Clinical application of spirometry in asthma | 合法醫療器材資訊網

由SKChhabra著作·2015·被引用22次—Variabilityofairwaycaliber,eitherspontaneouslyorwithtreatment,isthecharacteristicanddefiningfeatureofasthmaandmaybedemonstratedeitherbyalarge ...

Spirometry is an extremely useful investigation in pulmonary medicine. In chronic diseases such as asthma, it is grossly under-utilized, not only in India but in other countries as well. Besides lack of facilities for good spirometry in most cities and towns, and inadequate attention to quality control even where it is available, there is often a poor comprehension and uncertainty on why, when and how often it should be advised as well as on its clinical applications. This commentary examines several issues related to the use of spirometry in asthma.

While a clinical evaluation of the cluster of symptoms and the pattern of their occurrence is usually sufficient to provide a diagnosis of asthma and start treatment, demonstration of airways obstruction and its reversibility (a greater than 12% and 200 ml increase in...