新疆地区正常少年儿童最大呼气流速值测定
摘要
目的:呼气峰流速是一个重要的肺功能指标,而评价测得的呼气峰流速是否正常需要一个呼气峰流速的参考值,所以本次调查的目的是建立新疆地区健康少年儿童最大呼气流速值正常参考值。材料和方法:我们采用德国产的MicroPeak峰速仪测量了3520位健康少年儿童,年龄在7—16岁之间。记录所测的最大呼气峰流速值,同时记录孩子的性别、年龄、身高、体重。结果采用SPSS14.0统计软件进行分析。结果:结果显示在两种性别少年儿童中,最大呼气峰流速值随年龄、身高、体重的增加而增加;最大呼气峰流速值与年龄、身高、体重有很高的相关性。结论:在一系列统计分析后,我们建立了最大呼气峰流速值与性别、身高的直线回归方程。当我们知道一个人的身高时,能很容易的计算出一个人的最大呼气峰流速值的预计值。
Objective:Peak Expiratory Flow(PEF)is an important screening method for investigation and follow-up of pulmonary function,since reading the obtained PEF results requires reference values,the aim of this study was to establish normal values of Peak Expiratory Flow(PEF)for our children population in XinJiang.Material and Method:We investigated 3520 healthy children(1705 males and 1815 females)aged from 7 to 16 years.Using MicroPeak Peak Flow Meter(PFM),We measured the PEF values and wrote down children's age,sex,height and weight in both sexes.The statistical solflware SPSS14.0 was used to fit the model.Result:With the increasing of the height, age and weight PEF is increasing.Height,age and weight were found to correlate significantly with peak expiratory flow in both sexes.Conclusion:Regression equations for sex and height were made after measurement and data analysis.PEF values can be easily calculated knowing one's height.
Objective:Peak Expiratory Flow(PEF)is an important screening method for investigation and follow-up of pulmonary function,since reading the obtained PEF results requires reference values,the aim of this study was to establish normal values of Peak Expiratory Flow(PEF)for our children population in XinJiang.Material and Method:We investigated 3520 healthy children(1705 males and 1815 females)aged from 7 to 16 years.Using MicroPeak Peak Flow Meter(PFM),We measured the PEF values and wrote down children's age,sex,height and weight in both sexes.The statistical solflware SPSS14.0 was used to fit the model.Result:With the increasing of the height, age and weight PEF is increasing.Height,age and weight were found to correlate significantly with peak expiratory flow in both sexes.Conclusion:Regression equations for sex and height were made after measurement and data analysis.PEF values can be easily calculated knowing one's height.
引文
[1]Fuhlbdgge AL,Adams RJ,Guilbert TW.The burden of asthma in the United States:level and distribution are dependent on interpretation of the national asthma education and prevention program guidelines[J].Am J Respir Crit Care Med,2002,166(8):1044-1049.
[2]Rabe KF,Adachi M,Lai CK.Worldwide severity and control of asthma in children and adults:the global asthma insights and reality surveys[J].J Allergy Clin Immunol,2004,114(1):40-47.
[3]Carlton BG,Lucas DO,Ellis EF,et al.The status of asthma control and asthma prescribing practices in the United States:results of a large prospective asthma control survey of primary care practices[J].J sthma,2005,42(4):529-535.
[4]董树,陈强,董耀刚.呼气峰流速测定在哮喘急性发作期中的运用[J].齐齐哈尔医学院学报,2002,23(5):505-506
[5]王长征,王宗芬,周泽云,等.呼气峰流速测定在哮喘急性发作期的应用[J].中国实用内科杂志,1999,19(12):749-750
[6]林耀广主编.现代哮喘病学[M].第一版.北京:中国协和医科大学出版社,2004,485.
[7]李明华,殷凯生,蔡应云主编.哮喘病学[M].第二版.北京:人民卫生出版社,2005,229.
[8]蒋雷服.峰值呼气流速测定与哮喘[J].国外医学内科学分册,1998,25(2):201-203.
