Objective: To compare negative expiratory pressure (NEP) technique with conventional test in detecting expiratory flow limitation (EFL) in chronic obstructive pulmonary diseases (COPD) patients.
Methods: EFL was measured with NEP technique and conventional method respectively in 72 COPD patients;EFL was measured with NEP technique in 20 COPD patients who failed to perform conventional test.
Results: EFL was detected in 54 of the 72 COPD patients. NEP test was successfully performed on the 20 patients, and 19 of them were found with EFL. The level of forced expired volume in one second percentage (FEV(1)%) of the patients with 2-score group (46.92 +/- 12.74)% and 3-score group (33.35 +/- 8.96)% were significantly lower than that of the 1-score group (63.60 +/- 16.65)%. Area under curve of NEP technique and conventional test in ROC is 0.903 and 0.761 respectively.
Conclusions: As compared with conventional test, EFL detected with NEP technique is more reliable in evaluating dyspnea of COPD patients. It is simple and doesn't require any cooperation of the patients. NEP technique can be applied in COPD patients who fail to receive conventional test.
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Cochrane Database Syst Rev
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Saúde Baseada em Evidências, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil.
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Basic Medical School, Guizhou University of Traditional Chinese Medicine, Guiyang, Guizhou, China.
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Shaanxi Key Laboratory of Earth Surface System and Environmental Carrying Capacity, College of Urban and Environmental Sciences, Northwest University, Xi'an 710127, China.
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