Galetke W, Feier C, Muth T, Ruehle K-H, Borsch-Galetke E, Randerath W
Bethanien Hospital Solingen, Clinic for Pneumology and Allergology, Center for Ventilatory Care and Sleep Medicine, Institute for Pneumology, University Witten/Herdecke, Aufderhoeher Strasse 169-175, D-42699 Solingen, Germany.
Respir Med. 2007 Aug;101(8):1783-9. doi: 10.1016/j.rmed.2007.02.015. Epub 2007 Apr 6.
The aim of the present study was to determine new reference values and predictive variables for dynamic and static pulmonary compliance in men. The investigation was conducted as a prospective study in healthy, non-smoking men with normal pulmonary function parameters including spirometry, bodyplethysmography and CO diffusing capacity. The esophageal pressure method was used to measure dynamic compliance (Cdyn), specific dynamic compliance (Cdyn/ITGV), static compliance (Cstat) and specific static compliance (Cstat/ITGV). Lung recoil pressures were recorded at different levels of total lung capacity (TLC). A total of 208 men aged 20-69 years were included in the study. The mean values for the compliance parameters were: Cdyn: 2.91+/-1.08 L/kPa; Cdyn/ITGV: 0.71 +/- 0.30 kPa (-1); Cstat: 3.34 +/- 1.04 L/kPa; Cstat/ITGV: 0.82 +/- 0.31 kPa (-1). Cdyn, Cdyn/ITGV and Cstat/ITGV were significantly correlated with age and Cstat was related to height, but in multiple regression analyses the predictability for compliance parameters was very low. Lung recoil pressures at all TLC levels significantly decreased with ageing. In conclusion, we demonstrated that the contribution of anthropometric variables to the regression equations of pulmonary compliance was low. With ageing the static pressure-volume curve of the lung shifted to the left without substantial alteration of the slope.
本研究的目的是确定男性动态和静态肺顺应性的新参考值及预测变量。该调查作为一项前瞻性研究,针对肺功能参数(包括肺活量测定、体容积描记法和一氧化碳弥散能力)正常的健康非吸烟男性进行。采用食管压力法测量动态顺应性(Cdyn)、比动态顺应性(Cdyn/ITGV)、静态顺应性(Cstat)和比静态顺应性(Cstat/ITGV)。在不同肺总量(TLC)水平记录肺回缩压。共有208名年龄在20 - 69岁的男性纳入研究。顺应性参数的平均值为:Cdyn:2.91±1.08 L/kPa;Cdyn/ITGV:0.71±0.30 kPa⁻¹;Cstat:3.34±1.04 L/kPa;Cstat/ITGV:0.82±0.31 kPa⁻¹。Cdyn、Cdyn/ITGV和Cstat/ITGV与年龄显著相关,Cstat与身高有关,但在多元回归分析中,顺应性参数的可预测性非常低。所有TLC水平的肺回缩压均随年龄增长而显著降低。总之,我们证明人体测量学变量对肺顺应性回归方程的贡献较低。随着年龄增长,肺的静态压力 - 容积曲线向左移动,斜率无实质性改变。