外周血嗜酸性粒细胞计数与呼出气一氧化氮在儿童咳嗽变异性哮喘诊断及管理中的价值
CSTR:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

R725.6

基金项目:

北京京煤集团总医院科研自主项目(ZZ2024-50)


Value of peripheral blood eosinophil count and fractional exhaled nitric oxide in the diagnosis and management of cough variant asthma in children
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
    摘要:

    目的:探讨外周血嗜酸性粒细胞(EOS)计数与呼出气一氧化氮(FeNO)在儿童咳嗽变异性哮喘(CVA)诊断及管 理中的价值。方法:选取60例 CVA 患儿为 CVA 组;另选取同期60例非 CVA 慢性咳嗽患儿为咳嗽组。CVA 组患儿再依 据治疗4周后哮喘控制情况分为完全控制组(n=30)、部分控制组(n=18)及未控制组(n=12)。比较 CVA 组和咳嗽组、不同 哮喘控制组患儿临床资料及 FeNO、EOS计数水平;受试者工作特征(ROC)曲线分析 EOS计数、FeNO 在儿童 CVA 诊断及管 理中的价值。结果:CVA 组 患 儿 第 1 秒 用 力 呼 气 容 积 占 预 计 值 百 分 比 (FEV1%Pred)、最 大 呼 气 流 量 占 预 计 值 百 分 比 (PEF%pred)、用力呼出50%肺活量时瞬间呼气流量占预计值百分比(FEF50%pred)均低于咳嗽组(P<0.05);FeNO、EOS 计数、免疫球蛋白 E(IgE)水平均高于咳嗽组(P<0.05)。ROC曲线分析结果显示,FeNO、EOS计数对儿童 CVA 诊断价值的 曲线下面积(AUC)分别为0.912(95%CI:0.853~0.970)、0.876(95%CI:0.810~0.942);敏感度分别为90.00%、83.30%; 特异度分别为90.00%、88.30%。控制良好组、部分控制组、未控制组患儿 FeNO、EOS计数、IgE水平比较,差异有统计学意 义(P<0.05),且控制良好组<部分控制组<未控制组。ROC曲线分析结果显示,FeNO、EOS计数对儿童 CVA 控制良好评 估价值的AUC 分别为0.898(95%CI:0.786~1.000)、0.806(95%CI:0.667~0.944);敏感度分别为83.30%、77.80%;特异 度分别为96.70%、73.30%。结论:CVA 患儿 EOS计数、FeNO 水平升高,且在儿童 CVA 诊断及病情管理中有较高价值。

    Abstract:

    Objective:To investigate the value of peripheral blood eosinophil(EOS)count and fractional exhaled nitric oxide(FeNO)in the diagnosis and management of children with cough variant asthma(CVA). Methods:60 children with CVA were included in the CVA group,and 60 children with non-CVA chronic cough treated in the hospital during the same period were selected as the cough group.After 4 weeks of treatment,the children with CVA were divided into well-controlled group(n=30),partially controlled group (n=18)and uncontrolled group (n=12)according to the control status of children’s asthma control test.The baseline data,FeNO and EOS count were compared in children with CVA group,cough group,and different asthma control groups.The value of EOS count and FeNO in the diagnosis and management of CVA in children was analyzed by receiver operating characteristic (ROC)curve. Results:The percentage of predicted value for forced expiratory volume in one second(FEV1%Pred),percentage of predicted value for peak expiratory flow (PEF%pred)and percentage of predicted value for forced expiratory flow at 50% (FEF50%pred)in the CVA group were lower than those in the cough group(P<0.05),while the FeNO,EOS count and immunoglobulin E (IgE)were higher compared to the cough group(P<0.05). ROC curve revealed that the areas under the curves of FeNO and EOS count in the diagnosis of CVA children were 0.912(95% CI:0.853~0.970)and 0.876(95% CI:0.810~0.942),and the sensitivities were 90.00%and 83.30%,and the specificities were 90.00% and 88.30%,respectively. FeNO,EOS count and IgE were lower in the well-controlled group than those in the partially controlled group and the uncontrolled group (P<0.05),and were also lower in the partially controlled group than those in the uncontrolled group(P<0.05). ROC curve suggested that the areas under the curves of FeNO and EOS count were 0.898(95% CI:0.786~1.000)and 0.806(95% CI:0.667~0.944)in the evaluation of good control of CVA in children,and the sensitivities were 83.30% and 77.80%,and the specificities were 96.70% and 73.30%,respectively. Conclusion:EOS count and FeNO level in children with CVA are increased,and EOS count and FeNO have high value in the diagnosis and management of CVA in children.

    参考文献
    相似文献
    引证文献
引用本文

焦素敏;谷卉姿;王巍;刘晓灵.外周血嗜酸性粒细胞计数与呼出气一氧化氮在儿童咳嗽变异性哮喘诊断及管理中的价值[J].川北医学院学报,2026,41(6):739-742.

复制
分享
相关视频

文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2026-06-12
  • 出版日期:
文章二维码