Fichter J, Thiele J, Fabel H
Abt. Pneumologie, Zentrum Innere Medizin der Medizinischen Hochschule Hannover.
Pneumologie. 1990 Feb;44 Suppl 1:624-6.
A bronchial provocation challenge test was conducted with 30 subjects using metacholin. In randomised sequence lung function analysis tests were carried out with the bodyplethysmograph (Raw, FEV1) and the polyfrequent oscillation method (resistance, reactance between 2 and 52 Hz), whereas the transcutaneous oxygen pressure (tc-PO2) was measured continuously. Correlations between the various parameters, the change of the values at PD60 sGaw in relation to the initial values, the interindividual variability and the reactivity were determined. Medium correlations were found for the oscillatory parameters and Raw, whereas for tc-PO2 and Raw the correlation was markedly lower. In terms of percentage the greatest change was found in reactance, in relation to the initial value, followed by Raw and FEV1. The interindividual variability resulted in the highest values for the reactance, followed by Raw and FEV1. Interindividual variability showed the highest values for the reactance before oscillatory resistance and Raw. In respect of reactivity, reactance also had the highest values. Overall evaluation showed that bodyplethysmography and the polyfrequent oscillation method (reactance or resonance frequency) are comparably sensitive.
对30名受试者使用乙酰甲胆碱进行支气管激发试验。按照随机顺序,使用体容积描记法(气道阻力、第一秒用力呼气容积)和多频振荡法(2至52赫兹之间的阻力、电抗)进行肺功能分析测试,同时持续测量经皮氧分压。确定了各项参数之间的相关性、60秒气道传导率变化值相对于初始值的变化、个体间变异性以及反应性。振荡参数与气道阻力之间存在中等相关性,而经皮氧分压与气道阻力之间的相关性明显较低。以百分比计算,电抗相对于初始值的变化最大,其次是气道阻力和第一秒用力呼气容积。个体间变异性方面,电抗的值最高,其次是气道阻力和第一秒用力呼气容积。在振荡阻力和气道阻力之前,个体间变异性在电抗方面显示出最高值。在反应性方面,电抗的值也最高。总体评估表明,体容积描记法和多频振荡法(电抗或共振频率)具有相当的敏感性。