Evers H
Z Erkr Atmungsorgane. 1981 May;157(2):202-7.
In 65 asthmatic patients aged 18 to 59 years maximal expiratory flow-volume curves were performed. The measurements were done with a pneumotachograph in connection with a self-developed two-channel FM modulator, a stereo tape recorder, and a X-Y recorder. We examined 53 patients in clinical remission and 12 patients during an attack period. The greatest sensitivity of the tested flow-volume data had MEF 50/FVC pred. and the time constant of the terminal portion of the curve. MEF 50/MEF 75 and V2/V1 were about equally sensitive for detecting ventilatory inhomogeneities. The attack group most differed from the remission groups in FVC % pred., MEF 50/FVC pred. and the other flow rates. The flow-volume curve is a valuable method to assess obstruction and ventilatory inhomogeneity in asthmatic patients. It has a greater sensitivity than conventional spirometry.
对65名年龄在18至59岁的哮喘患者进行了最大呼气流量-容积曲线测定。测量使用了与自行研制的双通道调频调制器、立体声磁带录音机和X-Y记录仪相连的呼吸流速计。我们检查了53例临床缓解期患者和12例发作期患者。所测流量-容积数据中,最大呼气流量50%预计值与用力肺活量比值(MEF 50/FVC pred.)以及曲线终末部分的时间常数敏感性最高。最大呼气流量50%与最大呼气流量75%比值(MEF 50/MEF 75)和V2/V1在检测通气不均匀性方面敏感性大致相同。发作组在用力肺活量预计值百分比(FVC % pred.)、最大呼气流量50%与用力肺活量比值(MEF 50/FVC pred.)以及其他流速方面与缓解组差异最大。流量-容积曲线是评估哮喘患者气道阻塞和通气不均匀性的一种有价值的方法。它比传统肺量计具有更高的敏感性。