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从一个呼吸周期分析动态顺应性频率依赖性及肺阻力的直写记录器:非诺特罗对哮喘患者的影响

Direct-writing recorder of the frequency dependence of dynamic compliance analyzed from one cycle of breathing and pulmonary resistance: effect of fenoterol on asthmatic subjects.

作者信息

Sasaki H, Hida W, Taguchi O, Nogami H, Okazaki Y, Shimizu Y, Inoue H, Takishima T

出版信息

Respiration. 1986;50 Suppl 2:262-5. doi: 10.1159/000195141.

Abstract

We developed a new method of direct-writing recording of the frequency dependence of dynamic compliance analysed from one cycle of breathing and pulmonary resistance. Both pulmonary resistance (RL) and frequency dependence of dynamic compliance (Cdyn.f) are calculated by Fourier-series analysis of flow and transpulmonary pressure in a single cycle of breathing. RL was obtained from fundamental harmonics. Cdyn.f was calculated from 1st and 2nd harmonics and estimated by the ratio of Cdyn at 0.5 Hz to Cdyn at zero frequency, C0.5/C0. We used fenoterol aerosol which contained 0.2 mg of fenoterol with one puff of aerosol. Two puffs of fenoterol aerosol were used in each subject and followed changes of RL, C0 and C0.5 as long as 30 min. After fenoterol inhalation RL decreased considerably and C0.5/C0 cont [C0.5/(control C0)] increased. With time, while RL was kept stable, C0.5/C0 cont increased further. We suggest that fenoterol has a potent effect on the small airways which is enhanced with time.

摘要

我们开发了一种新方法,可直接记录从一个呼吸周期分析得出的动态顺应性频率依赖性和肺阻力。通过对单个呼吸周期中的流量和跨肺压进行傅里叶级数分析,计算肺阻力(RL)和动态顺应性频率依赖性(Cdyn.f)。RL由基波谐波得出。Cdyn.f由一次和二次谐波计算得出,并通过0.5Hz时的Cdyn与零频率时的Cdyn之比(C0.5/C0)估算得出。我们使用了含有0.2mg非诺特罗的单喷非诺特罗气雾剂。每位受试者使用两喷非诺特罗气雾剂,并持续观察RL、C0和C0.5长达30分钟的变化。吸入非诺特罗后,RL显著降低,C0.5/C0 cont[C0.5/(对照C0)]增加。随着时间推移,当RL保持稳定时,C0.5/C0 cont进一步增加。我们认为非诺特罗对小气道有显著作用,且该作用会随时间增强。

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