浙江省4地区正常成年人肺功能检测分析  

TESTING AND ANALYZING THE LUNG FUNCTION OF NORMAL ADULTS AT FOUR AREAS IN ZHEJIANG PROVINCE

作　　者：李仲铭[1] 李静华[1] 徐成丽[1] 祖淑玉[1] 陈莉[1] 朱广瑾[1] 陈英杰[1] 

机构地区：[1]昆明医学院解剖学教研室,昆明650031

出　　处：《现代预防医学》2009年第17期3310-3312,3315,共4页Modern Preventive Medicine

摘　　要：[目的]测定浙江省杭州、绍兴、诸暨、舟山4地区正常成年人肺功能正常值及探讨不同生活环境、年龄、身高、体重等因素与肺功能的关系。[方法]采用便携式肺功能仪对793名健康成年人(男性392人、女性401人)进行肺功能检测,分析不同地域人群肺功能状况及其变化趋势,取最能反映肺功能的4个指标(FVC、FEV1、PEF、MMEF75/25)做多元逐步线性回归以检测地域、年龄、性别、身高、体重等因素对肺功能的影响。[结果]大部分肺功能指标男性均大于女性(BF、FEV1/FVC、MV、FEE50%除外),4地区男性肺功能差异主要体现在小气道方面,而女性肺功能除VT、BF、IC、FEV1、MVV等指标无差异外,其余均有显著性差异,表明女性呼吸功能的地域差异比男性更为明显。18～26岁是肺功能峰值期,其后肺功能随年龄的增长呈递减趋势。线性回归方程显示身高对肺活量的影响最为明显,而年龄的影响则因指标而异,体重则对肺功能无明显影响。[结论]该研究首次建立了浙江省杭州、绍兴、诸暨、舟山4地区正常成年人肺功能正常值及其回归方程,肺功能生理预计值存在地域差别,多数肺功能指标随年龄的增长而逐步降低,地域、身高、年龄对肺功能的影响不容忽视。[Objective] To investigate the lung function of normal adults at Hangzhou, Shaoxing, Zhuji, Houshan in Zhejiang province and its correlative factors such as living circumstance, age, height, and weight. [Methods] The lung func- tions of 793 normal adults were tested by portable spirometer. [ ResultsJ Significant difference existed among urban, rural and fishery areas in some indexes （P 〈 0.05, P 〈 0.01 ）, The peak appeared at the age of 18-26 and then decreased gradually with age. Among these factors, height had the most influential effect while age took the second place; weight had no influential ef- fect. [Conclusion] Expected values of hmg function change regionally due to different nationalities and living conditions. Lung function changes with age and this study provides reference values of lung function in four areas in Zhejiang province

关 键 词：肺功能 浙江省 正常人 

分 类 号：R322.35[医药卫生—人体解剖和组织胚胎学]