[9]张珊梅,杨映惠,曾明辉,等.昆明市区学龄前健康儿童呼气峰流速调查[J].云南医药,1997,18(4):257-259
[10]GLOBAL IN1TIATWE FOR ASTHMA[C].Global strategy for asthma management and prevention 2005.
[11]华山,魏文,吕敏.肺功能检测在儿童哮喘诊治中的意义[J].小儿急救医学,2005,12(5):370-371
[12]王宗芬,周泽云,王长征,等.测定哮喘患者呼气峰流速对病情判断的意义[J].实用护理杂志,1998,14(4):186-188
[13]戴秋芳,林东红.呼气峰流速仪在诊断儿童咳嗽变异性哮喘的意义[J].Chinese Journal of the Practical Chinese with Modern Medicine,2004,4(17):486.
[14]P L P Brand,R J Roorda.Usefulness of monitoring lung function in asthma[J].Archives of Disease in Childhood,2003,88(10):1021-1025.
[15]Gibson PG,Powell H,Coughlan J.Self-management education and regular practitioner review for adults with asthma[J].Cochrane Database Syst Rev,2003, 24(9):778-782.
[16]Aivazis V,Hatzimiehail A,Stawidis J,et al.Growth and other factors affecting peak expiratory flow in Greek children.Minerva Pediatfica[J],2005,57(2):83-9.
[17]Baeza Bacab,Manuel Antonia,Davila Velazquez,et al.Peak expiratory flow in 6-12year-old children from Merida,Yucatan,Mexico[J].Revista Alergia Mexico,2004,51(3):97-101.
[18]Agaba,patricia A.Thaeher,Tom D.Angyo,Ishaya A etal.Peak expiratory flow rates in healthy Nigerian ehildren[J].Journal Of Tropical Pediatrics,2003,49(3):157-9.
[19]Prasad R,Nerma SK,Agrawal GG,et al.Prediction model for peak expiratory flow in North Indian populationg.Indian Journal of Chest Diseases,2006,48(2):103
[20]陈庆宜,曾超燕.广州地区正常少年儿童最大呼气流速值测定[J].中华儿科杂志,1996,34(4):279.
[21]桑孝诚,许家和,宋彦文,等.935例正常少年儿童最大呼气流速值测定报告.临床儿科杂志,1997,15(4):272.
[1]林耀广主编.现代哮喘病学[M].第一版.北京:中国协和医科大学出版社,2004,445.
[2]Wreght BM,Mckerrow CB.Maximum forced expiratory flow rate as a measure of ventilatory capacity[J].BMJ 1959;2:1041.
[3]蒋雷服.峰值呼气流速测定与哮喘[J].国外医学内科学分册,1998,25(2):201-203.
[4]林耀广主编.现代哮喘病学[M].第一版。北京:中国协和医科大学出版社,2004,485.
[5]赵京.最大呼气峰流速的测量对哮喘病监测的意义[J].中级医刊,1997,32(8):18.
[6]GLOBAL INITIATIVE FOR ASTHMA.Global strategy for asthma management and prevention 2005.
[7]Linna O.呼气峰流速对诊断支气管梗阻的敏感性[J].国外医学儿科学分册,1999,26(1):46.
[8]王宗芬,周泽云,王长征,王金平,贾巨才.测定哮喘患者呼气峰流速对哮喘严重度分级的意义[J].重庆医学,1997,26(5):261.
[9]严舒俊,陈惠银,黄景彬.简易峰速仪对咳嗽变异性哮喘的诊断价值[J].中国康复理论与实践,2005,11(9):771.
[10]戴秋芳,林东红.呼气峰流速仪在诊断儿童咳嗽变异性哮喘的意义[J].Chinese Journal of the Practical Chinese with Modern Medicine,2004,4(17):486.
[11]陈铭华,周国汉.呼气峰速仪监测指导用药防治儿童哮喘的研究[J].中国实用儿科杂志,1999,14(6):347.
