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[6至14岁健康日本儿童肺功能的正常值及预测方程研究——肺活量测定和流量-容积测量]

[Studies of normal values and prediction equations for pulmonary function--spirometry and flow-volume measurements in healthy Japanese children 6 to 14 years of age].

作者信息

Miyazawa M, Nakazawa K, Katabami J, Minegishi F, Hasegawa S, Sunaoshi K, Mori M

机构信息

Saitama Institute of Public Health, Urawa.

出版信息

Rinsho Byori. 1990 Oct;38(10):1181-92.

PMID:2262976
Abstract

We analyzed spirometric data (spirograms and flow-volume curves) on 1,357 healthy Japanese children (6-14 yr, 709 males and 648 females) in Higashimatsuyama, Saitama. The area was selected as the representative of the less polluted area in Japan, as we intended to exclude possible effects of air-pollution on spirometric values. Hot-wire anaemometers (AS 3500, AS 4500, MINATO) were used in the spirometry and the test procedures were done following the American Thoracic Society recommendations. By multiple regression analysis prediction equations were obtained for VC, FVC, FEV1, FEV1/FVC (%), MMFR, PEFR (Peak Expiratory Flow Rate), V75, V50, and V25. The selected variables were height and weight for VC, FVC and FEV1 but only height for MMFR, PEFR, V75, V50 and V25. Since there was no significant correlations between FEV1/FVC (%) and these variables, we defined normal ranges for FEV1/FVC (%). The predicted values derived from our equations were larger than those obtained from the other studies published in Japan. The difference is probably due to the improvement in the body size of Japanese children and the equipments used.

摘要

我们分析了埼玉县东松山市1357名健康日本儿童(6至14岁,709名男性和648名女性)的肺功能数据(肺量图和流量-容积曲线)。由于我们旨在排除空气污染对肺功能值的可能影响,该地区被选为日本污染较轻地区的代表。肺功能测定中使用了热线风速仪(AS 3500、AS 4500、美能达),测试程序按照美国胸科学会的建议进行。通过多元回归分析,获得了肺活量(VC)、用力肺活量(FVC)、第一秒用力呼气容积(FEV1)、FEV1/FVC(%)、最大中期呼气流速(MMFR)、呼气峰值流速(PEFR)、V75、V50和V25的预测方程。VC、FVC和FEV1的选定变量为身高和体重,但MMFR、PEFR、V75、V50和V25仅选定身高。由于FEV1/FVC(%)与这些变量之间无显著相关性,我们定义了FEV1/FVC(%)的正常范围。我们方程得出的预测值大于日本发表的其他研究所得出的预测值。这种差异可能是由于日本儿童体型的改善和所使用的设备。

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