Cardoso W V, Saldiva P H, Criado P M, Sakae R S, Böhm G M, Zin W A
Laboratório de Poluição Atmosférica Experimental, Faculdade de Medicina, Universidade de São Paulo, Brazil.
J Appl Toxicol. 1991 Apr;11(2):79-84. doi: 10.1002/jat.2550110202.
The isovolume method is one of the most used techniques to assess the mechanical properties of the lungs in ordinary challenge tests and in toxicological studies. It has been considered that isovolume lung resistance (RL) could assess central airway calibre in such tests, whereas dynamic elastance (EL,dyn) would reflect the elastic properties of lung parenchyma. However, peripheral phenomena, such as Pendelluft and stress relaxation, can interfere with RL measurements, especially in disease. In order to investigate the contribution of such phenomena to isovolume RL and EL,dyn, we compared the results provided by isovolume technique with those given by the end-inflation occlusion method (EIOM) in 12 normal Wistar rats. We found similar values for total lung resistance (RL,max) and isovolume RL. Homogeneous resistance (RL,mm), which describes airway calibre, comprised about 30% of RL in the tidal volume range. Values of EL,dyn calculated by the EIOM were approximately 20% greater than the corresponding value measured during spontaneous breathing. Our data indicate that isovolume RL is significantly affected by tissue forces and cannot be interpreted as a pure index of airway size.
等容法是普通激发试验和毒理学研究中评估肺力学特性最常用的技术之一。人们认为在这类试验中,等容肺阻力(RL)可评估中央气道口径,而动态弹性(EL,dyn)则反映肺实质的弹性特性。然而,诸如摆动气团和应力松弛等外周现象会干扰RL的测量,尤其是在疾病状态下。为了研究这些现象对等容RL和EL,dyn的影响,我们在12只正常Wistar大鼠中比较了等容技术与终末充气阻断法(EIOM)的结果。我们发现总肺阻力(RL,max)和等容RL的值相似。描述气道口径的均匀阻力(RL,mm)在潮气量范围内约占RL的30%。EIOM计算得出的EL,dyn值比自主呼吸时测得的相应值大约高20%。我们的数据表明,等容RL受组织力的显著影响,不能被解释为气道大小的单纯指标。