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目的:整理我院特发性肺纤维化合并肺气肿与未合并肺气肿患者资料,对两种患者进行临床比较。方法:选取我院2016年6月-2017年1医治的特发性肺纤维化合并肺气肿60例,为观察组,再选取同一时间段的特发性肺纤维化患者60例为对照组,后比较两组患者的肺功能、生存时间及动脉血氧分压。结果:观察组患者肺活量(FVC)和肺总量(TCL)明显高于对照组,差异具有统计学意义(P<0.05).观察组患者道阻塞的肺量(FEV1/FVC)指标与对照组无明显差异,不具有统计学意义(P>0.05)。观察组血氧分压低于对照组,差异具有统计学意义(P<0.05)。观察组和对照组患者在生存时间上无明显差异,无统计学意义(P>0.05)。结论:通过我院的研究表明,特发性肺纤维化合并肺气肿患者在肺功能及血氧分压方面与未合并肺气肿患者稍存在差异,但不会对其治疗及预后造成一定困难。
OBJECTIVE: To sort out the data of patients with idiopathic pulmonary fibrosis complicated with emphysema and without emphysema in our hospital and compare the two patients. Methods: Sixty patients with idiopathic pulmonary fibrosis complicated with emphysema treated in our hospital from June 2016 to January 2017 were selected as the observation group, and 60 patients with idiopathic pulmonary fibrosis at the same time were selected as the control group The lung function, survival time and arterial oxygen tension of the two groups were compared afterwards. Results: The vital capacity (FVC) and total lung volume (TCL) of the observation group were significantly higher than those of the control group (P <0.05), and the FEV1 / FVC index of the obstruction group was significantly lower than that of the control group No significant difference was not statistically significant (P> 0.05). The partial pressure of oxygen in the observation group was lower than that in the control group, the difference was statistically significant (P <0.05). There was no significant difference in the survival time between the observation group and the control group (P> 0.05). CONCLUSIONS: Studies in our hospital have shown that patients with idiopathic pulmonary fibrosis complicated with emphysema have slightly different lung functions and partial pressure of oxygen compared with those without emphysema, but they will not cause certain treatment and prognosis difficult.