Groth S, Hermansen F, Rossing N
Department of Clinical Physiology and Nuclear Medicine, Rigshospitalet, Copenhagen, Denmark.
J Appl Physiol (1985). 1989 Jul;67(1):422-8. doi: 10.1152/jappl.1989.67.1.422.
During the last 5-10 years, measurements of pulmonary clearance (PCl) of aerosolized 99mTc-labeled diethylenetriamine pentaacetic acid (99mTC-DTPA) have become increasingly used as an index of pulmonary epithelial injury. The aim of this study was to apply a carefully defined procedure for measurements of PCl in healthy nonsmoking individuals and analyze whether sex, age, and height are clinically relevant confounders contributing to the range of interindividual variation. Measurements of regional ventilation (V) and perfusion (Q) were included to analyze whether these indexes are influenced by the same confounders. We studied 39 males and females between 21 and 67 yr of age. Average PCl of the lungs was 0.85 +/- 0.25%.min-1. There was a significant difference between PCl of the central and peripheral parts of the lungs (P less than 0.01). Regional V and Q were greater in the lower than in the upper halves of the lungs (P less than 0.01). There was no relation between PCl, V, or Q and the sex, age, and height of the individuals. It is concluded that when measuring PCl in adult individuals anthropometric measurements need not be considered.
在过去5至10年中,雾化的99mTc标记的二乙三胺五乙酸(99mTc-DTPA)肺清除率(PCl)的测量越来越多地被用作肺上皮损伤的指标。本研究的目的是应用一种精心定义的程序来测量健康非吸烟个体的PCl,并分析性别、年龄和身高是否是导致个体间差异范围的临床相关混杂因素。纳入了区域通气(V)和灌注(Q)的测量,以分析这些指标是否受相同混杂因素的影响。我们研究了39名年龄在21至67岁之间的男性和女性。肺的平均PCl为0.85±0.25%·min-1。肺中央和外周部分的PCl之间存在显著差异(P<0.01)。肺下半部的区域V和Q高于上半部(P<0.01)。PCl、V或Q与个体的性别、年龄和身高之间没有关系。得出的结论是,在测量成年个体的PCl时,无需考虑人体测量学指标。