Effect of inspired volume on airway closure in relation to age.

B Holtz, B Bake, P Winstedt
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Abstract

Closing volume (CV) was measured in 64 healthy subjects aged 18--76 years, in supine position, with a bolus (helium) technique in two ways: following a maximal (CV100) and a submaximal (=50% VC; CV50) inspiration from residual volume. With increasing age CV50 increased less than CV100 according to the equation CV100(%VC)-CV50(%VC)=0.13Xage-0.6(r=0.46, P less than 0.001), e.g. at 70 years of age CV100=32(%VC) and CV50=24(%VC). Therefore, during normal breathing elderly subjects to not presumably close airways at as high a lung volume as predicted from conventional CV-measurements. A strong correlation between CV50 and CV100 was found, CV50(%VC)=0.55XCV100(%VC)+5.3(r=0.90; P less than 0.001), thus allowing a more accurate prediction of CV50 from CV100 than from age. Neither smoking habits nor body position affected the decrease of CV with reduced inspired volume.

吸入量对气道关闭的影响与年龄的关系。
对64名年龄在18- 76岁的健康受试者进行了闭合容积(CV)的测量,他们均为仰卧位,采用球(氦气)技术以两种方式测量闭合容积(CV):最大(CV100)和次最大(=50% VC;CV50)来自残余体积的灵感。根据公式CV100(%VC)-CV50(%VC)=0.13Xage-0.6(r=0.46, P < 0.001),随着年龄的增加,CV50的增加幅度小于CV100,如70岁时CV100=32(%VC), CV50=24(%VC)。因此,在正常呼吸过程中,老年人不应该像传统的cv测量所预测的那样,在高肺容量下关闭气道。CV50与CV100之间存在较强的相关性,CV50(%VC)=0.55XCV100(%VC)+5.3(r=0.90;P小于0.001),因此可以从CV100比年龄更准确地预测CV50。吸烟习惯和体位均不影响CV随吸气量减少而降低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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