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用力呼气时间——其作为肺功能测试的可靠性。

Forced expiratory time--its reliability as a lung function test.

作者信息

Macdonald J B, Cole T J, Seaton A

出版信息

Thorax. 1975 Oct;30(5):554-9. doi: 10.1136/thx.30.5.554.

DOI:10.1136/thx.30.5.554
PMID:1198396
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC470325/
Abstract

Three studies of factors affecting variability of forced expiratory time (FET) have been carried out. In the first, different observers or repeated measurements over a few minutes were shown to make no significant contribution to FET variability. Time of day was also relatively unimportant. In the second study, FET was shown to vary considerably more than peak flow rate, forced expiratory volumes, and mid expiratory flow rates over the course of five days. In the third study, FET was shown to correlate with other measurements of airways obstruction though the correlation coefficients were relatively low. The measurement of FET is thought to be too variable to be of practical use as a screening test for small airways disease, though its clinical value is not questioned.

摘要

已经开展了三项关于影响用力呼气时间(FET)变异性因素的研究。在第一项研究中,不同观察者或几分钟内的重复测量对FET变异性没有显著影响。一天中的时间相对来说也不太重要。在第二项研究中,在五天的过程中,FET的变化比峰值流速、用力呼气量和呼气中期流速的变化要大得多。在第三项研究中,尽管相关系数相对较低,但FET与气道阻塞的其他测量指标相关。FET的测量被认为变异性太大,无法作为小气道疾病的筛查试验实际应用,不过其临床价值并无争议。

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本文引用的文献

1
Analysis of the ventilatory defect by timed capacity measurements.通过定时容量测量分析通气缺陷。
Am Rev Tuberc. 1951 Sep;64(3):256-78. doi: 10.1164/art.1951.64.3.256.
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Clinical value of the forced expiratory time measured during auscultation.听诊时测量的用力呼气时间的临床价值。
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FORCED EXPIRATORY TIME: A SIMPLE TEST FOR AIRWAYS OBSTRUCTION.用力呼气时间:一种检测气道阻塞的简单测试。
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Clinical value of a tracing of forced expiration (expirogram). I. Pulmonary disease.用力呼气描记图(呼气图)的临床价值。I. 肺部疾病
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7
Measurement of "closing volume" as a simple and sensitive test for early detection of small airway disease.测量“闭合容积”作为早期检测小气道疾病的一种简单而敏感的测试方法。
Am J Med. 1972 Jun;52(6):747-53. doi: 10.1016/0002-9343(72)90080-0.
8
A reduction in maximum mid-expiratory flow rate. A spirographic manifestation of small airway disease.最大呼气中期流速降低。小气道疾病的肺量计表现。
Am J Med. 1972 Jun;52(6):725-37. doi: 10.1016/0002-9343(72)90078-2.
9
Obstruction in small airways--a challenge to medicine.
Am J Med. 1972 Jun;52(6):721-4. doi: 10.1016/0002-9343(72)90077-0.
10
Early diagnosis of airways obstruction.气道阻塞的早期诊断。
Thorax. 1974 Jul;29(4):389-93. doi: 10.1136/thx.29.4.389.