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正常印度儿童的肺功能测试及呼吸系统疾病的变化

Pulmonary function tests in normal Indian children and changes in respiratory disorders.

作者信息

Srivastava A, Kapoor R K, Misra P K, Srivastava K L, Thakur S, Shukla N

机构信息

Department of Pediatrics, King George's Medical College, Lucknow.

出版信息

Indian Pediatr. 1995 Jun;32(6):629-34.

PMID:8613330
Abstract

To document the normal values of pulmonary function tests in children and changes occurring in their values with various respiratory disorders, a study was carried over a period of one year in 95 healthy controls (39 females and 56 males) of 8-13 years of age and 51 cases with respiratory disorders (bronchial asthma-31, pneumonia-10, empyema-10) of matched age, sex and height distribution. The lung functions studied were FVC, FEV1, FEV1/FVC, PEFR and FEF25-75%. In children with bronchial asthma, the FEV1/FVC%, PEFR and FEF25-75% were reduced in accordance with the severity of the disease. A typical restrictive pattern of equivalent decrease in FVC and FEV1 along with insignificant lowering of flow rates, i.e., PEFR and FEF25-75% was observed in pneumonia whereas in patients of empyema a combined pattern of significantly decreased FVC and FEV1 along with mildly reduced FEV1/FVC%, PEFR and FEF 25 75% was observed.

摘要

为记录儿童肺功能测试的正常值以及各种呼吸系统疾病时其值的变化,对95名8至13岁的健康对照者(39名女性和56名男性)以及51名年龄、性别和身高分布相匹配的患有呼吸系统疾病的病例(支气管哮喘31例、肺炎10例、脓胸10例)进行了为期一年的研究。所研究的肺功能指标为用力肺活量(FVC)、第一秒用力呼气容积(FEV1)、FEV1/FVC、呼气峰流速(PEFR)和25%-75%用力呼气流量(FEF25-75%)。在支气管哮喘患儿中,FEV1/FVC%、PEFR和FEF25-75%根据疾病严重程度而降低。在肺炎患者中观察到FVC和FEV1同等程度下降的典型限制性模式,同时流速即PEFR和FEF25-75%下降不明显,而在脓胸患者中观察到FVC和FEV1显著下降,同时FEV1/FVC%、PEFR和FEF25-75%轻度降低的联合模式。

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