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伊朗5至19岁健康儿童通过脉冲振荡法测量的呼吸阻力

Respiratory resistance by impulse oscillometry in healthy Iranian children aged 5-19 years.

作者信息

Amra Babak, Soltaninejad Froogh, Golshan Mohammad

机构信息

Department of Pulmonology, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Iran J Allergy Asthma Immunol. 2008 Mar;7(1):25-9.

Abstract

The impulse oscillation system (IOS) measures respiratory impedance (Zrs) in terms of resistance (Rrs) and reactance (Xrs) at multiples of 5 Hz. These measurements can be used clinically to help diagnose and monitor respiratory disorders, independent of effort. There is, as yet, no information on reference values for IOS in Iranian adolescents.The predictive equation for resistance and impedance at 5 and 15 and 25 Hz, for the first time, in 509 Iranian adolescent subjects (265 boys (aged 6-19 years) and 253 girls (aged 5-19 years) were determined. Gender-specific linear prediction equations were developed by multiple regression analysis; with measuring (R5, R15, R25, X5, X15, X 25) as dependent variables regressed against age (A) and height (H).For both genders, age and height had negative effects on resistance, while age and height had a positive effect on reactance. The prediction equations for R5 and X5 are as follows: R5: -1.35x10(-5) x agex2.823 - 0.001 x height x1.022 + 0.547 for girlsX5: 1.78x10(-7)x age x1.08 + 0.002 height x4.150 - 0.539, for girls R5: -6.19x10(-7)x age x 3.820 - 6.78E-005 x height x1.651 + 0.691 for boysX5: 6.95x10(-23) x age x16.226 + 0.004 height x 0.846- 0.430, for boys, respectively. Our results therefore provide an original frame of reference for R5, R15, R25, X5, X15, X25 in Iranian adolescents population, obtained from a standardized forced oscillation technique.

摘要

脉冲振荡系统(IOS)在5Hz的倍数频率下测量呼吸阻抗(Zrs),包括电阻抗(Rrs)和电抗(Xrs)。这些测量结果可在临床上用于辅助诊断和监测呼吸障碍,且不受用力程度影响。目前,尚无关于伊朗青少年IOS参考值的信息。首次在509名伊朗青少年受试者(265名男孩(年龄6 - 19岁)和253名女孩(年龄5 - 19岁))中确定了5Hz、15Hz和25Hz时电阻抗的预测方程。通过多元回归分析建立了性别特异性线性预测方程;以测量值(R5、R15、R25、X5、X15、X25)作为因变量,对年龄(A)和身高(H)进行回归分析。对于男女两性,年龄和身高对电阻抗有负面影响,而年龄和身高对电抗有正面影响。R5和X5的预测方程如下:女孩的R5:-1.35×10⁻⁵×年龄².⁸²³ - 0.001×身高¹.⁰²² + 0.547;女孩的X5:1.78×10⁻⁷×年龄¹.⁰⁸ + 0.002×身高⁴.¹⁵⁰ - 0.539;男孩的R5:-6.19×10⁻⁷×年龄³.⁸²⁰ - 6.78×10⁻⁵×身高¹.⁶⁵¹ + 0.691;男孩的X5:6.95×10⁻²³×年龄¹⁶.²²⁶ + 0.004×身高⁰.⁸⁴⁶ - 0.430。因此,我们的研究结果为伊朗青少年人群中R5、R15、R25、X5、X15、X25提供了一个源自标准化强迫振荡技术的原始参考框架。

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