Tomalak Waldemar, Radliński Jakub, Latawiec Wojciech
Zakład Fizjopatologii Układu Oddychania Instytutu Gruźlicy i Chorób Płuc, Oddział w Rabce-Zdroju Kierownik.
Pneumonol Alergol Pol. 2008;76(6):421-5.
In 2005 the European Respiratory Society/American Thoracic Society (ERS/ATS) published an updated document on the standardization of spirometry (European Respiratory Journal 2005; 26: 319-338). It defines criteria for the acceptability of spirometric measurements. The aim of this retrospective study was to assess the adherence to those standards of flow-volume measurements in children younger than 10 years of age.
The analysis was carried out on the results obtained from 233 children aged 4.2-10 years, referred to a spirometric lab during a period of three months.
116 children (all but one preschool) did not cooperate; the results of the 117 who completed the procedure of flow-volume measurement were analysed using ERS/ATS criteria. 80.3% of the children had back extrapolated volume (Vbe) within the defined limit, but only 23.9% had forced expiratory time > 3 s. FEV(1) and FVC were repeatable in 78.6% of the children. When these three criteria were used together, the measurements were acceptable according to ATS/ERS recommendations in 17.1% of the children. Elimination of the forced expiratory time criterion has further increased their number to 63.2%.
Specific recommendations for children should be developed, as the current requirements appear too restrictive, especially regarding the time of forced expiration.
2005年，欧洲呼吸学会/美国胸科学会（ERS/ATS）发布了一份关于肺量计标准化的更新文件（《欧洲呼吸杂志》2005年；26：319 - 338）。该文件定义了肺量计测量可接受性的标准。这项回顾性研究的目的是评估10岁以下儿童流量 - 容积测量对这些标准的遵循情况。
对在三个月期间转诊至肺量计实验室的233名4.2 - 10岁儿童所获得的结果进行分析。
116名儿童（除一名学龄前儿童外全部）不配合；对完成流量 - 容积测量程序的117名儿童的结果按照ERS/ATS标准进行分析。80.3%的儿童后推容积（Vbe）在规定限度内，但只有23.9%的儿童用力呼气时间>3秒。78.6%的儿童FEV(1)和FVC可重复。当同时使用这三个标准时，根据ATS/ERS建议，17.1%的儿童测量结果可接受。去除用力呼气时间标准后，这一比例进一步提高至63.2%。
应制定针对儿童的具体建议，因为目前的要求似乎过于严格，特别是在用力呼气时间方面。
