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健康 7-10 岁儿童最大呼吸压力值的标准参考值和百分位数。

Standard reference and percentiles of maximum respiratory pressures values of healthy children aged 7-10 years.

机构信息

Universidade do Estado de Santa Catarina, Florianópolis, SC, Brazil.

Universidade Estadual de Campinas, Campinas, SP, Brazil.

出版信息

Rev Paul Pediatr. 2022 May 27;40:e2021007. doi: 10.1590/1984-0462/2022/40/2021007IN. eCollection 2022.

Abstract

OBJECTIVE

This study aims to present standard reference for values of maximum respiratory pressures of healthy schoolchildren, according to gender.

METHODS

This is a cross-sectional study involving healthy children aged 7-10 years. Data of body mass and height were evaluated to calculate body mass index (BMI). In addition, forced expiratory volume in 1 second (FEV1) and maximal expiratory pressure values were evaluated according to the American Thoracic Society. The maximal inspiratory pressure (MIP) and data of maximal expiratory pressure (MEP) obtained in the study showed normal distribution and curves were built by the Lambda-Mu-Sigma (LMS) method, as well as the values of MIP and MEP percentiles 3, 10, 25, 50, 75, 90, and 97 for each gender.

RESULTS

MIP and MEP data were collected from 399 schoolchildren. All schoolchildren in the sample had adequate FEV1 and BMI. The study showed an increase in respiratory pressure values with age progression. The MIP and MEP values of girls were of 53.4±11.0 and 61.8±12.5cmH2O, respectively, and those of boys were 59.9±13.6 and 69.6±15.7cmH2O, respectively.

CONCLUSIONS

Normal curves and percentiles were developed for MIP and MEP values of healthy schoolchildren. The extreme percentiles (3rd and 97th) were determined, and a specific graph was elaborated for each group. These graphs may help clinical follow-up and therapeutic monitoring of different pediatric populations.

摘要

目的

本研究旨在根据性别为健康学龄儿童的最大呼吸压力值提供标准参考。

方法

这是一项涉及 7-10 岁健康儿童的横断面研究。评估体重和身高数据以计算体重指数(BMI)。此外,根据美国胸科学会评估 1 秒用力呼气量(FEV1)和最大呼气压力值。研究中获得的最大吸气压力(MIP)和最大呼气压力(MEP)数据呈正态分布,并通过 Lambda-Mu-Sigma(LMS)方法构建曲线,以及每个性别 MIP 和 MEP 的第 3、10、25、50、75、90 和 97 百分位数的值。

结果

从 399 名学童中收集了 MIP 和 MEP 数据。样本中的所有学童都有足够的 FEV1 和 BMI。研究表明呼吸压力值随年龄增长而增加。女孩的 MIP 和 MEP 值分别为 53.4±11.0 和 61.8±12.5cmH2O,男孩分别为 59.9±13.6 和 69.6±15.7cmH2O。

结论

为健康学龄儿童的 MIP 和 MEP 值制定了正态曲线和百分位数。确定了极值(第 3 和第 97 百分位数),并为每个组专门制作了一个图表。这些图表可能有助于不同儿科人群的临床随访和治疗监测。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f0d/9150902/28a0b66907c1/1984-0462-rpp-40-e2021007-gf01.jpg

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