van Erck E, Votion D, Art T, Lekeux P
Laboratory for Functional Investigation, Department of Physiology, Faculty of Veterinary Medicine, University of Liège, Liège, Belgium.
Equine Vet J. 2004 Jan;36(1):21-8. doi: 10.2746/0425164044864714.
Due to technical implementations and lack of sensitivity, pulmonary function tests are seldom used in clinical practice. Impulse oscillometry (IOS) could represent an alternative method.
To define feasibility, methodology and repeatability of IOS, a forced oscillation technique that measures respiratory resistance (Rrs) and reactance (Xrs) from 5 to 35 Hz during spontaneous breathing, in horses.
Using 38 healthy horses, Rrs and Xrs reference values were defined and influence of individual biometrical parameters was investigated. In addition, IOS measurements of 6 horses showing clinical signs of heaves were compared to those of 6 healthy horses.
Airtightness and minimal dead space in the facemask were prerequisites to IOS testing and standardisation of head position was necessary to avoid variations in Rrs due to modified upper airway geometry. In both healthy and diseased animals, measurements were repeatable. In standard-type breeds, the influence of the horse's size on IOS parameters was negligible. An increase in R5Hz greater than 0.10 kPa/l/sec and R5Hz>R10Hz, combined with negative values of Xrs between 5 and 20 Hz, was indicative of heaves crisis.
IOS is a quick, minimally invasive and informative method for pulmonary function testing in healthy and diseased horses.
IOS is a promising method for routine and/or field respiratory clinical testing in the equine species.
由于技术实施问题和缺乏敏感性,肺功能测试在临床实践中很少使用。脉冲振荡法(IOS)可能是一种替代方法。
确定IOS(一种强迫振荡技术,在马自主呼吸过程中测量5至35赫兹的呼吸阻力(Rrs)和电抗(Xrs))在马身上的可行性、方法和可重复性。
使用38匹健康马,定义Rrs和Xrs参考值,并研究个体生物测量参数的影响。此外,将6匹出现气喘临床症状的马的IOS测量结果与6匹健康马的测量结果进行比较。
面罩的气密性和最小死腔是IOS测试的前提条件,头部位置的标准化对于避免由于上呼吸道几何形状改变导致的Rrs变化是必要的。在健康和患病动物中,测量结果都是可重复的。在标准类型品种中,马的体型对IOS参数的影响可以忽略不计。R5Hz增加大于0.10 kPa/l/秒且R5Hz > R10Hz,同时5至20赫兹之间Xrs为负值,提示气喘发作。
IOS是一种用于健康和患病马匹肺功能测试的快速、微创且信息丰富的方法。
IOS是一种有前景的用于马属动物常规和/或现场呼吸临床检测的方法。