健康个体的呼吸模式和胸腹运动:年龄和性别的影响

V. Parreira, C. J. Bueno, Danielle C. França, D. S. Vieira, Dirceu R. Pereira, R. Britto
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引用次数: 52

摘要

目的:描述健康人在考虑年龄和性别的情况下的呼吸方式和胸腹运动。方法:研究纳入了104例年龄在20 ~ 39岁、40 ~ 59岁和60 ~ 80岁的个体(男性41例,女性63例),体重指数和肺活量测定值正常。参与者在休息时以仰卧位进行评估,采用呼吸诱导体积描记仪。测量如下变量:潮气量(Vt)、呼吸频率(f)、分钟通气量(VE)、吸气占空比(Ti/Ttot)、平均吸气流量(Vt/Ti)、胸腔运动(%RC)、吸气相关系(PhRIB)、呼气相关系(PhREB)、相角(PhaseAng)。年龄组之间的比较使用单因素方差分析或Kruskal-Wallis H进行,而性别之间的比较使用学生t检验或Mann-Whitney U检验,具体取决于数据分布;P <0.05为差异有统计学意义。结果:性别比较显示,在20 ~ 39岁和60 ~ 80岁年龄组中,女性Vt、VE和Ti/Ttot值明显低于男性,而在40 ~ 59岁年龄组中差异无统计学意义。年龄组之间的比较显示,60至80岁的参与者的PhRIB和PhaseAng明显高于20至39岁的参与者,呼吸模式没有显著差异。结论:呼吸方式受性别影响,胸腹运动受年龄影响。
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Padrão respiratório e movimento toracoabdominal em indivíduos saudáveis: influência da idade e do sexo
OBJECTIVE: To describe the breathing pattern and thoracoabdominal motion of healthy individuals, taking age and sex into consideration. METHODS: The study included 104 individuals aged 20 to 39, 40 to 59, and 60 to 80 years (41 males and 63 females), with normal body mass index and spirometric values. Participants were evaluated at rest in the supine position, by means of respiratory inductive plethysmography. The following variables were measured: tidal volume (Vt), respiratory frequency (f), minute ventilation (VE), inspiratory duty cycle (Ti/Ttot), mean inspiratory flow (Vt/Ti), rib cage motion (%RC), inspiratory phase relation (PhRIB), expiratory phase relation (PhREB), and phase angle (PhaseAng). Comparisons between the age groups were performed using one-way ANOVA or Kruskal-Wallis H, while comparisons between the sexes were performed using Student's t test or the Mann-Whitney U test, depending on the data distribution; p<0.05 was taken to be significant. RESULTS: Comparison between the sexes showed that, in the age groups 20 to 39 and 60 to 80 years, women presented significantly lower values for Vt, VE, and Ti/Ttot than men, and there was no significant difference in the age group 40 to 59 years. Comparisons between the age groups showed that participants aged 60 to 80 presented significantly greater PhRIB and PhaseAng than participants aged 20 to 39 years, without significant differences in the breathing pattern. CONCLUSION: The data suggest that breathing pattern is influenced by sex whereas thoracoabdominal motion is influenced by age.
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