{"title":"[健全呼吸试验在评估儿童和成人肺通气功能中的诊断能力（回顾性回顾与展望）]。","authors":"M L Lazarev, O A Gurova, O V Alekseeva","doi":"10.17116/kurort202410106140","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To develop and try out a convenient and accessible for use technology for testing the pulmonary function in children and adults, including in patients with chronic bronchopulmonary pathology.</p><p><strong>Material and methods: </strong>The article presents the results of Lazarev sound-breathing test (LST) in different cohorts of children and adults, including pregnant women and children suffering from chronic bronchopulmonary diseases, in particular cystic fibrosis.</p><p><strong>Results: </strong>A direct dependence of the LST indicators' level from the age of children and adolescents has been obtained. An orientational table of age-related changes in the LST indicators in children aged 3-7 years was developed. It has been proven that LST can be used to register the improvement of pulmonary ventilation function in children as a result of specially organized health activities (respiratory gymnastics with elements of respiratory music therapy, etc.). The increase of LST has been obtained with regular exercises on «Sonatal» method (in some cases, the test was increased from 100 to 200%). A direct correlation of LST with hardware diagnostic methods (spirography, peakflowmetry) has been established. The closest links have been established between the LST indicator and vital capacity (VC), peak expiratory flow (PEF), maximum expiratory flow (MEF) at 50% of exhalation (MEF<sub>50</sub>). In children with low LST values, the correlation coefficient of this indicator with PEF amounted to 0.90, with MEF<sub>5</sub><sub>0</sub> -0.86, with MEF<sub>7</sub><sub>5</sub> - 0.76. The correlation of LST with VC and forced VC was <i>r</i>=0.52 and <i>r</i>=0.45, respectively. Children suffering from cystic fibrosis have shown a decrease of indicators with regard to the indicators of healthy children of the same age. The mean LST values for students aged 17-25 years roughly corresponded to 16-year-old adolescents, indicating that the test values stabilize with the end of body's growth (16-18 years).</p><p><strong>Conclusion: </strong>It has been shown that LST is an accessible and reliable marker for assessing the state of pulmonary ventilation function in healthy and sick children (pre-school and school age) and some cohorts of adults (students, pregnant women), including in health-resort treatment settings.</p>","PeriodicalId":39492,"journal":{"name":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","volume":"101 6","pages":"40-47"},"PeriodicalIF":0.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Diagnostic capabilities of sound-breathing test in assessment of pulmonary ventilation function in children and adults (retrospective review and prospect)].\",\"authors\":\"M L Lazarev, O A Gurova, O V Alekseeva\",\"doi\":\"10.17116/kurort202410106140\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To develop and try out a convenient and accessible for use technology for testing the pulmonary function in children and adults, including in patients with chronic bronchopulmonary pathology.</p><p><strong>Material and methods: </strong>The article presents the results of Lazarev sound-breathing test (LST) in different cohorts of children and adults, including pregnant women and children suffering from chronic bronchopulmonary diseases, in particular cystic fibrosis.</p><p><strong>Results: </strong>A direct dependence of the LST indicators' level from the age of children and adolescents has been obtained. An orientational table of age-related changes in the LST indicators in children aged 3-7 years was developed. It has been proven that LST can be used to register the improvement of pulmonary ventilation function in children as a result of specially organized health activities (respiratory gymnastics with elements of respiratory music therapy, etc.). The increase of LST has been obtained with regular exercises on «Sonatal» method (in some cases, the test was increased from 100 to 200%). A direct correlation of LST with hardware diagnostic methods (spirography, peakflowmetry) has been established. The closest links have been established between the LST indicator and vital capacity (VC), peak expiratory flow (PEF), maximum expiratory flow (MEF) at 50% of exhalation (MEF<sub>50</sub>). In children with low LST values, the correlation coefficient of this indicator with PEF amounted to 0.90, with MEF<sub>5</sub><sub>0</sub> -0.86, with MEF<sub>7</sub><sub>5</sub> - 0.76. The correlation of LST with VC and forced VC was <i>r</i>=0.52 and <i>r</i>=0.45, respectively. Children suffering from cystic fibrosis have shown a decrease of indicators with regard to the indicators of healthy children of the same age. The mean LST values for students aged 17-25 years roughly corresponded to 16-year-old adolescents, indicating that the test values stabilize with the end of body's growth (16-18 years).</p><p><strong>Conclusion: </strong>It has been shown that LST is an accessible and reliable marker for assessing the state of pulmonary ventilation function in healthy and sick children (pre-school and school age) and some cohorts of adults (students, pregnant women), including in health-resort treatment settings.</p>\",\"PeriodicalId\":39492,\"journal\":{\"name\":\"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury\",\"volume\":\"101 6\",\"pages\":\"40-47\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.17116/kurort202410106140\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Voprosy kurortologii, fizioterapii, i lechebnoi fizicheskoi kultury","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.17116/kurort202410106140","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
[Diagnostic capabilities of sound-breathing test in assessment of pulmonary ventilation function in children and adults (retrospective review and prospect)].
Objective: To develop and try out a convenient and accessible for use technology for testing the pulmonary function in children and adults, including in patients with chronic bronchopulmonary pathology.
Material and methods: The article presents the results of Lazarev sound-breathing test (LST) in different cohorts of children and adults, including pregnant women and children suffering from chronic bronchopulmonary diseases, in particular cystic fibrosis.
Results: A direct dependence of the LST indicators' level from the age of children and adolescents has been obtained. An orientational table of age-related changes in the LST indicators in children aged 3-7 years was developed. It has been proven that LST can be used to register the improvement of pulmonary ventilation function in children as a result of specially organized health activities (respiratory gymnastics with elements of respiratory music therapy, etc.). The increase of LST has been obtained with regular exercises on «Sonatal» method (in some cases, the test was increased from 100 to 200%). A direct correlation of LST with hardware diagnostic methods (spirography, peakflowmetry) has been established. The closest links have been established between the LST indicator and vital capacity (VC), peak expiratory flow (PEF), maximum expiratory flow (MEF) at 50% of exhalation (MEF50). In children with low LST values, the correlation coefficient of this indicator with PEF amounted to 0.90, with MEF50 -0.86, with MEF75 - 0.76. The correlation of LST with VC and forced VC was r=0.52 and r=0.45, respectively. Children suffering from cystic fibrosis have shown a decrease of indicators with regard to the indicators of healthy children of the same age. The mean LST values for students aged 17-25 years roughly corresponded to 16-year-old adolescents, indicating that the test values stabilize with the end of body's growth (16-18 years).
Conclusion: It has been shown that LST is an accessible and reliable marker for assessing the state of pulmonary ventilation function in healthy and sick children (pre-school and school age) and some cohorts of adults (students, pregnant women), including in health-resort treatment settings.
期刊介绍：
The journal deals with the study of the mechanism of a physiological and therapeutic effect of physical and health resort factors, methods and results of their employment, as well as with theoretical and practical problems involved in the use of exercise therapy in combined treatment of different diseases. The results of research and experience of using physical and health resort methods in medical practice and organization of physiotherapeutic and sanatorial and health resort service, book reviews on physiotherapy, health resort science and exercise therapy are published. Scientific life of allied specialities, proceedings of congresses, conferences, symposia (including foreign), the activity of republican and local societies, etc., are covered.
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