Vignale L, Moretti A, Parentini G
Divisione di Pneumologia, Ospedale di Fivizzano.
Acta Biomed Ateneo Parmense. 1989;60(3-4):177-81.
The following indexes were measured in 10 normal volunteers and 25 symptomatic asthmatic patients: --tidal volume (VT), breathing frequency (f), minute ventilation (Ve); --forced expiratory volume in 1 s. (FEV1), vital capacity (VC), residual volume (RV) and partial pressure of 02-C02 in arterial blood (Pa02-C02); --mean inspiratory flow (VT/Ti); --inspiratory duty cycle (Ti/Tt). Our data suggest a "ventilatory pattern" of the asthmatic patients may be characterized by the following features: --increasing of tidal volume (VT) and minute ventilation (Ve); --increasing of the mean inspiratory flow (Vt/Ti); --reduction of inspiratory duty cycle (Ti/Tt). This suggest that the breathing pattern may help to differentiate symptomatic asthmatic patients form patients with chronic obstructive pulmonary disease who have similar degrees of pulmonary hyperinflation, but breathe with faster rates and slightly elevated tidal volumes.
对10名正常志愿者和25名有症状的哮喘患者测量了以下指标:——潮气量(VT)、呼吸频率(f)、分钟通气量(Ve);——第1秒用力呼气量(FEV1)、肺活量(VC)、残气量(RV)以及动脉血中氧分压-二氧化碳分压(PaO2 - CO2);——平均吸气流量(VT/Ti);——吸气占比(Ti/Tt)。我们的数据表明,哮喘患者的“通气模式”可能具有以下特征:——潮气量(VT)和分钟通气量(Ve)增加;——平均吸气流量(Vt/Ti)增加;——吸气占比(Ti/Tt)降低。这表明这种呼吸模式可能有助于将有症状的哮喘患者与慢性阻塞性肺疾病患者区分开来,后者有相似程度的肺过度充气,但呼吸频率更快且潮气量略有升高。