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[肺功能测试技术标准:强迫振荡技术]

[Technical standards for pulmonary function tests: impulse oscillometry].

出版信息

Zhonghua Jie He He Hu Xi Za Zhi. 2022 Oct 12;45(10):960-969. doi: 10.3760/cma.j.cn112147-20220127-00080.

Abstract

Impulse oscillometry (IOS) is a method for measuring respiratory impedance based on the forced oscillation technique (FOT). The IOS measurement requires only quiet tidal breathing, which is simple, suitable for a wide range of people and provides various respiratory physiological parameters. For promoting the standardization and clinical application of IOS measurement in China, based on the relevant research evidence and the updated technical standards by European Respiratory Society, this article provided a brief introduction to the background of IOS technique and the current situation of its clinical application in China, as well as the recommendations and interpretations on the indications and contraindications, device calibration, testing protocols, quality control requirements including acceptability and repeatability criteria, measurement parameters and graphs, testing results interpretation, references values and normal limits, report template, clinical application including assessment of airway patency, airway reversibility and responsiveness, small airway function and so on. It also offered recommendations on the relevant thresholds of diagnosis and evaluation.

摘要

脉冲振荡法(IOS)是一种基于强迫振荡技术(FOT)测量呼吸阻抗的方法。IOS测量仅需安静的潮气呼吸,操作简单,适用于广泛人群,并能提供多种呼吸生理参数。为推动IOS测量在中国的标准化及临床应用,本文依据相关研究证据及欧洲呼吸学会更新的技术标准,简要介绍了IOS技术的背景、在中国的临床应用现状,以及关于适应证与禁忌证、设备校准、测试方案、包括可接受性和重复性标准在内的质量控制要求、测量参数与图表、测试结果解读、参考值与正常范围、报告模板、临床应用(包括气道通畅性评估、气道可逆性和反应性、小气道功能等)的建议与解读。还给出了相关诊断和评估阈值的建议。

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