Medical University of Plovdiv, Plovdiv, Bulgaria.
Folia Med (Plovdiv). 2024 Aug 31;66(4):453-460. doi: 10.3897/folmed.66.e135040.
Obstructive lung diseases such as bronchial asthma, COPD, and cystic fibrosis are a burden on many patients across the globe. Spirometry is considered the gold standard for diagnosing airflow obstruction, but it can be difficult for pediatric patients to do and requires a lot of effort. As a result, healthcare providers need new, effortless methods to diagnose airway obstructions, particularly in young children and individuals unable to perform the spirometry maneuver. The forced oscillation technique is a modern method requiring only tidal breathing combined with the application of external, source of low-amplitude oscillations to evaluate the respiratory system's response. It might be essential for identifying early respiratory changes caused by smoking, childhood asthma, and may prove more sensitive than spirometry in identifying peripheral airway disturbances or evaluating the long-term success of therapy. This review describes the methodology and the indications for the forced oscillation technique and outlines its relevance in clinical practice.
阻塞性肺部疾病，如支气管哮喘、COPD 和囊性纤维化，给全球许多患者带来了沉重负担。肺量测定被认为是诊断气流阻塞的金标准，但对于儿科患者来说，它很难实施，并且需要很大的努力。因此，医疗保健提供者需要新的、不费力的方法来诊断气道阻塞，特别是在年幼的儿童和无法进行肺量测定操作的人群中。强迫振荡技术是一种现代方法，仅需要潮气呼吸，同时施加外部、低幅度振荡源，以评估呼吸系统的反应。它对于识别吸烟、儿童哮喘引起的早期呼吸变化可能至关重要，并且在识别周围气道障碍或评估治疗的长期成功方面可能比肺量测定更敏感。本文综述了强迫振荡技术的方法学和适应证，并概述了其在临床实践中的相关性。