[12]李云霞.呼气峰流速监测对儿童哮喘用药的防治指导[J].中国误诊学杂志,2004,4(11):1871.
[13]岳艳玲.最大呼气峰流速在儿童哮喘中的应用[J].实用儿科临床杂志,2004,19(2):122.
[14]R Puffin.Peak expiratory flow(PEF)monitoring[J].Thorax,2004,59:913-914.
[15]Kamps AWA,Roorda RJ,Brand PLP.Peak flow diaries in childhood asthma are unreliable[J].Thorax,2001,56:180-182.
[16]沙莉,刘传合,赵京,陈育智.儿童哮喘防治推广状况调查[J].中国实用儿科杂志,2006,21(4):296-299.
[17]Burdon JG,Juniper EF,Killian KJ,Hargreave FE,Campbell EJ.The perception of breathlessness in asthma[J].Am Rev Respir Dis,1992,126;825-8.
[18]Kendrick AH,Higgs CM,Whitfield M J,Laszlo G.Accuracy of perception of severity of asthma:patients treated in general practice[J].BMJ,1993,307:422-4.
[19]中华医学会呼吸病学分会哮喘学组.支气管哮喘防治指南(支气管哮喘的定义、诊 断、治疗及教育和管理方案)[J].中华结核和呼吸杂志,2003,26(3):132-8.
[20]Cote J,Cattier A,Malo JL.Compliance with peak expiratory flow monitoring in home management of asthma[J].Chest,1998,113:968-72.
[21]Eynsham Witney.PEF versus FEV1[J].Thorax,2000,55:807.
[22]儿童哮喘管理和预防的指南袖珍本[M].美国国立卫生研究院心肺血液研究所,2002,4-7.
[23]Anees,warif.Use of pulmonary function tests in the diagnosis of occupational asthma[J].Annals of Allergy,Asthma,&Immunology,2003,90:47-51.
[24]Bateman ED,Boushey HA,Bousquet J.Can guideline-defined asthma control be achieved? The Gaining Optimal Asthma Control Study[J].AMJ Resp Crit Care Med,2004,170:836-844.
[25]RL Cowie,SG Revitt.The effect of a peak flow-based action plan in the prevention of exacerbations of asthma[J].Chest,1997,112:1534-1538.
[26]Gibson PG,Powell H.Written action plans for asthma:an evidence-based review of the key components[J].Thorax,2004,59:94-99.
[27]Reddel HK,Vincent Sd,Livitico J.The need for standardization of peak flow charts[J].Thorax,2005,60:164-167.
[28]M R Miller.The PEF data plot:Planning to get the message[J].Thorax,2005,60:91-92.
[29]Ostojic V,Cvoriscec B,Ostojic SB.Improving asthma control through telemedicine:a study of short-message service[J].Telemed JE Health,2005,11:28-35.
[30]Rasmusen LM,Phanareth K,Nolte H.Internet-based monitoring of asthma:a long-term randomized clinical study of 300 asthmatic subjects[J].J Allergy clin Immunol,2005,115:1137-1142.
[31]Marc H,Molly W.Difficulty in obtaining Peak Expiratory Flow Measurements in children with Acute Asthma[J].Lippincott Williams&Wilkins,Inc,2004,20(1):22-26.
[32]Meuric S,Leroy M,Raffestin B,Bidat E.Compliance with and acceptability of a new electronic peak flow meter,the Piko-1[J].Revue des Maladies Respiratoires,2005,22(6pt1):935-41.
[2]Rabe KF,Adachi M,Lai CK.Worldwide severity and control of asthma in children and adults:the global asthma insights and reality surveys[J].J Allergy Clin Immunol,2004,114(1):40-47.
[3]Carlton BG,Lucas DO,Ellis EF,et al.The status of asthma control and asthma prescribing practices in the United States:results of a large prospective asthma control survey of primary care practices[J].J sthma,2005,42(4):529-535.
