Zhai Lulu, Shen Zhaobo, Li Yi. Diagnostic value of combined FeNO,ECP and IgE tests for bronchial asthma in school age[J]. Health Medicine Research and Practice, 2022,19(1):68-71.
Zhai Lulu, Shen Zhaobo, Li Yi. Diagnostic value of combined FeNO,ECP and IgE tests for bronchial asthma in school age[J]. Health Medicine Research and Practice, 2022,19(1):68-71.DOI:
Objective To investigate the diagnostic value of combined fractional exhaled nitric oxide(FeNO)
immunoglobulin E(IgE)
and eosinophil cationic protein(ECP) tests on school-age children with bronchial asthma.Methods One hundred cases of school-age bronchial asthma children admitted to a hospital in Henan province from January to September 2020 were selected as the observation group
and 100 healthy children who underwent physical examination at the hospital during the same period were selected as the control group.The FeNO
IgE
ECP levels and peak expiratory flow as a percentage of the predicted value(PEF%) and the 1 st second forced expiratory volume as a percentage of the predicted value(FEV1%) were compared between the 2 groups.The subjects’ receiver operating characteristic(ROC) curved were also plotted to analyze the efficacy of FeNO
IgE
and ECP in the combined diagnosis of bronchial asthma in school age.Results The levels of FeNO
IgE
and ECP were higher in the study subjects of the observation group than in the control group
and the differences were all statistically significant(P<0.05).The PEF% and FEV1% of the study subjects in the observation group were lower than those in the control group
and the differences were all statistically significant(P<0.05).The levels of FeNO
IgE
and ECP were negatively correlated with PEF% and FEV1%
respectively(P<0.05).The area under the curve(AUC) of FeNO
IgE
and ECP combined to diagnose bronchial asthma in school age was 0.891
and the specificity and sensitivity was 0.974 and 0.785
respectively
which were higher than the values of single test for each index.Conclusion Elevated levels of FeNO
IgE
and ECP are closely related to the occurrence of bronchial asthma in school-aged patients
and negatively correlated with patients’ lung function indexes.The combination of the three tests has high sensitivity and specificity in detecting bronchial asthma in school-aged patients
which can improve the detection rate and thus provide reference for treatment
and therefore
it is worthy of clinical promotion.
关键词
支气管哮喘呼出气一氧化氮肺功能免疫球蛋白E嗜酸粒细胞阳离子蛋白
Keywords
Bronchial asthmaExhaled nitric oxideLung functionImmunoglobulin EEosinophil cationic protein