Mustajbegović Jadranka, Kern Josipa, Schachter E Neil, Zuskin Eugenija, Pavicić Fadila, Teufel Nenad
Andrija Stampar School of Public Health, Zagreb University School of Medicine, Rockefellerova 4, 10000 Zagreb, Croatia.
Croat Med J. 2003 Oct;44(5):614-7.
To compare ventilatory capacity of Croatian population with the ventilatory function values predicted by conventional equations based on measurements among European populations.
Ventilatory capacity and respiratory symptoms were determined in a group of 2,482 healthy non-smokers (1,162 men and 1,320 women). The measurements were performed with a pneumotach spirometer. Maximum expiratory flow volume curves (MEFV) were registered, and forced vital capacity (FVC), forced expiratory volume in one second (FEV1), and flow rates at 50% (MEF50) and the last 25% of the vital capacity (MEF25) were recorded. Anthropometric data were also noted. Reference values were calculated using multiple linear regressions.
Comparisons of our values with the prediction summary equations issued by the European Community for Steel and Coal (ECSC) and the European Respiratory Society (ERS) showed that healthy Croatians had consistently lower values of FVC (92.1-/+14.0% of the predicted volume for men and 86.2-/+11.7% for women) and FEV1 (93.7-/+14.8% of the predicted values for men and 95.3-/+13.1% for women), but higher values of MEF50 (107.8-/+30.1% of the predicted values for men and 103.4-/+22.8% for women) and MEF25 (117.3-/+41.0% of the predicted values for men and 117.9-/+34.0% for women) than the ECSC/ERS recommendations. The comparison was also made with the most commonly used North American reference standards based on populations of European origin, with similar findings. On the basis of the results of multiple linear regressions, we constructed prediction equations for ventilatory function in Croatian population.
The ECSC/ERS recommendations are not satisfactory for the Croatian population.
将克罗地亚人群的通气能力与基于欧洲人群测量值的传统方程预测的通气功能值进行比较。
对一组2482名健康非吸烟者(1162名男性和1320名女性)测定通气能力和呼吸症状。使用呼吸流速计进行测量。记录最大呼气流量容积曲线(MEFV),并记录用力肺活量(FVC)、一秒用力呼气容积(FEV1)以及肺活量50%时的流速(MEF50)和肺活量最后25%时的流速(MEF25)。还记录了人体测量数据。使用多元线性回归计算参考值。
将我们的值与欧洲煤钢共同体(ECSC)和欧洲呼吸学会(ERS)发布的预测汇总方程进行比较,结果显示健康的克罗地亚人FVC值(男性为预测值的92.1±14.0%,女性为86.2±11.7%)和FEV1值(男性为预测值的93.7±14.8%,女性为95.3±13.1%)始终低于预测值,但MEF50值(男性为预测值的107.8±30.1%,女性为103.4±22.8%)和MEF25值(男性为预测值的117.3±41.0%,女性为117.9±34.0%)高于ECSC/ERS的建议值。还与基于欧洲裔人群的最常用北美参考标准进行了比较,结果相似。根据多元线性回归结果,我们构建了克罗地亚人群通气功能的预测方程。
ECSC/ERS的建议对克罗地亚人群并不适用。