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[首次对 unrestricted use 的新参考值进行的全面肺量计研究] (注:这里“unrestricted use”结合语境推测可能是“无限制使用”之类意思,但不太明确其在专业领域确切所指,仅按要求翻译字面)

[First comprehensive spirometric studies of new reference values for unrestricted use].

作者信息

Forche G

出版信息

Wien Med Wochenschr Suppl. 1986;99:1-36.

PMID:3467517
Abstract

In contrast to almost all other clinical data, there are as yet no uniform, generally accepted values for spirometric measurements. This is due to technical and organizational problems related to examination procedures. The numerous authors only evaluated data from certain groups of subjects. There has not yet been a uniform study of all age, socioeconomic and occupational groups, urban and rural. Organizational cooperation with a preventive--medicine field study in Styria, together with school examinations, made possible the collection of data from all necessary groups including the basic spirometric values VC, FEV1 and FEV1 %VC. Although strictest epidemiological and methodological exclusion criteria were applied, a very sufficient number of subjects in all groups resulted. All examinations were performed with a half--open dry bellows spirometer. The general validity of the data so obtained is guaranteed as by a study made for this purpose of the cooling behavior of expired air in the spirometer. This data made possible for the first time a statistically acceptable, continuous transition between the model for children and youth on the one hand, and the model for adults on the other. With this large sample, precise statements could be made on the behavior of spirometric values for the growth - period, and the relations of sex, age, height and weight defined. The resulting regression equations can be used without restriction for all relevant problems. The Austrian Standardization Commission has thus already moved to accept these values.

摘要

与几乎所有其他临床数据不同,目前肺活量测定值尚无统一的、被普遍接受的标准。这是由于与检查程序相关的技术和组织问题。众多作者仅评估了特定受试者群体的数据。尚未对所有年龄、社会经济和职业群体、城乡群体进行统一研究。通过与施蒂里亚州预防医学领域的研究以及学校检查进行组织合作,得以收集包括肺活量(VC)、第一秒用力呼气容积(FEV1)和FEV1占VC百分比等所有必要群体的基本肺活量测定数据。尽管应用了最严格的流行病学和方法学排除标准,但所有群体中仍获得了数量充足的受试者。所有检查均使用半开放式干式波纹管肺活量计进行。通过对肺活量计中呼出气体冷却行为进行专门研究,确保了所获数据的普遍有效性。这些数据首次使得在儿童和青少年模型与成人模型之间实现了统计学上可接受的连续过渡。凭借这个大样本,可以对生长发育期肺活量测定值的行为以及性别、年龄、身高和体重之间的关系做出精确说明。所得回归方程可无限制地用于所有相关问题。奥地利标准化委员会因此已着手接受这些数值。

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