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目的:通过肺功能检查在基层医院中的临床应用价值研究,从而探讨肺功能检查在基层医院开展的可行性和必要性。方法:对比德江县人民医院2015年06月1日至2015年12月31日未开展肺功能检查时期与2016年06月01日至2016年12月31日呼吸内科住院病人中慢性阻塞性肺疾病、支气管哮喘、咳嗽变异性哮喘的漏诊和误诊率、确诊率,以及外科胸腹部手术前、术后肺功能变化检测,术后并发肺部并发症的发生率。结果:呼吸内科慢性阻塞性肺疾病、支气管哮喘、咳嗽变异性哮喘的漏诊和误诊率明显减少、确诊率大大提高,外科胸腹部手术术后肺部并发症的发生率明显减少。结论:通过肺功能检查,对病人早检查,早诊断、早治疗,可以减少因疾病对病人、家庭和社会造成的严重经济负担,同时提高基层医生的诊疗水平,对经济发展起到部份护航的作用和科学意义。因此,在基层医院开展肺功能检查是十分必要的。
Objective: To investigate the clinical value of pulmonary function tests in primary hospitals so as to explore the feasibility and necessity of lung function tests in primary hospitals. Methods: To compare the duration of pulmonary function tests between June 1, 2015 and December 31, 2015 in Dejiang People’s Hospital and June 01, 2016 to December 31, 2016. Chronic Obstructive Pulmonary Disease , Bronchial asthma, cough variant asthma misdiagnosis and misdiagnosis rate, diagnosis rate, as well as surgical thoracoabdominal surgery before and after the change of pulmonary function tests, postoperative complications of pulmonary complications. Results: Misdiagnosis and misdiagnosis rates of chronic obstructive pulmonary disease, bronchial asthma and cough variant asthma in respiratory medicine were significantly reduced, and the diagnosis rate was greatly improved. The incidence of pulmonary complications after surgical thoracic and abdominal surgery was significantly reduced. Conclusion: Early examination, early diagnosis and early treatment of patients through pulmonary function tests can reduce the serious financial burden caused by diseases on patients, families and society, meanwhile improve the diagnosis and treatment of primary doctors and escort part of the economy The role and scientific significance. Therefore, it is very necessary to carry out pulmonary function tests in primary hospitals.