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[正常老年男女的肺弥散能力:吸烟习惯的影响]

[Pulmonary diffusing capacity in normal aged subjects of both sexes: the effect of smoking habit].

作者信息

Romeiro-Neto M

机构信息

Departamento de Cárdio-Pneumologia, Faculdade de Medicina, Universidade de São Paulo FMUSP.

出版信息

Rev Hosp Clin Fac Med Sao Paulo. 1990 Jul-Aug;45(4):158-66.

PMID:2135826
Abstract

The diffusing capacity of the lung (DL) or transfer factor for the lung (T1) for carbon monoxide (DLCO) was determined, at rest, by single-breath method in 65 normal subjects ranging in age from 60 to 84 years. The subjects were divided into four groups: 15 male smokers (MS); 20 male non-smokers (MNS); 10 female smokers (FS); 20 female non-smokers (FNS). The DLCO was determined using the "Collins Computerized Modular Lung Analyser". The inspired mixture consisted of 0.3 per cent carbon monoxide, 10.0 per cent helium, 21.0 per cent oxygen and 68.7 per cent nitrogen. The mean values and the standard derivations for DLCO (ml/min/mmHg) were: 23.31 +/- 6.48 in MS; 29.33 +/- 6.27 in MNS; 19.74 +/- 5.87 in FS; 19.55 +/- 4.86 in FNS. The DLCO was found to be dependent upon age and body surface area (BSA). Regression equations for predicting normal DLCO have been determined for every one of the four groups (MS, MNS, FS, FNE). Difference, statistically significant was found for MS as compared to MNS, FS and FNS. Therefore two regression equations for predicting normal DLCO have been determined; one for male smokers (MS) and other for male non-smokers (MNS), female smokers (FS) and female non-smokers (FNS). The regression equation for predicting normal DLCO for male smokers (MS) was: DLCO (ML/min/mmHg) = 9.37 - 0.22 Age (Years) + 19.99 BSA (M2). The regression equation for predicting normal DLCO for male non-smokers (MNS), female smokers (FS) and female non-smokers (FNS) was: DLCO (ml/min/mmHg) = 25.05 - 0.27 Age (Years) + 8.41 BSA (m2).(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

采用单次呼吸法,在静息状态下测定了65名年龄在60至84岁之间的正常受试者的肺一氧化碳弥散量(DL)或肺一氧化碳转运因子(T1)(DLCO)。受试者分为四组:15名男性吸烟者(MS);20名男性非吸烟者(MNS);10名女性吸烟者(FS);20名女性非吸烟者(FNS)。使用“柯林斯计算机化模块化肺分析仪”测定DLCO。吸入混合气由0.3%的一氧化碳、10.0%的氦气、21.0%的氧气和68.7%的氮气组成。MS组DLCO(ml/min/mmHg)的平均值及标准差为:23.31±6.48;MNS组为29.33±6.27;FS组为19.74±5.87;FNS组为19.55±4.86。发现DLCO取决于年龄和体表面积(BSA)。已为四组中的每一组(MS、MNS、FS、FNE)确定了预测正常DLCO的回归方程。发现MS组与MNS组、FS组和FNS组相比有统计学显著差异。因此确定了两个预测正常DLCO的回归方程;一个用于男性吸烟者(MS),另一个用于男性非吸烟者(MNS)、女性吸烟者(FS)和女性非吸烟者(FNS)。预测男性吸烟者(MS)正常DLCO的回归方程为:DLCO(ML/min/mmHg)=9.37 - 0.22年龄(岁)+19.99 BSA(平方米)。预测男性非吸烟者(MNS)、女性吸烟者(FS)和女性非吸烟者(FNS)正常DLCO的回归方程为:DLCO(ml/min/mmHg)=25.05 - 0.27年龄(岁)+8.41 BSA(平方米)。(摘要截于250字)

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