不同年龄组健康老人10年肺功能随访

Follow-up study of lung function for 10 years in health elder of differential age

  • 摘要: 目的:探讨不同年龄组健康老年人10年肺功能变化及各项肺功能指标改变具体数值。方法:经体检、胸片、心电图、肺功能等多项检查后确定为健康老年人作为研究对象;每年均进行查体及肺功能的随访。结果:第一秒用力呼气量占用力肺活量(FEV1%)在60-64岁组、65-69岁组的初始值和10年后测量值相比未达到统计学意义,70岁以上组的健康老年人FEV1%初始值与10年后测量值相比下降P<0.05。呼气峰流速(PEF)、肺总量(TLC)在60-64岁组初始值和10年后测量值相比P<0.05;在65-69岁组及70岁以上组PEF、TLC的初始值和10年后测量值相比P<0.01。肺活量(VC)、用力肺活量(FVC)、第一秒用力呼气量(FEV1)、最大通气量(MVV)、最大呼气中期流量(MMEF)、功能残气量(FRC)、残气量(RV)、RV/TLC各年龄组初始值与10年后随访值相比P<0.01。VC、FVC、FEV1、PEF、RV、RV/TLC、FEV1%、MVV、MMEF、FRC、TLC年改变值在各年龄组比较变化不显著。结论:肺功能随增龄而改变;绝大多数肺功能指标10年前、后对比变化差别极显著P<0.01;FEV,%在60~64岁、65~69岁年龄组10年前、后改变P>0.05,在70岁以上年龄组P<0.05;PEF、TLC在60~64岁年龄组10年前、后改变P<0.05,肺功能各指标年改变值在各年龄组间变化不显著。

     

    Abstract: Objective: To study the changes and the data of lung functions in the health elder of differential age. Methods: The lung functions were follow up by the time after physical examination, chest x ray,electrocardiogram. Results: The forced expiratory volume in 1 second/Forceal vital capacity(FEV1%) of inital data compared with FEV1% of data after 10 years are no statistics satisfactory in the 60-64 age and 65-69 age. FEV1% of initial data compared with FEV1% of data after 10 years is P<0.05 in the over 70 age old.Peak expiratory flow(PEF)、total lung capacity (TLC) of initial data compared with PEF, TLC of data after 10 years are P<0.05, in the 60-64 age old;P<0.01in the 65-69 age old and over 70 age old. Vital capacity (VC), forced vital capacity (FVC), the forced expiratory volume in 1second(FEV1),maximal voluntary ventilation(MVV), maximal mid-expiratory flow curue(MMEF),functional resideal capacity(FRC),residual volume(RV),RV/TLC of initial data companed with these of data after 10 years are P<0.01 in the differential age group VC、FVC、FEV1、FEV1%、PEF、MVV、MMEF、FRC、TLC、RV、RV/TLC of every year change data are P>0.05 in the differential age Conclusions: The lung functions change with in crease of age; FEV1%,PEF,TLC is more distinctly; data of changes of every year is no statistics satisfactory in the differential age group

     

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