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[呼吸多元参数在流行病学研究中的鉴别力(作者译)]

[Discriminating power of multivariate parameters of respiration in epidemiological studies (author's transl)].

作者信息

Vogel J, Wuthe H, Merker G, Müller E

出版信息

Z Erkr Atmungsorgane. 1981;157(3):304-17.

PMID:7340217
Abstract

Applying a broad scale of lung function tests in epidemiological surveys (929 metal workers of a big industrial shop, 211 of them with signs of chronic obstructive lung disease, COLD, and 1,266 pupils of 2 towns with different dust exposition) we found similar multivariate discriminant functions in all age groups between 7 and 79 years of age to differentiate between COLD-population and normal population. Residual volume in % of total capacity (RV/TC) seems to be the most relevant central parameter in all age groups, which should be combined with one of the inhomogeneity parameters of single breath or multi breath distribution tests ( delta F/ delta V or breath of inhomogeneity IHB) in juveniles between 7 to 16 years of age and with closing volume (CV/VC) in adults between 20 to 79 years of age. Conventional ventilation parameters and the arterial oxygen tension don't contribute additional information to multivariate analysis, which isn't already summarized by the parameters RV/TC.

摘要

在流行病学调查中应用广泛的肺功能测试(一家大型工业车间的929名金属工人,其中211人有慢性阻塞性肺疾病(COLD)体征,以及来自两个有不同粉尘暴露情况城镇的1266名学生),我们发现在7至79岁的所有年龄组中,用于区分COLD人群和正常人群的多元判别函数相似。残气量占总容量的百分比(RV/TC)似乎是所有年龄组中最相关的核心参数,在7至16岁的青少年中,它应与单次呼吸或多次呼吸分布测试的不均匀性参数之一(ΔF/ΔV或不均匀性呼吸IHB)相结合,在20至79岁的成年人中,应与闭合气量(CV/VC)相结合。传统的通气参数和动脉血氧张力对多变量分析没有额外的贡献,这些信息已经由参数RV/TC总结了。

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