Xu Y J, Zhang Z X, Duan S F
Tongji Hospital, Tongji Medical University, Wuhan.
Zhonghua Nei Ke Za Zhi. 1991 May;30(5):283-5, 317-8.
In order to investigate the relation of impedance rheopneumogram with pulmonary hemodynamics and right ventricular function in patients with chronic obstructive pulmonary disease (COPD), we measured impedance rheopneumogram and did right heart catheterization in 150 COPD patients simultaneously both at rest and after exercise. The results showed that impedance rheopneumogram was mainly influenced by right ventricular after-load, while the influences of right ventricular pre-load, right ventricular contraction, right ventricular stroke work index and cardiac output were rather small, suggesting that in COPD patients impedance rheopneumogram is valuable in predicting pulmonary arterial pressure noninvasively, but not so use in judging the right ventricular function.
为了探讨慢性阻塞性肺疾病(COPD)患者阻抗呼吸血流图与肺血流动力学及右心室功能的关系,我们对150例COPD患者在静息和运动后同时进行了阻抗呼吸血流图测定及右心导管检查。结果显示,阻抗呼吸血流图主要受右心室后负荷的影响,而右心室前负荷、右心室收缩、右心室每搏功指数及心输出量的影响较小,提示在COPD患者中,阻抗呼吸血流图对无创预测肺动脉压有价值,但对判断右心室功能价值不大。