Bronchiectasis Accompany Bronchial Asthma Clinical Charactersis And Pulmonary Function Changes

Objective To investigate clinical characteristic the bronchiectasis accompany bronchial asthma in patients and the change of pulmonary function. Methods To select respiratory and chest surgery at our hospital to live with extended 325 cases of patients on September 2002 to October 2007, meanwhile with choice chest high resolution CT (HRCT), pulmonary function and bronchial dilation test of 85 cases of patients with bronchiectasis, according to bronchial dilation test positive for the asthma group with the merger of 35 cases, bronchial dilation test negative for the pure-expanding group of 50 cases of patients with previous history of allergic disease, clinical features and changes in pulmonary function were retrospectively analyzed and compared. Results branchiectasis accompany asthma group and simply expanding group sex, age and previous medical history showed no statistical difference; branch expansion combined asthma patients allergic disease in 16 patients (45.7%), simple-expanding group allergy patients of the disease for eight cases (16.0%),a significant difference between the two group;combined with expanding the seasonal incidence of asthma group were 19 cases (54.3%), upper respiratory tract allergies with 10 cases (28.6% ); sputum mostly white present phlegm 27 cases (77.2%); signs dehumidifier running the sound, there are Wheezing tone, and simple expansion with a significant difference between groups. Support expansion merger asthma and lung function in patients with simple branch expansion compared bronchodilation test FEV1, FEF25-75%, Raw and sGaw percentage of the predicted value, FEV1/FVC statistically significant (p <0.05), Bronchodilator Pulmonary function tests compared with the expansion of the merger is expected to asthma FEV1 value percentage, FEF25-75% of the predicted value and the percentage of FEV1/FVC have improved, and expanded support group simply not obvious improvement. Support expansion combined with asthma and simple expansion of the group to improve rates of 14.17±10.27,2.86±3.02,a significant difference (p <0.05). Conclusion Expansion and merger of asthma patients compared to only branch expansion, the proportion of allergic diseases, the incidence is seasonal, mostly white sputum present phlegm, multi-for-ming with Asthma Clinical features. Pulmonary function tests showed that patients with asthma combined with expanding the atmosphere, and small airway obstruction than simply expanding patients with the degree of weight. After the relaxation of the use of bronchial airway obstruction than simply improving significantly expanded branch. Therefore, in regard to the treatment as soon as possible relaxation of bronchial drug use, not only asthma symptoms can be alleviated quickly, and can improve lung function in patients with branch expansion, whether hormone remaining in dispute, still need to be further in-depth study.