Artigo Original\Original Article
Comparação dos valores da capacidade pulmonar total e do volume residual obtidos pelas técnicas pletismográfica e de respiração única com metano
Comparison between total lung capacity and residual volume values obtained by pletysmography and single breath methods with methane
Ricardo Marques Dias1, Fernando Hauaji Chacur2, Sonia Regina da Silva Carvalho3, André Luís Mancini4, Geraldo A. Capuchino Jr.4
1 Professor Titular da Disciplina de Pneumologia da UNIRIO, HU Gaffrée e Guinle / Titular Professor, Pulmonology, UNIRIO, Gaffrée e Guinle University Hospital.
2 Responsável pelo Serviço de Provas de Função Respiratória do Prócardiaco / Head of Prócardiaco Respiratory Function Unit.
3 Profa Adjunta da Disciplina Cardiopulmonar da UNIRIO, Responsável pelo Ambulatório de Asma / Associate Professor, Cardio-pulmonary, UNIRIO, Head of Asthma Out-Patients
4 Bolseiro de Iniciação Científica da UNIRIO / Scholarship holder, Science Initiation, UNIRIO.
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Capuchino" "autores" => array:5 [ 0 => array:3 [ "nombre" => "Ricardo Marques" "apellidos" => "Dias" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "af0005" ] ] ] 1 => array:3 [ "nombre" => "Fernando Hauaji" "apellidos" => "Chacur" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "af0010" ] ] ] 2 => array:3 [ "nombre" => "Sonia Regina" "apellidos" => "da Silva Carvalho" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "af0015" ] ] ] 3 => array:3 [ "nombre" => "André Luís" "apellidos" => "Mancini" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">4</span>" "identificador" => "af0020" ] ] ] 4 => array:4 [ "nombre" => "Geraldo A." 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"etiqueta" => "2" "identificador" => "af0010" ] 2 => array:3 [ "entidad" => "Profa Adjunta da Disciplina Cardiopulmonar da UNIRIO, Responsável pelo Ambulatório de Asma / Associate Professor, Cardio-pulmonary, UNIRIO, Head of Asthma Out-Patients" "etiqueta" => "3" "identificador" => "af0015" ] 3 => array:3 [ "entidad" => "Bolseiro de Iniciação Científica da UNIRIO / Scholarship holder, Science Initiation, UNIRIO." "etiqueta" => "4" "identificador" => "af0020" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Comparison between total lung capacity and residual volume values obtained by pletysmography and single breath methods with methane" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2006-04-27" "fechaAceptado" => "2006-07-21" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec567998" "palabras" => array:5 [ 0 => "Pletismografia de corpo inteiro" 1 => "teste de difusão (DLCO)" 2 => "determinação dos volumes pulmonares" 3 => "testes de função pulmonar" 4 => "asma" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec567999" "palabras" => array:5 [ 0 => "Whole body pletysmography" 1 => "pulmonary diffusion test (DLco)" 2 => "pulmonary volumes" 3 => "pulmonary function tests" 4 => "asthma" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">Foram analisados exames de função pulmonar de 20 asmáticos, em acompanhamento no HU Gaffrée Guinle, classificados, segundo o Consenso Brasileiro (2002), em asma leve persistente ou moderada (9) e grave (11). Foram obtidos os valores dos parâmetros da espirografia, da pletismografia e da técnica de respiração única, com metano, para a medida da difusão pulmonar (DLco). Assim, a capacidade pulmonar total e o volume residual, quando medidos pela pletismografia, foram designados, respectivamente, CPT<span class="elsevierStyleInf">PL</span> e VR<span class="elsevierStyleInf">PL</span>. Da mesma forma, quando determinados pela técnica de respiração única, CPT<span class="elsevierStyleInf">SB</span> e VR<span class="elsevierStyleInf">SB</span>. A amostra foi constituída por 13 mulheres e 7 homens, sendo a média de idade de 47,6 anos. A intensidade da disfunção, medida pela relação VEMS/CVF foi de 58,8%, com IC95 de 53,9 a 63,6. Os valores de CPT<span class="elsevierStyleInf">PL</span> (5,94) e VR<span class="elsevierStyleInf">PL</span> (2,55), expressos em litros e pela média, foram significativamente maiores do que os de CPT<span class="elsevierStyleInf">SB</span> (4,73) e VR<span class="elsevierStyleInf">SB</span> (1,66). Foram determinadas equações de regressão múltipla, para previsão dos valores de CPT<span class="elsevierStyleInf">PL</span> e VR<span class="elsevierStyleInf">PL</span>, utilizando os valores de CPT<span class="elsevierStyleInf">SB</span>, VR<span class="elsevierStyleInf">SB</span> e dos parâmetros espirográficos, com coeficientes de regressão significativos. Contudo, a inclusão dos parâmetros espirográficos, excepto por CVF, não melhorou a capacidade de previsão das equações. Considerando apenas a CPT<span class="elsevierStyleInf">SB</span>, r<span class="elsevierStyleSup">2</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,79, a equação é: CPT<span class="elsevierStyleInf">PL</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>(CPT<span class="elsevierStyleInf">SB</span> *1,025)<span class="elsevierStyleHsp" style=""></span>+<span class="elsevierStyleHsp" style=""></span>1,088, com EP<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,64. A regressão para VR<span class="elsevierStyleInf">PL</span>, com r<span class="elsevierStyleSup">2</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,23, é: VR<span class="elsevierStyleInf">PL</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>(VR<span class="elsevierStyleInf">SB</span> *0,9268)<span class="elsevierStyleHsp" style=""></span>+<span class="elsevierStyleHsp" style=""></span>1,012. Os exames realizados após a broncodilatação, com 400mcg de salbutamol, não melhoraram as equações. Concluímos que a técnica de SB não dá resultados iguais aos da pletismografia para CPT e VR; contudo, para a CPT, esta diferença pode ser prevista.