[4]董树,陈强,董耀刚.呼气峰流速测定在哮喘急性发作期中的运用[J].齐齐哈尔医学院学报,2002,23(5):505-506
[5]王长征,王宗芬,周泽云,等.呼气峰流速测定在哮喘急性发作期的应用[J].中国实用内科杂志,1999,19(12):749-750
[6]林耀广主编.现代哮喘病学[M].第一版.北京:中国协和医科大学出版社,2004,485.
[7]李明华,殷凯生,蔡应云主编.哮喘病学[M].第二版.北京:人民卫生出版社,2005,229.
[8]蒋雷服.峰值呼气流速测定与哮喘[J].国外医学内科学分册,1998,25(2):201-203.
[9]张珊梅,杨映惠,曾明辉,等.昆明市区学龄前健康儿童呼气峰流速调查[J].云南医药,1997,18(4):257-259
[10]GLOBAL IN1TIATWE FOR ASTHMA[C].Global strategy for asthma management and prevention 2005.
[11]华山,魏文,吕敏.肺功能检测在儿童哮喘诊治中的意义[J].小儿急救医学,2005,12(5):370-371
[12]王宗芬,周泽云,王长征,等.测定哮喘患者呼气峰流速对病情判断的意义[J].实用护理杂志,1998,14(4):186-188
[13]戴秋芳,林东红.呼气峰流速仪在诊断儿童咳嗽变异性哮喘的意义[J].Chinese Journal of the Practical Chinese with Modern Medicine,2004,4(17):486.
[14]P L P Brand,R J Roorda.Usefulness of monitoring lung function in asthma[J].Archives of Disease in Childhood,2003,88(10):1021-1025.
[15]Gibson PG,Powell H,Coughlan J.Self-management education and regular practitioner review for adults with asthma[J].Cochrane Database Syst Rev,2003, 24(9):778-782.
[16]Aivazis V,Hatzimiehail A,Stawidis J,et al.Growth and other factors affecting peak expiratory flow in Greek children.Minerva Pediatfica[J],2005,57(2):83-9.
[17]Baeza Bacab,Manuel Antonia,Davila Velazquez,et al.Peak expiratory flow in 6-12year-old children from Merida,Yucatan,Mexico[J].Revista Alergia Mexico,2004,51(3):97-101.
[18]Agaba,patricia A.Thaeher,Tom D.Angyo,Ishaya A etal.Peak expiratory flow rates in healthy Nigerian ehildren[J].Journal Of Tropical Pediatrics,2003,49(3):157-9.
[19]Prasad R,Nerma SK,Agrawal GG,et al.Prediction model for peak expiratory flow in North Indian populationg.Indian Journal of Chest Diseases,2006,48(2):103
[20]陈庆宜,曾超燕.广州地区正常少年儿童最大呼气流速值测定[J].中华儿科杂志,1996,34(4):279.
[21]桑孝诚,许家和,宋彦文,等.935例正常少年儿童最大呼气流速值测定报告.临床儿科杂志,1997,15(4):272.
[1]林耀广主编.现代哮喘病学[M].第一版.北京:中国协和医科大学出版社,2004,445.
[2]Wreght BM,Mckerrow CB.Maximum forced expiratory flow rate as a measure of ventilatory capacity[J].BMJ 1959;2:1041.
[3]蒋雷服.峰值呼气流速测定与哮喘[J].国外医学内科学分册,1998,25(2):201-203.
[4]林耀广主编.现代哮喘病学[M].第一版。北京:中国协和医科大学出版社,2004,485.
[5]赵京.最大呼气峰流速的测量对哮喘病监测的意义[J].中级医刊,1997,32(8):18.
[6]GLOBAL INITIATIVE FOR ASTHMA.Global strategy for asthma management and prevention 2005.
[7]Linna O.呼气峰流速对诊断支气管梗阻的敏感性[J].国外医学儿科学分册,1999,26(1):46.
[8]王宗芬,周泽云,王长征,王金平,贾巨才.测定哮喘患者呼气峰流速对哮喘严重度分级的意义[J].重庆医学,1997,26(5):261.
