临床儿科杂志 ›› 2019, Vol. 37 ›› Issue (3): 182-.doi: 10.3969/j.issn.1000-3606.2019.03.006

• 综合报道 • 上一篇    下一篇

苏州农村儿童肺功能正常值及其相关因素分析

戴银芳 1, 孟宁 2, 王宇清 1, 陆燕红 1, 杨晓蕴 1, 于兴梅 1, 张新星 1, 郝创利 1   

  1. 1.苏州大学附属儿童医院呼吸科(江苏苏州 215003);2.苏州市吴中区甪直人民医院儿科 (江苏苏州 215007)
  • 出版日期:2019-03-15 发布日期:2019-03-25
  • 通讯作者: 郝创利 电子信箱: hcl_md@163.com
  • 基金资助:
    省重点研发专项资金项目(No. BE2016676);苏州市“科教兴卫”青年科技项目(No. KJXW2017018)

Normal value of pulmonary function and its related factors in rural children in Suzhou city

 DAI Yinfang1, MENG Ning2, WANG Yuqing1, LU Yanhong1, YANG Xiaoyun1, YU Xingmei1, ZHANG Xinxing1, HAO Chuangli1   

  1. 1. Department of Respiratory Medicine, Children's Hospital of Soochow University, Suzhou 215003, Jiangsu, China; 2. Department of Pediatrics, Suzhou Luzhi People's Hospital, Suzhou 215007, Jiangsu, China
  • Published:2019-03-15 Online:2019-03-25

摘要: 目的 获得农村及城市5~14岁健康儿童的肺通气功能指标,探讨其与性别、年龄、身高及体质量的相关性。 方法 筛选1 076名农村户籍5~14岁儿童,参照中国儿童正常身高、体质量范围等,选取605名健康儿童,男309名、女296名; 同期以同样方法筛选城区户籍5~14岁儿童,选取540名健康儿童,男267名、女273名。采用肺功能仪测定1秒用力呼气 容积(FEV1)、最高呼气峰流速(PEF)指标,经多元线性回归,检测FEV1、PEF与儿童年龄、身高及体质量相关性。并比较 同性别、同年龄组城区与农村儿童的肺功能正常值。结果 605名农村儿童与540名城区儿童肺功能检测均合格。随儿童 年龄增加,FEV1、PEF均逐渐增加,在各年龄组间的差异有统计学意义(P<0.01)。9~10岁、14~15岁组FEV1均为男童大 于女童;7~8岁、13~14岁、14~15岁组PEF均为男童大于女童,差异均有统计学意义(P<0.05)。 经多元线性回归分析发 现,身高对所有儿童FEV1的影响最为显著(β=0.532, P<0.001)。 男孩中FEV1、PEF均与身高、体质量呈正相关;女孩中 FEV1、PEF均与年龄、身高、体质量呈正相关,以身高影响较为显著。将各年龄段儿童农村与城区之间肺功能正常值进行 比较发现仅6~7岁、8~9岁组城区男童FEV1大于农村;6~7岁、9~10岁组城区女童FEV1大于农村,差异有统计学意义 (P<0.05)。 结论 FEV1、PEF分别与儿童的身高、体质量、年龄相关,其中身高影响最为显著,年龄影响最小。苏州城区 与农村的肺功能正常值比较无明显差异。

关键词:  1秒用力呼气容积; 最高呼气峰流速; 儿童

Abstract: Objective To investigate the correlation of lung ventilation function with gender, age, height and weight in healthy children aged 5-14 years in rural and urban areas. Method A total of 1076 rural children aged 5-14 years were screened. According to the normal height and weight range of Chinese children, 605 healthy children (309 males and 296 females) were selected. During the same period, children aged 5-14 years in urban areas were screened in the same way and 540 healthy children (267 males and 273 females) were selected. The forced expiratory volume in one second (FEV1) and peak expiratory flow (PEF) rate were measured by pulmonary function instrument. And the correlation of FEV1 and PEF with age, height and weight of children were analyzed by multiple linear regression. The normal lung function values of urban and rural children in the same sex and age groups were compared. Results The lung functions of 605 rural children and 540 urban children were all measured to be normal. FEV1 and PEF increased gradually over children's age, and their differences were significant among different age groups (P<0.01). In children aged 9~10 years and 14~15 years, FEV1 was larger in boys than that in girls, and among children aged 7~8 years, 13~14 years and 14~15 years, PEF was larger in boys than that in girls, and there were significant differences (P<0.05). Multiple linear regression analysis found that height had the most significant effect on FEV1 in all children (β=0.532, P<0.001). FEV1 and PEF in boys were positively correlated with their height and weight. FEV1 and PEF in girls were positively correlated with their age, height and weight, and height was the most significant factor. Normal values of lung function between rural and urban children in all age groups were compared. It was found that FEV1 of boys aged 6-7 and 8-9 years was larger in urban areas than that in rural areas, and FEV1 of girls aged 6-7 and 9-10 years was larger in urban areas than that in rural areas, and the differences were statistically significant (P<0.05). Conclusion FEV1 and PEF were correlated with children's height, weight and age. Height had the most significant effect, while age had the least effect. There was no difference in normal lung function of children between urban and rural areas in Suzhou.

Key words: forced expiratory volume in one second; peak expiratory flow rate; child