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儿童和青少年的示波法参考值。

Oscillometry reference values for children and adolescents.

作者信息

Valach Christoph, Wouters Emiel F M, Ofenheimer Alina, Pompilio Pasquale Pio, Gobbi Alessandro, Breyer Marie-Kathrin, Hartl Sylvia, Veneroni Chiara, Mraz Tobias, Schiffers Caspar, Burghuber Otto Chris, Karimi Ahmad, Gross Christoph, Irvin Charles, Breyer-Kohansal Robab

机构信息

Ludwig Boltzmann Institute for Lung Health, Vienna, Austria.

Sigmund Freud University, Faculty for Medicine, Vienna, Austria.

出版信息

ERJ Open Res. 2024 Dec 16;10(6). doi: 10.1183/23120541.00278-2024. eCollection 2024 Nov.

Abstract

BACKGROUND

Oscillometry devices allow quantification of respiratory function at tidal breathing but device-specific reference equations are scarce: the present study aims to create sex-specific oscillometric reference values for children and adolescents using the Resmon PRO FULL device.

METHODS

Healthy participants (n=981) aged 6 to 17 years of the Austrian LEAD general population cohort were included. Subjects had normal weight (body mass index ≤99th percentile) and normal lung volumes (total lung capacity (TLC) ≥ lower limit of normal). Oscillometry data were collected using a single frequency mode of 8 Hz. Sex-specific prediction equations were developed for total, inspiratory and expiratory resistance () and reactance () as well as for the modulus of impedance () value using the LMS (lambda, mu, sigma) method. Height was used as a single covariate.

RESULTS

Reference equations for all oscillometry parameters were created for Caucasian children aged 6 to 17 years with a height span from 101 to 183 cm and a lung volume span from 1.7 to 8.8 L TLC. and values progressively decrease and values increase with increasing height. Oscillometry parameters lung volume curves differ from those height curves. Stratified for lung size, no sex differences are found for oscillometry parameters.

CONCLUSION

Our study provides reference values for oscillometry parameters in children and adolescents using strictly defined criteria for weight and lung volumes. No sex-related differences in oscillometry parameters corrected for height or lung size are found.

摘要

背景

振荡法设备可在潮气呼吸时对呼吸功能进行量化,但特定设备的参考方程稀缺:本研究旨在使用Resmon PRO FULL设备为儿童和青少年创建性别特异性的振荡法参考值。

方法

纳入奥地利LEAD一般人群队列中6至17岁的健康参与者(n = 981)。受试者体重正常(体重指数≤第99百分位数)且肺容积正常(总肺容量(TLC)≥正常下限)。使用8 Hz的单频模式收集振荡法数据。使用LMS(λ、μ、σ)方法为总阻力、吸气阻力和呼气阻力以及电抗以及阻抗模量值建立性别特异性预测方程。身高用作单一协变量。

结果

为6至17岁的白种儿童创建了所有振荡法参数的参考方程,身高范围为101至183 cm,肺容积范围为TLC 1.7至8.8 L。阻力和电抗值随身高增加而逐渐降低,模量值增加。振荡法参数与肺容积曲线不同于与身高曲线。按肺大小分层,振荡法参数未发现性别差异。

结论

我们的研究为使用严格定义的体重和肺容积标准的儿童和青少年的振荡法参数提供了参考值。未发现校正身高或肺大小后的振荡法参数存在性别相关差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73f3/11655022/d97083214a9b/00278-2024.01.jpg

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