[9]严舒俊,陈惠银,黄景彬.简易峰速仪对咳嗽变异性哮喘的诊断价值[J].中国康复理论与实践,2005,11(9):771.
[10]戴秋芳,林东红.呼气峰流速仪在诊断儿童咳嗽变异性哮喘的意义[J].Chinese Journal of the Practical Chinese with Modern Medicine,2004,4(17):486.
[11]陈铭华,周国汉.呼气峰速仪监测指导用药防治儿童哮喘的研究[J].中国实用儿科杂志,1999,14(6):347.
[12]李云霞.呼气峰流速监测对儿童哮喘用药的防治指导[J].中国误诊学杂志,2004,4(11):1871.
[13]岳艳玲.最大呼气峰流速在儿童哮喘中的应用[J].实用儿科临床杂志,2004,19(2):122.
[14]R Puffin.Peak expiratory flow(PEF)monitoring[J].Thorax,2004,59:913-914.
[15]Kamps AWA,Roorda RJ,Brand PLP.Peak flow diaries in childhood asthma are unreliable[J].Thorax,2001,56:180-182.
[16]沙莉,刘传合,赵京,陈育智.儿童哮喘防治推广状况调查[J].中国实用儿科杂志,2006,21(4):296-299.
[17]Burdon JG,Juniper EF,Killian KJ,Hargreave FE,Campbell EJ.The perception of breathlessness in asthma[J].Am Rev Respir Dis,1992,126;825-8.
[18]Kendrick AH,Higgs CM,Whitfield M J,Laszlo G.Accuracy of perception of severity of asthma:patients treated in general practice[J].BMJ,1993,307:422-4.
[19]中华医学会呼吸病学分会哮喘学组.支气管哮喘防治指南(支气管哮喘的定义、诊 断、治疗及教育和管理方案)[J].中华结核和呼吸杂志,2003,26(3):132-8.
[20]Cote J,Cattier A,Malo JL.Compliance with peak expiratory flow monitoring in home management of asthma[J].Chest,1998,113:968-72.
[21]Eynsham Witney.PEF versus FEV1[J].Thorax,2000,55:807.
[22]儿童哮喘管理和预防的指南袖珍本[M].美国国立卫生研究院心肺血液研究所,2002,4-7.
[23]Anees,warif.Use of pulmonary function tests in the diagnosis of occupational asthma[J].Annals of Allergy,Asthma,&Immunology,2003,90:47-51.
[24]Bateman ED,Boushey HA,Bousquet J.Can guideline-defined asthma control be achieved? The Gaining Optimal Asthma Control Study[J].AMJ Resp Crit Care Med,2004,170:836-844.
[25]RL Cowie,SG Revitt.The effect of a peak flow-based action plan in the prevention of exacerbations of asthma[J].Chest,1997,112:1534-1538.
[26]Gibson PG,Powell H.Written action plans for asthma:an evidence-based review of the key components[J].Thorax,2004,59:94-99.
[27]Reddel HK,Vincent Sd,Livitico J.The need for standardization of peak flow charts[J].Thorax,2005,60:164-167.
[28]M R Miller.The PEF data plot:Planning to get the message[J].Thorax,2005,60:91-92.
[29]Ostojic V,Cvoriscec B,Ostojic SB.Improving asthma control through telemedicine:a study of short-message service[J].Telemed JE Health,2005,11:28-35.
[30]Rasmusen LM,Phanareth K,Nolte H.Internet-based monitoring of asthma:a long-term randomized clinical study of 300 asthmatic subjects[J].J Allergy clin Immunol,2005,115:1137-1142.
[31]Marc H,Molly W.Difficulty in obtaining Peak Expiratory Flow Measurements in children with Acute Asthma[J].Lippincott Williams&Wilkins,Inc,2004,20(1):22-26.
[32]Meuric S,Leroy M,Raffestin B,Bidat E.Compliance with and acceptability of a new electronic peak flow meter,the Piko-1[J].Revue des Maladies Respiratoires,2005,22(6pt1):935-41.