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对接受支气管激发试验的临床健康犊牛进行脉冲振荡法和单频强迫振荡技术的比较评估。

Comparative evaluation of impulse oscillometry and a monofrequency forced oscillation technique in clinically healthy calves undergoing bronchochallenges.

作者信息

Reinhold P, Macleod D, Lekeux P

机构信息

Federal Institute for Health Protection of Consumers and Veterinary Medicine, Jena, Germany.

出版信息

Res Vet Sci. 1996 Nov;61(3):206-13. doi: 10.1016/s0034-5288(96)90064-8.

Abstract

Multifrequency impulse oscillometry (IOS) was compared with a monofrequency forced oscillation technique (MFO) in calves undergoing experimentally induced bronchoconstriction and subsequent bronchodilatation. The dynamic lung compliance (Cdyn) was also measured by conventional methods. For each test, the baseline mean and the responses to saline, a bronchoconstrictive agent (carbachol) and a bronchodilator (fenoterolhydrobromide) were calculated. Using the IOS, the information was markedly frequency-dependent. The resistance (R) and the magnitude of respiratory impedance (Z) were only sensitive at 5 Hz, leading to negative frequency dependence of these parameters as an indicator of peripheral airway obstruction. A high sensitivity for reactance (X) and phase angle phi values was observed between 5 and 20 Hz. For MFO (10 Hz), the parameters Ros (which includes resistive and capacitive components of the respiratory system), phase shift (psi), and the oscillatory derived compliance of the respiratory system (Crs) were of the greatest clinical potential. Crs showed a significant coefficient of linear correlation (r = 0.88, P < 0.001) with Cdyn. At the 10 Hz test frequency similar results were observed with MFO and IOS, suggesting that for healthy calves the measurement effect of an impulse is not significant. With respect to peripheral airway calibre, a test frequency less than 10 Hz appeared to be most sensitive and least variable.

摘要

在经历实验性诱导支气管收缩及随后支气管扩张的犊牛中,对多频脉冲振荡法(IOS)与单频强迫振荡技术(MFO)进行了比较。还通过传统方法测量了动态肺顺应性(Cdyn)。对于每次测试,计算基线平均值以及对生理盐水、支气管收缩剂(卡巴胆碱)和支气管扩张剂(氢溴酸非诺特罗)的反应。使用IOS时,信息明显具有频率依赖性。阻力(R)和呼吸阻抗(Z)的大小仅在5Hz时敏感,导致这些参数的负频率依赖性作为外周气道阻塞的指标。在5至20Hz之间观察到电抗(X)和相角phi值具有高敏感性。对于MFO(10Hz),参数Ros(包括呼吸系统的电阻性和电容性成分)、相移(psi)以及呼吸系统的振荡衍生顺应性(Crs)具有最大的临床潜力。Crs与Cdyn显示出显著的线性相关系数(r = 0.88,P < 0.001)。在10Hz测试频率下,MFO和IOS观察到相似的结果,表明对于健康犊牛,脉冲的测量效果不显著。关于外周气道口径,低于10Hz的测试频率似乎最敏感且变化最小。

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