Coates A L, Desmond K J, Demizio D L
Division of Respiratory Medicine, Montreal Children's Hospital-McGill University Research Institute, Quebec, Canada.
Am J Respir Crit Care Med. 1995 Sep;152(3):942-6. doi: 10.1164/ajrccm.152.3.7663807.
When using Boyle's Law for thoracic gas volume (Vtg) measurement, it is generally assumed that the alveolar pressure (Palv) does not differ from barometric pressure (Pbar) at the start of rarefaction and compression and that the product of the change in volume and pressure (delta P x delta V) is negligibly small. In a gentle panting maneuver in which the difference between Palv and Pbar is small, errors introduced by these assumptions are likely to be small; however, this is not the case when Vtg is measured using a single vigorous inspiratory effort. Discrepancies in the Vtg between the "complex" version of Boyle's Law, which does not ignore delta P x delta V and accounts for large swings in Palv, and the "simplified" version, during both a panting maneuver and a single inspiratory effort were calculated for normal control subjects and patients with cystic fibrosis or asthma. Defining the Vtg from the complete version as "correct," the errors introduced by the simplified version ranged from -3 to +3% for the panting maneuver whereas they ranged from 2 to 9% for the inspiratory maneuver. Using the simplified equation, the Vtg for the inspiratory maneuver was 0.135 +/- 0.237 L greater (p < 0.02) than for the panting maneuver. This discrepancy disappeared when the complete equation was used. While the errors introduced by the use of the simplified version of Boyle's Law are small, they are systematic and unnecessary.
在使用玻意耳定律测量胸腔气体容积(Vtg)时,通常假定在减压和加压开始时肺泡压力(Palv)与大气压力(Pbar)无差异,且容积变化与压力变化的乘积(δP×δV)小到可忽略不计。在Palv与Pbar差异较小的轻度喘气动作中,这些假设所引入的误差可能较小;然而,在使用单次有力吸气动作测量Vtg时情况并非如此。针对正常对照受试者以及囊性纤维化或哮喘患者,计算了在喘气动作和单次吸气动作期间,不忽略δP×δV并考虑Palv大幅波动的玻意耳定律“复杂”版本与“简化”版本之间Vtg的差异。将完整版本定义的Vtg视为“正确”,简化版本在喘气动作中引入的误差范围为-3%至+3%,而在吸气动作中为2%至9%。使用简化方程时,吸气动作的Vtg比喘气动作大0.135±0.237L(p<0.02)。使用完整方程时,这种差异消失。虽然使用玻意耳定律简化版本引入的误差较小,但它们是系统性的且不必要。