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Yabancı cisim aspirasyonu nedeniyle bronkoskopi yapılan hastaların uzun dönem akciğer kapasitelerinin spirometri ile değerlendirilmesi

Yıl 2019, Cilt: 44 Sayı: 3, 932 - 935, 30.09.2019
https://doi.org/10.17826/cumj.469304

Öz

Amaç: Bu çalışmada yabancı cisim aspirasyonu nedeniyle akut dönemde rigid bronkoskopi ile yabancı cisim çıkarılan hastaların uzun dönem akciğer durumlarının spirometri ile değerlendirilmesi amaçlanmıştır.

Gereç ve Yöntem: Mart 2013 – Nisan 2018 tarihleri arasında yabancı cisim aspirasyonu için bronkoskopi yapılan 142 çocuğa ait kayıtlar retrospektif olarak incelendi. Spirometri işlemine kooperasyon kurabilen 20 hastanın verileri çalışmaya dahil edildi (Grup 1). Rutin çocuk cerrahisi polikliniği’ne başvuran akciğer problemi ve ağrı şikayeti olmayan beş yaştan büyük 20 hasta kontrol grubu olarak çalışmaya dahil edildi (Grup 2). Değerlendirme için; 1. Saniyedeki zorlu ekspiratuar akım hızı (FEV1), zorlu vital kapasite (FVC), FEV1/FVC ve zorlu ekspirasyon ortası akım hızı (FEF 25-75) parametreleri kaydedildi.

Bulgular: FEV1, FVC ve FEF 25-75 gibi değerlerin üzerinde yaş, BMI ve cinsiyetin anlamlı bir etkisi olmadığı görüldü. Aynı değerler üzerinde bronkoskopi işleminin etkisi incelendiğinde Grup 1 ve Grup 2 için FEV1 ve FVC  değerleri arasındaki fark istatistiksel olarak anlamı, FEV1/FVC  ve FEF 25-75 arasındaki fark ise anlamlı değildi.

Sonuç: Erken dönemde tespit edilen ve 24 saatten önce müdahale edilen hastalarımızın spirometre ile değerlendirilen akciğer kapasitelerinde uzun dönem olumsuz bir etkilenme tespit edilememiştir.


Kaynakça

  • Amer HS, El-Anwar MW, Raafat A et al. Laryngo-tracheo-bronchial foreign bodies in children: clinical presentations and complications. Iranian journal of otorhinolaryngology 2017; 29: 155. Karatzanis AD, Vardouniotis A, Moschandreas J et al. The risk of foreign body aspiration in children can be reduced with proper education of the general population. Int J Pediatr Otorhinolaryngol 2007; 71: 311–15. Mohammad M, Saleem M, Mahseeri M et al. Foreign body aspiration in children: a study of children who lived or died following aspiration. International journal of pediatric otorhinolaryngology 2017; 98: 29-31.
  • Zhijun C, Fugao Z, Niankai Z, Jinglin C. Therapeutic experience from 1428 patients with pediatric tracheobronchial foreign body. J Pediatr Surg 2008; 43: 718- 21. Aurora P, Stocks J, Oliver C et al. Quality control for spirometry in preschool children with and without lung disease. Am J Respir Crit Care Med 2004; 169: 1152-59.
  • Hall JE, Respiration. Guyton and Hall Texbook of Medical Physiology.12th ed. Saunders Elsevier, 2011; 7: 465-507. Masekela R, Gray D, Verwey C et al. Paediatric spirometry guideline of the South African Thoracic Society: part 1. South African Medical Journal 2013; 103:1036-41.
  • JAT, Kana Ram. Spirometry in children. Primary Care Respiratory Journal 2013; 22: 221. Stanojevic, S, Wade A, Stocks J. Reference values for lung function: Past, present and future. Eur Respir J 2010; 36: 12-9. Chhabra SK, Vijayan VK, Rahman M et al. Regression equations for spirometry in children aged 6 to 17 years in Delhi region. Indian J Chest Dis Allied Sci 2012; 54: 59-63.

