Aggarwal Ashutosh Nath, Agarwal Ritesh, Dhooria Sahajal, Prasad K T, Sehgal Inderpaul S, Muthu Valliappan, Singh Navneet, Behera D, Jindal S K, Singh Virendra, Chawla Rajesh, Samaria J K, Gaur S N, Agrawal Anurag, Chhabra S K, Chopra Vishal, Christopher D J, Dhar Raja, Ghoshal Aloke G, Guleria Randeep, Handa Ajay, Jain Nirmal K, Janmeja Ashok K, Kant Surya, Khilnani G C, Kumar Raj, Mehta Ravindra, Mishra Narayan, Mohan Anant, Mohapatra P R, Patel Dharmesh, Ram Babu, Sharma S K, Singla Rupak, Suri J C, Swarnakar Rajesh, Talwar Deepak, Narasimhan R Lakshmi, Maji Saurabh, Bandopadhyay Ankan, Basumatary Nita, Mukherjee Arindam, Baldi Milind, Baikunje Nandkishore, Kalpakam Hariprasad, Upadhya Pratap, Kodati Rakesh
Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Lung India. 2019 Apr;36(Supplement):S1-S35. doi: 10.4103/lungindia.lungindia_300_18.
Although a simple and useful pulmonary function test, spirometry remains underutilized in India. The Indian Chest Society and National College of Chest Physicians (India) jointly supported an expert group to provide recommendations for spirometry in India. Based on a scientific grading of available published evidence, as well as other international recommendations, we propose a consensus statement for planning, performing and interpreting spirometry in a systematic manner across all levels of healthcare in India. We stress the use of standard equipment, and the need for quality control, to optimize testing. Important technical requirements for patient selection, and proper conduct of the vital capacity maneuver, are outlined. A brief algorithm to interpret and report spirometric data using minimal and most important variables is presented. The use of statistically valid lower limits of normality during interpretation is emphasized, and a listing of Indian reference equations is provided for this purpose. Other important issues such as peak expiratory flow, bronchodilator reversibility testing, and technician training are also discussed. We hope that this document will improve use of spirometry in a standardized fashion across diverse settings in India.
尽管肺量计是一项简单且实用的肺功能测试，但在印度其应用仍未得到充分利用。印度胸科学会和印度国家胸科医师学院联合支持一个专家小组，为印度的肺量计使用提供建议。基于对现有已发表证据的科学分级以及其他国际建议，我们提出一份共识声明，以便在印度各级医疗保健机构中系统地规划、进行和解读肺量计测试。我们强调使用标准设备以及质量控制的必要性，以优化测试。概述了患者选择的重要技术要求以及肺活量动作的正确操作方法。给出了一个使用最少且最重要变量来解读和报告肺量计数据的简要算法。强调在解读过程中使用具有统计学有效性的正常下限，并为此提供了印度参考方程列表。还讨论了其他重要问题，如呼气峰值流速、支气管扩张剂可逆性测试和技术人员培训。我们希望本文档将促进印度不同环境下以标准化方式使用肺量计。
