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婴儿期与孕龄相关的比气道传导率。

Specific airway conductance in relation to postconceptional age during infancy.

作者信息

Stocks J, Godfrey S

出版信息

J Appl Physiol Respir Environ Exerc Physiol. 1977 Jul;43(1):144-54. doi: 10.1152/jappl.1977.43.1.144.

Abstract

Thoracic gas volume (TGV) and airway conductance (Gaw) were measured in 69 healthy infants during the 1st yr of life, using an adaptation of the whole body plethysmographic technique in which a heated rebreathing system was used to eliminate temperature differences in respired gas. There was highly significant correlations between TGV and body wt (r=0.99), and between Gaw and TGV (r=0.97) in all the infants. However, the relationship between Gaw and TGV (i.e., specific conductance (SGaw)) was dependent on postconceptional age (PCA) in preterm infants, falling from 0.50 s-1-cmH2O-1 at 31 wk to 0.32 s-1-cmH2O-1 at 40 wk PCA. Gestational age and postnatal age per se did not affect this relationship, showing it to be a maturational event unaffected by the time of birth. After 40 wk, the decrease in SGaw was far more gradual throughout the 1st yr of life. Black and Chinese infants were found to have significantly higher values for SGaw than their White counterparts, which may be due to anatomical differences in nasal structure.

摘要

采用改良的全身体积描记技术对69名健康婴儿在出生后第1年测量胸气体容积(TGV)和气道传导率(Gaw),该技术使用加热的重复呼吸系统消除呼出气体中的温度差异。在所有婴儿中,TGV与体重之间(r = 0.99)以及Gaw与TGV之间(r = 0.97)均存在高度显著的相关性。然而,早产儿中Gaw与TGV之间的关系(即比传导率(SGaw))取决于孕龄(PCA),从孕31周时的0.50 s-1-cmH2O-1降至孕40周PCA时的0.32 s-1-cmH2O-1。胎龄和出生后年龄本身并不影响这种关系,表明这是一个不受出生时间影响的成熟事件。40周后,SGaw在出生后第1年的下降更为缓慢。发现黑人婴儿和中国婴儿的SGaw值显著高于白人婴儿,这可能是由于鼻腔结构的解剖学差异。

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