Inoue M, Honma T, Saitoh T, Suyama T, Aoki H, Matsuki K, Hasegawa S
Division of Respiratory Disease, University of Tsukuba, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1991 Aug;29(8):978-83.
In order to investigate the influence of respiratory frequency in the measurement of specific airway conductance (sGaw) during non-panting breathing, we examined specific airway conductance using a body plethysmograph (BX-82, Minato) in 20 stable pulmonary emphysema patients and 19 normal control subjects. Our body plethysmograph device can measure sGaw automatically without panting by making various corrections using a 16-bit microcomputer. We measured sGaw first at a flow of 0.5 L/sec during both inspiratory and expiratory ventilatory phases, then the respiratory frequency was changed from 0.5 to 1.0, 1.5 and 2.0 Hz. In normal control subjects sGaw, tidal volume and mouth flow significantly changed by increasing respiratory frequency, and there was a significant correlation between sGaw and mouth flow. In pulmonary emphysema patients, tidal volume decreased significantly by increasing respiratory frequency, and there was a significant correlation between sGaw and tidal volume, but sGaw and mouth flow did not change significantly by increasing respiratory frequency. These results suggest that specific airway conductance is influenced by respiratory frequency, possibly due to the change in tidal volume and mouth flow. It is necessary to standardize respiratory frequencies and mouth flows in the measurement of specific airway conductance during non-panting breathing.
为了研究非喘气呼吸过程中呼吸频率对特定气道传导率(sGaw)测量的影响,我们使用体容积描记仪(BX - 82,Minato)对20例稳定期肺气肿患者和19名正常对照者进行了特定气道传导率检测。我们的体容积描记仪设备可通过16位微型计算机进行各种校正,无需喘气即可自动测量sGaw。我们首先在吸气和呼气通气阶段流量为0.5 L/秒时测量sGaw,然后将呼吸频率从0.5 Hz改变为1.0、1.5和2.0 Hz。在正常对照者中,sGaw、潮气量和口腔流量随呼吸频率增加而显著变化,且sGaw与口腔流量之间存在显著相关性。在肺气肿患者中,潮气量随呼吸频率增加而显著降低,sGaw与潮气量之间存在显著相关性,但sGaw和口腔流量并未随呼吸频率增加而显著变化。这些结果表明,特定气道传导率受呼吸频率影响,可能是由于潮气量和口腔流量的变化所致。在非喘气呼吸过程中测量特定气道传导率时,有必要规范呼吸频率和口腔流量。