Albuquerque André Luís Pereira de, Berton Danilo C, Campos Eloara Vieira Machado Ferreira Álvares S, Queiroga-Júnior Fernando José Pinho, Santana Alfredo Nicodemos Cruz, Wong Bruno de Moraes Santos, Batista Diane Rezende, Melo Felipe Xavier de, Didier-Neto Fernando Moacyr Fragoso, Barros João Adriano de, Salge João Marcos, Neder José Alberto, Serra Juliane Penalva Costa, Voss Larissa Rego, Fuccio Marcelo Bicalho de, Soares Maria Raquel, Lima Mariana Lafeta, Mendes Paulo Roberto Araújo, Rodrigues-Junior Roberto, Melo Saulo Maia D'Avila, Rodrigues Sílvia Carla Sousa, Lessa Thamine, Pereira Carlos Alberto de Castro, Coutinho Helen Moreira
. Divisão de Pneumologia, Instituto do Coração - InCor - Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo (SP) Brasil.
. Coordenação de Pneumologia, Rede D'Or, São Paulo (SP) Brasil.
J Bras Pneumol. 2025 Jan 20;50(6):e20240169. doi: 10.36416/1806-3756/e20240169. eCollection 2025.
The latest pulmonary function guideline from the Brazilian Thoracic Association was published in 2002, since which there have been updates to international guidelines (mainly those from the European Respiratory Society and the American Thoracic Society), as well as new national and international publications on various aspects of the performance, interpretation, and clinical implications of spirometry. Despite those updates, a careful analysis of what applies to the reality in Brazil is essential, because there have been studies that evaluated individuals who are representative of our population and who could show responses different from those of individuals in other regions of the world. This document is the result of the work of a group of specialists in pulmonary function who evaluated relevant scientific articles that could be applicable to the population of Brazil. After the discussions, new spirometry guidelines were drawn up, covering various aspects such as its technical parameters and performance; its indications and contraindications; its interpretation; concepts of normality and their related variability; reference values; classification of functional severity; and response to an inhaled bronchodilator. Finally, the guidelines emphasize the need to always interpret spirometry results in the context of the clinical condition of the patient and of the pretest probability.
巴西胸科协会的最新肺功能指南于2002年发布，自那时以来，国际指南（主要是欧洲呼吸学会和美国胸科学会的指南）不断更新，同时也有关于肺量计操作、解读及临床意义各方面的新的国内和国际出版物。尽管有这些更新，但仔细分析适用于巴西实际情况的内容至关重要，因为已有研究评估了代表我国人群的个体，他们可能表现出与世界其他地区个体不同的反应。本文件是一组肺功能专家工作的成果，他们评估了可能适用于巴西人群的相关科学文章。经过讨论，制定了新的肺量计指南，涵盖了技术参数和操作、适应证和禁忌证、解读、正常概念及其相关变异性、参考值、功能严重程度分类以及对吸入支气管扩张剂的反应等各个方面。最后，指南强调始终需要在患者临床状况和检测前概率的背景下解读肺量计结果。
