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在哮喘儿童中,Piko - 1便携式设备与呼吸流速仪在测量呼气峰值流速(PEF)和第1秒用力呼气容积(FEV₁)方面的一致性。

Concordance between the Piko - 1 portable device and pneumotachography in measuring PEF and FEV(1) in asthmatic children.

作者信息

Aguilar-Fernández A J, Villa-Asensi J R, Castro-Codesal M, Almería-Gil E, González-Alvarez M I, Romero-Andújar F

机构信息

Sección de Neumología Pediátrica, Hospital Universitario Materno Infantil de Canarias, Las Palmas de Gran Canaria, Spain.

出版信息

Allergol Immunopathol (Madr). 2009 Sep-Oct;37(5):244-8. doi: 10.1016/j.aller.2009.03.004. Epub 2009 Sep 22.

Abstract

OBJECTIVE

To assess concordance in the measurement of peak expiratory flow (PEF) and forced expiratory volume ino ne second (FEV(1)) between the portable device Piko-1 (Ferraris) and a pneumotachograph.

PATIENTS AND METHODS

Forced spirometry (Master Screen Jaeger) was performed according to ATS/ERS norms, selecting the best value of three curves, and three measurements with the Piko-1 were recorded the recommendations of the manufacturer.

RESULTS

Eighty patients between 5-18 years of age were studied. Based on the Bland-Altman method, the mean differences obtained were 9.82 (95%Cl: 2.43-17.21) for PEF and 0.17 (95%CL: 0.12-0.21 for FEV(1). The intraclass correlation coefficient was 0.96 (p <0,001; 95%Cl: 0.93-0.97) for PEV(1) and 0.93 (p<0,0001; 95%Cl: 0.89-0.95) for PEF.

CONCLUSIONS

Piko-1 offers FEV(1) measurements close to those obtained with forced spirometry, thus allowing more exact patient assessment in home-based follow-up emergency services, or hospital wards.

摘要

目的

评估便携式设备Piko-1(法拉利)与呼吸流速仪在测量呼气峰值流速(PEF)和一秒用力呼气容积(FEV₁)方面的一致性。

患者与方法

根据美国胸科学会/欧洲呼吸学会规范进行用力肺活量测定(Master Screen Jaeger),选取三条曲线中的最佳值,并按照制造商的建议使用Piko-1进行三次测量。

结果

研究了80名5至18岁的患者。基于Bland-Altman方法,PEF的平均差异为9.82(95%可信区间:2.43 - 17.21),FEV₁的平均差异为0.17(95%可信区间:0.12 - 0.21)。PEV₁的组内相关系数为0.96(p <0.001;95%可信区间:0.93 - 0.97),PEF的组内相关系数为0.93(p<0.0001;95%可信区间:0.89 - 0.95)。

结论

Piko-1提供的FEV₁测量值与用力肺活量测定获得的值接近,因此在家庭随访、急诊服务或医院病房中能够对患者进行更准确的评估。

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