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健康成年人中细微米级颗粒在全呼吸道的沉积:基于性别和呼吸模式的经验方程

Total respiratory tract deposition of fine micrometer-sized particles in healthy adults: empirical equations for sex and breathing pattern.

作者信息

Kim Chong S, Hu Shu-Chieh

机构信息

Human Studies Division (MD-58B National Health and Environmental Effects Research Laboratory, US Environmental Protection Agency, Research Triangle Park, NC 27711, USA.

出版信息

J Appl Physiol (1985). 2006 Aug;101(2):401-12. doi: 10.1152/japplphysiol.00026.2006.

Abstract

Accurate dose estimation under various inhalation conditions is important for assessing both the potential health effects of pollutant particles and the therapeutic efficacy of medicinal aerosols. We measured total deposition fraction (TDF) of monodisperse micrometer-sized particles [particle diameter (Dp) = 1, 3, and 5 microm in diameter] in healthy adults (8 men and 7 women) in a wide range of breathing patterns; tidal volumes (Vt) of 350-1500 ml and respiratory flow rates (Q) of 175-1,000 ml/s. The subject inhaled test aerosols for 10-20 breaths with each of the prescribed breathing patterns, and TDF was obtained by monitoring inhaled and exhaled aerosols breath by breath by a laser aerosol photometer. Results show that TDF varied from 0.12-0.25, 0.26-0.68, and 0.45-0.83 for Dp = 1, 3, and 5 microm, respectively, depending on the breathing pattern used. TDF was comparable between men and women for Dp = 1 microm but was greater in women than men for Dp = 3 and 5 microm for all breathing patterns used (P < 0.05). TDF increased with an increase in Vt regardless of Dp and Q used. At a fixed Vt TDF decreased with an increase in Q for Dp = 1 and 3 microm but did not show any significant changes for Dp = 5 microm. The varying TDF values, however, could be consolidated by a single composite parameter (omega) consisting of Dp, Vt, and Q. The results indicate that unifying empirical formulas provide a convenient means of assessing deposition dose of particles under varying inhalation conditions.

摘要

在各种吸入条件下准确估算剂量,对于评估污染物颗粒的潜在健康影响以及药用气雾剂的治疗效果都很重要。我们在健康成年人(8名男性和7名女性)中,测量了单分散微米级颗粒(粒径(Dp)分别为1、3和5微米)在多种呼吸模式下的总沉积分数(TDF);潮气量(Vt)为350 - 1500毫升,呼吸流速(Q)为175 - 1000毫升/秒。受试者按照每种规定的呼吸模式吸入测试气雾剂10 - 20次呼吸,通过激光气溶胶光度计逐次监测吸入和呼出的气雾剂来获得TDF。结果表明,对于Dp = 1、3和5微米,TDF分别在0.12 - 0.25、0.26 - 0.68和0.45 - 0.83之间变化,具体取决于所使用的呼吸模式。对于Dp = 1微米,男性和女性的TDF相当,但对于所有使用的呼吸模式,当Dp = 3和5微米时,女性的TDF高于男性(P < 0.05)。无论使用的Dp和Q如何,TDF都随Vt的增加而增加。在固定的Vt下,对于Dp = 1和3微米,TDF随Q的增加而降低,但对于Dp = 5微米则没有显示出任何显著变化。然而,不同的TDF值可以通过一个由Dp、Vt和Q组成的单一复合参数(ω)进行整合。结果表明,统一的经验公式为评估不同吸入条件下颗粒的沉积剂量提供了一种便捷的方法。

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