Ramonatxo M, Préfaut C, Guerrero H, Moutou H, Bansard X, Chardon G
Rev Fr Mal Respir. 1982;10(5):319-35.
The aim of this study was to establish data which would best demonstrate the variations of different tests using Carbon Monoxide as a tracer gas (total and partial functional uptake coefficient and transfer capacity) to establish mean values and lower limits of normal of these tests. Multivariate statistical analysis was used; in the first stage a connection was sought between the fractional uptake coefficient (partial and total) to other parameters, comparing subjects and data. In the second stage the comparison was refined by eliminating the least useful data, trying, despite a small loss of material, to reveal the most important connections, linear or otherwise. The fractional uptake coefficients varied according to sex, also the variation of the partial alveolar-expired fractional uptake equivalent (DuACO) was largely a function of respiratory rate and tidal volume. The alveolar-arterial partial fractional uptake equivalent (DuaCO) depended more on respiratory frequency and age. Finally the total fractional uptake coefficient (DuCO) and the transfer capacity corrected per liter of ventilation (TLCO/V) were functions of these parameters. The last stage of this work, after taking account of the statistical observations consistent with the facts of these physiological hypotheses led to a search for a better way of approaching the laws linking the collected data to the fractional uptake coefficient. The lower limits of normal were arbitrarily defined, separating those 5% of subjects deviating most strongly from the mean. As a result, the relationship between the lower limit of normal and the theoretical mean value was 90% for the partial and total fractional uptake coefficient and 70% for the transfer capacity corrected per liter of ventilation.
本研究的目的是建立相关数据,以最好地展示使用一氧化碳作为示踪气体时不同测试(总功能摄取系数、部分功能摄取系数和转移容量)的变化情况,从而确定这些测试的平均值和正常下限。采用了多变量统计分析;在第一阶段,寻找部分摄取系数(部分和总)与其他参数之间的联系,对受试者和数据进行比较。在第二阶段,通过剔除最无用的数据来完善比较,尽管会有少量数据损失,但试图揭示最重要的联系,无论是线性的还是其他形式的。部分摄取系数因性别而异,部分肺泡呼出部分摄取当量(DuACO)的变化在很大程度上是呼吸频率和潮气量的函数。肺泡动脉部分摄取当量(DuaCO)更多地取决于呼吸频率和年龄。最后,总摄取系数(DuCO)和每升通气量校正后的转移容量(TLCO/V)是这些参数的函数。这项工作的最后阶段,在考虑了与这些生理假设的事实相符的统计观察结果后,寻求一种更好的方法来探讨将收集到的数据与摄取系数联系起来的规律。正常下限是任意定义的,将偏离平均值最大的5%的受试者区分开来。结果,部分和总摄取系数的正常下限与理论平均值之间的关系为90%,每升通气量校正后的转移容量为70%。