Impulse Oscillometry Interpretation and Practical Applications
Impulse Oscillometry Interpretation and Practical Applications
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DOI：
10.1378/chest.13-1875
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发表时间：
2014-09-01
期刊：
影响因子：
9.6
通讯作者：
Eid, Nemr
中科院分区：
文献类型：
--
作者：
Bickel, Scott;Popler, Jonathan;Eid, Nemr
简单的肺量测定法和身体体积描记法已被常规用于岁以下的儿童。5年基于生理学概念的新技术在近50年前首次描述，目前正在研究和临床实践中用于测量儿童肺功能。这些技术使人们对小儿肺和呼吸力学有了更多的了解。脉冲振幅测量法（IOS）是一种使用强迫振荡技术的简单、无创方法，需要患者最少的合作，适用于儿童和成人。该方法可用于评估大小外周气道的阻塞，并已用于测量支气管扩张剂反应和支气管激发试验。新的数据表明，IOS可能有助于预测儿童哮喘控制的丧失。本文回顾了IOS的临床应用，重点是儿科设置，并讨论了适当的编码实践的临床医生。
Simple spirometry and body plethysmography have been routinely used in children aged. 5 years. New techniques based on physiologic concepts that were first described almost 50 years ago are emerging in research and in clinical practice for measuring pulmonary function in children. These techniques have led to an increased understanding of the pediatric lung and respiratory mechanics. Impulse oscillometry (IOS), a simple, noninvasive method using the forced oscillation technique, requires minimal patient cooperation and is suitable for use in both children and adults. This method can be used to assess obstruction in the large and small peripheral airways and has been used to measure bronchodilator response and bronchoprovocation testing. New data suggest that IOS may be useful in predicting loss of asthma control in the pediatric population. This article reviews the clinical applications of IOS, with an emphasis on the pediatric setting, and discusses appropriate coding practices for the clinician.