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珀斯6至12岁正常儿童的肺功能测定值。

Spirometric values for normal Perth children aged six to twelve years.

作者信息

Morton A R, Fitch K D, Blanksby B A, Streatfield P J

出版信息

Aust N Z J Med. 1976 Feb;6(1):51-7. doi: 10.1111/j.1445-5994.1976.tb03291.x.

Abstract

The purpose of this study was to construct tables and nomograms of spirometric norms for Perth children aged between six and 12 years. These norms were to be based on anthropometric measurements and age. A sample of 623 children was tested of which 556 were analysed and comprised 289 boys and 267 girls. All testing was carried out in the child's own school. The spirograms were recorded with a dry spirometer from which the FVC, FEV1, and FMF were measured. Correlation coefficients were established between each of these ventilatory parameters and anthropometric measurements of height, mass, arm span and age. The findings of the study revealed high correlations for both boys and girls between ventilatory parameters of FVC and FEV1 and height, mass, arm span and age. Moderately high correlations were found for both sexes between FMF and height, mass, arm span and age. Height correlated best with each of these ventilatory measures. It was also established that significant improvement in some correlations was obtained when anthropometric values were used in multiple correlation analysis. The use of height plus mass proved to be best when predicting FVC and FEV, for boys and girls, and for predicting FMF of girls. FMF for boys could be best predicted by using height alone. The limits of normality for ventilatory parameters of FVC, FEV1 and FMF were found to be best defined by the per cent standard error of the estimate. Tables and nomograms were established from regression and multiple regression equations in order to predict normal values in children. The findings of this study revealed that little difference existed between the ventilatory values of children tested in Perth, Europe and the Eastern States of Australia. However, the differences that were found to exist could be due to the age group which was sampled or possible environmental and genetic differences.

摘要

本研究的目的是构建6至12岁珀斯儿童肺功能指标的表格和列线图。这些指标将基于人体测量数据和年龄。对623名儿童进行了测试,其中556名儿童纳入分析,包括289名男孩和267名女孩。所有测试均在儿童自己的学校进行。使用干式肺活量计记录肺功能图,测量用力肺活量(FVC)、第一秒用力呼气容积(FEV1)和用力呼气中期流速(FMF)。建立了这些通气参数与身高、体重、臂展和年龄的人体测量数据之间的相关系数。研究结果显示,男孩和女孩的FVC和FEV1通气参数与身高、体重、臂展和年龄之间均存在高度相关性。FMF与身高、体重、臂展和年龄之间在两性中均发现中度高度相关性。身高与这些通气指标中的每一项相关性最佳。还确定,在多元相关分析中使用人体测量值时,某些相关性有显著改善。在预测男孩和女孩的FVC和FEV1以及女孩的FMF时,身高加体重的组合被证明是最佳的。对于男孩的FMF,仅使用身高可以得到最佳预测。FVC、FEV1和FMF通气参数的正常范围被发现最好用估计值的百分比标准误差来定义。根据回归和多元回归方程建立了表格和列线图,以预测儿童的正常值。本研究结果显示,在珀斯、欧洲和澳大利亚东部各州测试的儿童通气值之间差异不大。然而,发现存在的差异可能归因于所抽样的年龄组或可能的环境和遗传差异。

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