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在进行气道阻力测量之前进行一次完全吸气或呼气的实际重要性。

Practical importance of a preceding full inhalation or exhalation upon the measurement of airway resistance.

作者信息

Higenbottam T, Clark T J

出版信息

Clin Sci (Lond). 1980 Mar;58(3):249-53. doi: 10.1042/cs0580249.

DOI:10.1042/cs0580249
PMID:7363566
Abstract
  1. Airway resistance was measured close to functional residual capacity before and after a full inhalation of total lung capacity, as well as before and after a full exhalation to residual volume. 2. The effects of these volume manoeuvres upon airway resistance (and associated lung volume) were determined in four resting normal male subjects and in six normal men during experimentally induced bronchoconstriction after breathing an air/histamine mist from a Wright's nebulizer. 3. In four men the duration of the effect of a full inhalation upon airway resistance after induced bronchoconstriction was assessed separately. 4. Neither a full inhalation nor a full exhalation altered airway resistance under normal conditions. However, a full inhalation reduced airway resistance in the presence of bronchoconstriction and this effect lasted for a period of 45 s. Even with bronchoconstriction, a full exhalation had no effect on airway resistance. 5. Account must therefore be taken of the potential reduction in airway resistance which may result from a full inhalation, particularly when indirect measurements of airway function which involve a full inhalation, such as forced spirometry, are used to assess airway obstruction.
摘要
  1. 在从功能残气量完全吸入至肺总量前后,以及从功能残气量完全呼气至残气量前后,测量气道阻力。2. 在4名静息正常男性受试者以及6名正常男性在通过赖特雾化器吸入空气/组胺雾气后实验性诱发支气管收缩的情况下,确定这些容量操作对气道阻力(及相关肺容量)的影响。3. 在4名男性中,分别评估了诱发支气管收缩后完全吸入对气道阻力的作用持续时间。4. 在正常情况下,完全吸入和完全呼气均未改变气道阻力。然而,在存在支气管收缩的情况下,完全吸入可降低气道阻力,且该作用持续45秒。即使存在支气管收缩,完全呼气对气道阻力也没有影响。5. 因此,必须考虑到完全吸入可能导致的气道阻力潜在降低,尤其是在使用涉及完全吸入的气道功能间接测量方法(如用力肺活量)来评估气道阻塞时。

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