fibrosis were included in our hospital 1 （observation group） and 50 patients with emphysema syndrome （observation group 2） as the research object, compared two groups of patients with imaging diagnostic information, pulmonary function, arterial blood gas conditions.Results：two groups of patients with PaO2, PaCO2 comparison difference is not obvious （P〉0.05）, SaO2 compared significant difference （P〈0.05）. Index of pulmonary function, only FEV1 comparison difference is not obvious （P〉0.05）, and the rest to compare differences are significant （P〈0.05）. Imaging examination showed that the majority of patients in two groups of patients are visible mediastinal lymph nodes are enlarged, bronchial force expansion, honeycombing, observation group of patients with grid shadow above 1 observe the two groups （P〈0.05）. Conclusion：Elderly patients with pulmonary fibrosis and in elderly patients with emphysema in imaging findings, pulmonary function, arterial blood gas conditions there are obvious differences in observing indexes such as beneficial to the clinical differential diagnosis.