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[体容积描记法中呼吸频率作为肺功能参数的函数(作者译)]

[Breath rate as a function of parameters of pulmonary function in body plethysmography (author's transl)].

作者信息

Börngen U

出版信息

Med Klin. 1975 Feb 28;70(9):367-76.

PMID:1124049
Abstract

Parameters of pulmonary function were measured at resting breathing rates (mean 15-17/min) and at breathing rates of 20-40/min in 238 subjects (79 normals, 44 patients with normal pulmonary function in spite of lung disease, and 115 patients, most of whom had obstructive-emphysematous lesions) in a constantvolume body plethysmograph with a respiratory bag. In the subjects with normal pulmonary function the resistance increased significantly by 25 and 45 percent, resp., with more rapid respiration (p smaller than 0,01). Nevertheless it is assumed that this rarely accounts for false interpretations in everyday routine practice. No relationship of breathing rate to respiratory passage resistance was observed in patients with increased total resistance. By way of contrast, ventilation work of breathing (pV diagram) and the index of ventilation work of breathing (defined Vp ratio) showed a close correlation to breathing rate in all 3 groups. This leads us to conclude that these parameters provide more exact information on the breathing mechanism than does total resistance. Studies on ventilation work of breathing must be conducted under clearly defined breathing rates and consideration of the respiratory volume. intrathoracic gas volume was not correlated to the breath rate.

摘要

在配备呼吸袋的定容体描记仪中,对238名受试者(79名正常人、44名尽管患有肺部疾病但肺功能正常的患者以及115名患者,其中大多数患有阻塞性肺气肿病变)在静息呼吸频率(平均15 - 17次/分钟)和20 - 40次/分钟的呼吸频率下测量肺功能参数。在肺功能正常的受试者中,随着呼吸加快,阻力分别显著增加25%和45%(p小于0.01)。然而,据推测,在日常常规实践中,这很少导致错误解读。在总阻力增加的患者中,未观察到呼吸频率与呼吸道阻力之间的关系。相比之下,在所有3组中,呼吸的通气功(pV图)和呼吸通气功指数(定义的Vp比值)与呼吸频率密切相关。这使我们得出结论,与总阻力相比,这些参数能提供关于呼吸机制更准确的信息。呼吸通气功的研究必须在明确定义的呼吸频率下并考虑呼吸量的情况下进行。胸腔内气体量与呼吸频率无关。

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