Krell W S, Agrawal K P, Hyatt R E
J Appl Physiol Respir Environ Exerc Physiol. 1984 Dec;57(6):1917-22. doi: 10.1152/jappl.1984.57.6.1917.
Specific airway conductance (sGaw) was measured during quiet breathing and during panting in 21 normal subjects and 10 patients with obstructive lung disease. The direct method used does not require measuring thoracic gas volume (TGV). Coefficients of variation were 5.5% for panting and 5.1% for quiet breathing. Interobserver variability was 4.7% in the quiet-breathing method and 6.3% in the panting method. The two methods gave equivalent results for sGaw. A slightly greater sGaw was found by the panting method in normal subjects with the highest sGaw values, probably due to widening of the oropharynx-glottis during panting. In six normal subjects studied for intrasubject variability over time, no significant diurnal or day-to-day variability was seen by either method. We conclude that the quiet-breathing method is a simple valid means of determining sGaw and utilizes a physiological respiratory maneuver. Obviation of the need to measure TGV is advantageous. Results are equivalent to those of the panting method and variability is similar.
对21名正常受试者和10名阻塞性肺疾病患者在静息呼吸和喘息期间测量了比气道传导率(sGaw)。所采用的直接方法无需测量胸腔气体容积(TGV)。喘息时的变异系数为5.5%,静息呼吸时为5.1%。观察者间变异在静息呼吸法中为4.7%,在喘息法中为6.3%。两种方法得出的sGaw结果相当。在sGaw值最高的正常受试者中,喘息法测得的sGaw略高,这可能是由于喘息时口咽-声门增宽所致。对6名正常受试者进行的随时间的受试者内变异研究显示,两种方法均未发现显著的昼夜或每日变异。我们得出结论,静息呼吸法是测定sGaw的一种简单有效的方法,且采用了生理性呼吸动作。无需测量TGV具有优势。结果与喘息法相当,变异情况相似。