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正常婴儿的气道和呼吸组织力学

Airway and respiratory tissue mechanics in normal infants.

作者信息

Hall G L, Hantos Z, Peták F, Wildhaber J H, Tiller K, Burton P R, Sly P D

机构信息

Institute for Child Health Research, Department of Respiratory Medicine, Princess Margaret Hospital, and Centre for Child Health Research, University of Western Australia, Perth Australia.

出版信息

Am J Respir Crit Care Med. 2000 Oct;162(4 Pt 1):1397-402. doi: 10.1164/ajrccm.162.4.9910028.

Abstract

Low-frequency respiratory impedance (Zrs) was measured by applying a forcing signal, between 0.5 and 21 Hz at a transrespiratory pressure of 20 cm H(2)O, in a cross-sectional study of 37 normal infants. A model containing an airway resistance (Raw) and inertance (Iaw) and a tissue damping (G) and elastance (H) was fitted to the individual Zrs. Forced expiratory volume in 0.5 second (FEV(0.5)) was determined using the raised volume rapid thoracic compression technique. Multivariate regression analysis was used to analyze the relationships between the lung function parameters and length. Both airway and tissue parameters showed a decreasing quadratic relationship with increasing length. FEV(0.5) showed an increasing cubic relationship with length. A family history of asthma was found to have a negative effect on Raw, H, and FEV(0.5).

摘要

在一项对37名正常婴儿的横断面研究中,通过在20 cm H₂O的跨呼吸压力下施加0.5至21 Hz的强迫信号来测量低频呼吸阻抗(Zrs)。将包含气道阻力(Raw)、惯性(Iaw)、组织阻尼(G)和弹性(H)的模型拟合到个体Zrs上。使用升高容积快速胸廓压缩技术测定0.5秒用力呼气量(FEV(0.5))。采用多元回归分析来分析肺功能参数与身长之间的关系。气道和组织参数均显示出随着身长增加呈二次方下降关系。FEV(0.5)显示出与身长呈三次方增加关系。发现哮喘家族史对Raw、H和FEV(0.5)有负面影响。

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