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使用强迫振荡阻抗数据进行呼吸参数估计。

Respiratory parameter estimation using forced oscillatory impedance data.

作者信息

Tsai M J, Pimmel R L, Stiff E J, Bromberg P A, Hamlin R L

出版信息

J Appl Physiol Respir Environ Exerc Physiol. 1977 Aug;43(2):322-30. doi: 10.1152/jappl.1977.43.2.322.

Abstract

The frequency dependency of the magnitude and phase angle of total respiratory impedance was measured in apneic dogs at functional residual capacity during forced oscillation by a special electronics unit. Regression analysis of these data yielded estimates of total respiratory resistance (RFO), inertance (IFO), and compliance (CFO). After correcting for the effects of the endotracheal tube, mean control values (+/-SE) of RFO, IFO, and CFO for the clinically normal dogs were 1.30+/-0.10 cmH2O-1-1-s, 0.0114+/-0.0022 cmH2O-1-1-s2, and 0.0306+/-0.0009 1-cm H2O-1, respectively. Estimates obtained with added resistance, a less dense gas, and abdominal weighting were consistent with predicted effects. In four dogs with mild respiratory symptoms, mean RFO was significantly elevated with no change in IFO or CFO. Independent measurements of resistance and compliance during tidal ventilation correlated well with RFO (r=0.87) and CFO (r=0.80), but RFO and CFO were, on the average, 71% of the tidal breathing values. Thus, the method provides precise estimates of RFO, IFO, and CFO, and allows detection of small changes in these parameters.

摘要

在功能残气量下,通过一个特殊的电子装置对窒息犬进行强迫振荡,测量总呼吸阻抗的大小和相角的频率依赖性。对这些数据进行回归分析,得出总呼吸阻力(RFO)、惯性(IFO)和顺应性(CFO)的估计值。在校正气管插管的影响后,临床正常犬的RFO、IFO和CFO的平均对照值(±标准误)分别为1.30±0.10 cmH₂O⁻¹⁻¹·s、0.0114±0.0022 cmH₂O⁻¹⁻¹·s²和0.0306±0.0009 1·cm H₂O⁻¹。增加阻力、使用密度较小的气体和腹部加压后获得的估计值与预测效果一致。在四只患有轻度呼吸症状的犬中,平均RFO显著升高,而IFO和CFO无变化。潮气量通气期间阻力和顺应性的独立测量值与RFO(r = 0.87)和CFO(r = 0.80)相关性良好,但RFO和CFO平均为潮式呼吸值的71%。因此,该方法可精确估计RFO、IFO和CFO,并能检测这些参数的微小变化。

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