TY - JOUR T1 -重现性的抽动口压,嗅鼻吸气压,和最大吸气压JF -欧洲呼吸杂志JO - Eur Respir J SP - 901 LP - 905 DO - 10.1183/09031936.98.11040901 VL - 11 IS - 4 AU - Maillard, JO AU - Burdet, L AU - van Melle, G AU - Fitting,JW Y1 - 1998/04/01 UR - //www.qdcxjkg.com/content/11/4/901.abstract N2 -磁膈神经刺激时的抽动口压(Pmo,tw)和嗅鼻吸气压(SNIP)最近被提出作为评估吸气肌力量的替代无创方法。本研究旨在比较其与正常受试者最大吸气压(MIP)的重现性。10名健康受试者采用半平卧位进行功能残馀能力研究。颈椎磁膈神经刺激在轻微呼气时进行,以对抗包含小泄漏的闭塞。通过记录横膈膜肌电图控制刺激的稳定性。研究了Pmo、tw、SNIP和MIP在会话内和会话间的压力再现性。研究对象在1天和1个月后重复进行10次演习。Pmo平均值为16 cmH2O,tw平均值为118 cmH2O, MIP平均值为115 cmH2O。在这三项试验中,受试者内部的变异相对于受试者之间的变异较小,Pmo、tw的组内相关系数为0.79-0.90,SNIP的组内相关系数为0.85-0.92,MIP的组内相关系数为0.88-0.92。 At 1 day interval, the coefficient of repeatability (2 SD of differences) was 3.6 cmH2O for Pmo,tw, 32 cmH2O for SNIP and 28 cmH2O for MIP. At 1 month interval, the coefficient of repeatability was 5.8 cmH2O for Pmo,tw, 23 cmH2O for SNIP and 21 cmH2O for MIP. We conclude that the within session reproducibility of the new tests twitch mouth pressure and sniff nasal inspiratory pressure is sufficient to be clinically useful. For sniff nasal inspiratory pressure, the between session reproducibility established after 1 day was maintained after 1 month. For twitch mouth pressure, the between session reproducibility declined slightly after 1 month. These characteristics should be considered when using these methods to follow an individual patient over time. ER -