江汉平原地区健康成人脉冲振荡肺功能测定及预测方程分析

Analysis of the normal values of pulmonary function and predictive equations by impulse oscillometry in healthy adults in Jianghan Plain

目的:探讨江汉平原地区健康成人脉冲振荡技术(IOS)肺功能正常参考值,建立符合江汉平原地区健康成人的IOS预计值方程。方法:对674例常规肺功能正常的健康成人进行IOS测定,求出IOS各参数参考值范围并建立多元回归方程,包括呼吸总阻抗(Zrs)、总呼吸阻力(R_5)、中心气道阻力(R_(20))、周边弹性阻力(X_5)、共振频率(Fres)、中心阻力(Rc)、周边阻力(Rp)等。结果:男性预计值公式:Zrs=4. 64+1. 019CW-0. 016H,Fres=25. 73-0. 122H+0. 059W,R_5=4. 10+1. 034CW-0. 013H,R_(20)=4. 258-0. 01H,X_5=-2. 736+0. 011H,Rc=4. 75-0. 019H,Rp=7. 424-0. 041H+0. 018W;女性预计值公式:Zrs=8. 66+1. 84CW-0. 04H,Fres=5. 54+6. 69CW,R_5=6. 96+2. 17CW-0. 03H,R_(20)=10. 38-0. 05H+0. 012W,X_5=-3. 90+0. 018H,Rc=23. 87-0. 14H+0. 001W-4. 60CW,Rp=9. 80-0. 045H。结论:建立了适合江汉平原地区健康成人的IOS肺功能各参数预测值方程。

Objective:To obtain the reference values and establish the predictive equations of respiratory impedance for healthy adults in the Jianghan Plain of China.Methods:A survey of pulmonary function by impulse oscillometry system(IOS)was conducted on 674 healthy adults with normal pulmonary ventilation.The reference values were obtained and the predictive equations of IOS parameters were established.Results:The predictive equations for males:.Zrs=4.64+1.019 CW-0.016 H,Fres=25.73-0.122 H+0.059 W,R5=4.10+1.034 CW-0.013 H,R20=4.258-0.01 H,X5=-2.736+0.011 H,Rc=4.75-0.019 H,Rp=7.424-0.041 H+0.018 W.The predictive equations for females:Zrs=8.66+1.84 CW-0.04 H,Fres=5.54+6.69 CW,R5=6.96+2.17 CW-0.03 H,R20=10.38-0.05 H+0.012 W,X5=-3.90+0.018 H,Rc=23.87-0.14 H+0.001 W-4.60 CW,Rp=9.80-0.045 H.Conclusion:The predictive equations that suit Jianghan Plain healthy adults have been produced for the IOS.