Evaluation of long-term lung capacity using spirometry in patients who underwent bronchoscopy due to foreign body aspiration

Yıl 2019, Cilt: 44 Sayı: 3, 932 - 935, 30.09.2019
https://doi.org/10.17826/cumj.469304

Öz

Purpose: The purpose of the present study was to evaluate the long-term lung status using spirometry in patients who underwent rigid bronchoscopy in acute period due to foreign body aspiration. 

Materials and Methods: Records of 142 children who underwent bronchoscopy due to foreign body aspiration between March 2013 and April 2018 were retrospectively reviewed. The data of 20 patients who cooperated with the spirometry process were included in this study (Group 1). Twenty patients who were admitted to the routine pediatric surgeon polyclinic without any lung problem and pain complaints were included in the study as a control group (Group 2). Forced expiratory flow rate (FEV1), forced vital capacity (FVC), FEV1/FVC, and forced expiratory flow at 25-75% of forced vital capacity (FEF 25–75) parameters were recorded in the first second.

Results: Based on the statistical analysis results, there was no significant effect of age, sex, and BMI on FEV1, FVC, and FEF 25–75 values. The effect of bronchoscopy procedure on the same values, the difference between FEV1 and FVC values was statistically significant, whereas the difference between FEV1/FVC and FEF 25–75 values was not statistically significant for Groups 1 and 2. 

Conclusion: There was no long-term negative effect on lung capacities assessed using spirometry in our patients who received early-diagnosis and intervention within 24 h.


Kaynakça

  • Amer HS, El-Anwar MW, Raafat A et al. Laryngo-tracheo-bronchial foreign bodies in children: clinical presentations and complications. Iranian journal of otorhinolaryngology 2017; 29: 155. Karatzanis AD, Vardouniotis A, Moschandreas J et al. The risk of foreign body aspiration in children can be reduced with proper education of the general population. Int J Pediatr Otorhinolaryngol 2007; 71: 311–15. Mohammad M, Saleem M, Mahseeri M et al. Foreign body aspiration in children: a study of children who lived or died following aspiration. International journal of pediatric otorhinolaryngology 2017; 98: 29-31.
  • Zhijun C, Fugao Z, Niankai Z, Jinglin C. Therapeutic experience from 1428 patients with pediatric tracheobronchial foreign body. J Pediatr Surg 2008; 43: 718- 21. Aurora P, Stocks J, Oliver C et al. Quality control for spirometry in preschool children with and without lung disease. Am J Respir Crit Care Med 2004; 169: 1152-59.
  • Hall JE, Respiration. Guyton and Hall Texbook of Medical Physiology.12th ed. Saunders Elsevier, 2011; 7: 465-507. Masekela R, Gray D, Verwey C et al. Paediatric spirometry guideline of the South African Thoracic Society: part 1. South African Medical Journal 2013; 103:1036-41.
  • JAT, Kana Ram. Spirometry in children. Primary Care Respiratory Journal 2013; 22: 221. Stanojevic, S, Wade A, Stocks J. Reference values for lung function: Past, present and future. Eur Respir J 2010; 36: 12-9. Chhabra SK, Vijayan VK, Rahman M et al. Regression equations for spirometry in children aged 6 to 17 years in Delhi region. Indian J Chest Dis Allied Sci 2012; 54: 59-63.
Toplam 4 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma
Yazarlar

Ahmet Atıcı 0000-0002-0706-2891

Nursel Dikmen

Mehmet Emin Çelikkaya 0000-0003-3324-4960

Çiğdem El 0000-0002-7110-3504

Bülent Akçora 0000-0003-3266-2562

Yayımlanma Tarihi 30 Eylül 2019
Kabul Tarihi 8 Şubat 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 44 Sayı: 3

Kaynak Göster

MLA Atıcı, Ahmet vd. “Evaluation of Long-Term Lung Capacity Using Spirometry in Patients Who Underwent Bronchoscopy Due to Foreign Body Aspiration”. Cukurova Medical Journal, c. 44, sy. 3, 2019, ss. 932-5, doi:10.17826/cumj.469304.