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157例慢性阻塞性肺病(COPD)患者、55例正常人的最大吸气口腔压(Pi_(max))、平静吸气口腔压(Pi)以及吸气肌储备功能指标(Pi/Pi_(max))与5项反映气道阻塞的常规肺功能指标的测定结果显示:除轻度COPD与中度COPD相比Pi_(max)、Pi/Pi_(max)无明显差异外,COPD各组均随病情严重程度的加重,而致Pi_(max)进行性降低,Pi/Pi_(max)增大,表明气道阻塞加重可降低吸气肌力和吸气肌储备功能。Pi/Pi_(max)用于吸气肌功能不全的早期诊断具有一定的临床应用价值。
The maximal inspiratory pressure (Pi_ (max)), inspiratory pressure (Pi) and inspiratory muscle reserve index (Pi / Pi_ (max)) in 157 patients with chronic obstructive pulmonary disease (COPD) ) And five routine pulmonary function indicators that reflect airway obstruction showed that there was no significant difference in Pi max and Pi / Pi max between mild COPD and moderate COPD, The aggravation of severity led to the decrease of Pi max and the increase of Pi / Pi max, which suggested that the obstruction of inspiratory tract could reduce inspiratory muscle and inspiratory muscle reserve function. Pi / Pi max for the early diagnosis of aspiratory muscle dysfunction has some clinical value.