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2006; XII (6): 659-667</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">We analyzed pulmonary function tests of twenty asthmatic patients from Gaffrée e Guinle University Hospital, classified according to Brazilian Guidelines for Asthma (2002), similar to GINA, into mild persistent or moderate (9) or severe (11) asthma. We obtained parameters from spirometry, plethysmograph(PL) and single breath technique for diffusion capacity (SB), with methane. Total lung capacity and residual volume were called TLC<span class="elsevierStyleInf">PL</span> and RV<span class="elsevierStyleInf">PL</span> when measured by pletysmography and TLC<span class="elsevierStyleInf">SB</span> and RV<span class="elsevierStyleInf">SB</span> when determined by single breath test. There were 13 women and 7 men with mean age of 47.6<span class="elsevierStyleHsp" style=""></span>years. The pulmonary dysfunction degree to FEV1/FVC was 58.8% with CI95<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>53.9 to 63.6. The mean values in litres for TLC<span class="elsevierStyleInf">PL</span> (5.94) and RV<span class="elsevierStyleInf">PL</span> (2.55) were significantly higher than for TLC<span class="elsevierStyleInf">SB</span> (4.73) and RV<span class="elsevierStyleInf">SB</span> (1.66). Multiple regression equations were determined for TLC<span class="elsevierStyleInf">PL</span> e RV<span class="elsevierStyleInf">PL</span> using only single breath values,TLC<span class="elsevierStyleInf">SB</span> or RV<span class="elsevierStyleInf">SB</span>, and spirographic parameters, with significant regression coefficients. However, the inclusion of spirometric parameters, except for FVC, did not improve the predicted capacity for the equations. Considering only the TLC<span class="elsevierStyleInf">SB</span>, r<span class="elsevierStyleSup">2</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.79, the equation is: TLC<span class="elsevierStyleInf">PL</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>(TLC<span class="elsevierStyleInf">SB</span> *1.025)<span class="elsevierStyleHsp" style=""></span>+<span class="elsevierStyleHsp" style=""></span>1.088, with EPE<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.64. The regression for RV<span class="elsevierStyleInf">PL</span>, r<span class="elsevierStyleSup">2</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.23, is: RV<span class="elsevierStyleInf">PL</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>(RV<span class="elsevierStyleInf">SB</span> *0.9268)<span class="elsevierStyleHsp" style=""></span>+<span class="elsevierStyleHsp" style=""></span>1.012. The results obtained after bronchodilation with 400 mcg of salbutamol did not improve the regression. We concluded that the SB technique did not obtain the same results as pletysmography for TLC and RV, but for TLC this difference can be predicted.</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2006; XII (6): 659-667</span></p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia/Bibliography</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:15 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." 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"referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "titulo" => "ATS/ERS Task Force: Standardization of Lung Function Testing: Standardization of spirometry" ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1183/09031936.05.00034805" "Revista" => array:6 [ "tituloSerie" => "Eur Respir J" "fecha" => "2005" "volumen" => "26" "paginaInicial" => "319" "paginaFinal" => "338" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16055882" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bb0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "titulo" => "ATS/ERS Task Force: Standardization of Lung Function Testing: Standardization of the measurement of lung volumes" ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1183/09031936.05.00035005" "Revista" => array:6 [ "tituloSerie" => "Eur Respir J" "fecha" => "2005" "volumen" => "26" "paginaInicial" => "511" "paginaFinal" => "522" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16135736" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bb0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "titulo" => "ATS/ERS Task Force: Standardization of Lung Function Testing. Standardization of the single-breath deter mination of carbon monoxide uptake in the lung" ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1183/09031936.05.00034905" "Revista" => array:6 [ "tituloSerie" => "Eur Respir J" "fecha" => "2005" "volumen" => "26" "paginaInicial" => "720" "paginaFinal" => "735" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16204605" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bb0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "titulo" => "ATS/ERS Task Force: Standardization of Lung Function Testing. Interpretative Strategies for Lung Function Tests" ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1183/09031936.05.00035205" "Revista" => array:6 [ "tituloSerie" => "Eur Respir J" "fecha" => "2005" "volumen" => "26" "paginaInicial" => "948" "paginaFinal" => "968" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16264058" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bb0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Changes in the normal maximal expiratory flow volume curve with growth and aging" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "R.J. Knudson" 1 => "M.D. Lebowitz" 2 => "C.J. Holberg" 3 => "B. 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Article information
ISSN: 08732159Original language: Portuguese
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