南京市学龄前儿童吸气肌相关指标预计值研究

doi:10.11852/zgetbjzz2023-0787

中国儿童保健杂志 ›› 2024, Vol. 32 ›› Issue (5): 507-510.DOI: 10.11852/zgetbjzz2023-0787

南京市学龄前儿童吸气肌相关指标预计值研究

何彦璐, 杨志勇, 陈玮锭, 池霞, 童梅玲

南京医科大学附属妇产医院(南京市妇幼保健院)儿童保健科,江苏南京 210004

收稿日期:2023-08-04 修回日期:2023-12-06 发布日期:2024-05-10 出版日期:2024-05-10
通讯作者: 童梅玲,E-mail:meilingtong111@126.com
作者简介:何彦璐(1987-),女,副主任技师,硕士学位,主要研究方向为儿童运动和康复。
基金资助:
江苏省妇幼健康科研项目(F201902)

Reference values for inspiratory muscle related indexes of preschool children in Nanjing

HE Yanlu, YANG Zhiyong, CHEN Weiding, CHI Xia, TONG Meiling

Department of Child Health Care, Women′s Hospital of Nanjing Medical University (Nanjing Women and Children′s Healthcare Hospital), Nanjing, Jiangsu 210004, China

Received:2023-08-04 Revised:2023-12-06 Online:2024-05-10 Published:2024-05-10
Contact: TONG Meiling, E-mail: meilingtong111@126.com

摘要/Abstract

摘要： 目的建立南京市学龄前儿童吸气肌的预计值,为评价儿童肺功能及运动能力提供一项参考指标。方法采取分层整群抽样的方法,在南京市主城区抽取236名学龄前儿童,采用Breathe-link呼吸功能评估系统进行吸气肌评估,获得最大口腔吸气压(MIP)及吸气峰流速。采用Pearson相关分析MIP、吸气峰流速与性别、年龄、身高、体重的相关性。采用多元逐步线性回归法获得MIP、吸气峰流速的预计值公式。结果 MIP、吸气峰流速的测量值在男、女童之间,差异无统计学意义(P＞0.05);但在不同年龄组之间,差异具有统计学意义,且随年龄增长呈递增趋势(F_MIP=13.660,P＜0.001,F_{吸气峰流速}=33.581,P＜0.001)。MIP、吸气峰流速与儿童年龄、身高、体重呈正相关(P＜0.001)。分别以MIP、吸气峰流速作为因变量,以年龄、身高、体重为自变量,进行多元逐步线性回归分析。结果表明,回归模型具有显著的统计学意义(F=12.913、22.398,P＜0.001)。回归模型显示,身高是MIP的最佳预测变量,年龄是吸气峰流速的最佳预测变量。结论本研究为国内首个学龄前儿童吸气肌预计值的研究,生成的预计值公式可为临床吸气肌评估提供参考。

关键词: 吸气肌, 最大口腔吸气压, 吸气峰流速, 学龄前儿童

Abstract: Objective To generate reference values for inspiratory muscle of preschool children in Nanjing, so as to provide a reference index for evaluating children′s lung function and exercise performance. Methods A total of 236 preschool children were selected from the main urban area of Nanjing by stratified cluster sampling.The inspiratory muscles were evaluated by breath link respiratory function evaluation system to obtain the maximum inspiratory pressure (MIP) and inspiratory peak flow rate.Pearson analysis was used to determine the correlation of MIP and inspiratory peak flow rate with gender, age, height and weight.Multiple linear stepwise regression analysis was used to obtain the formula of MIP and inspiratory peak flow rate. Results Differences in MIP and peak inspiratory flow rate were not significant between boys and girls (P>0.05), but were statistically significant among different age groups and showed an increasing trend with age (F=13.660, 33.581, P<0.001).MIP and peak inspiratory flow rate were positively correlated with children′s age, height and weight (P＜0.001).The regression model, proved to be statistically significant(F=12.913、22.398,P<0.08), indicated that height was the best predictor of MIP and age was the best predictor of inspiratory peak flow rate. Conclusions This study is the first study on the predicted value of inspiratory muscle in preschool children in China.The predicted value formula can provide a reference for clinical inspiratory muscle evaluation.

Key words: inspiratory muscle, maximum inspiratory pressure, inspiratory peak flow rate, preschool children

中图分类号:

R179

何彦璐, 杨志勇, 陈玮锭, 池霞, 童梅玲. 南京市学龄前儿童吸气肌相关指标预计值研究[J]. 中国儿童保健杂志, 2024, 32(5): 507-510.

HE Yanlu, YANG Zhiyong, CHEN Weiding, CHI Xia, TONG Meiling. Reference values for inspiratory muscle related indexes of preschool children in Nanjing[J]. Chinese Journal of Child Health Care, 2024, 32(5): 507-510.

参考文献

[1] Bhammar DM, Jones HN, Lang JE.Inspiratory muscle rehabilitation training in pediatrics:What is the evidence?[J].Can Respir J, 2022, 2022:5680311.
[2] 曹海燕.重复经颅磁刺激联合吸气肌训练对脑卒中患者肺功能康复的影响[D].苏州:苏州大学,2021:3-13.
Cao HY.Effect of repetitive transcranial magnetic stimulation combined with inspiratory muscle training on rehabilitation of pulmonary function in patients with stroke[D].Suzhou:Soochow University,2021:3-13.(in Chinese)
[3] 吴雨晨,丁楠楠,姜变通,等.阈值负荷吸气肌训练对呼吸肌功能影响的Meta分析[J].中国康复理论与实践,2019,25(10):1150-1162.
Wu YC, Ding NN, Jiang BT, et al.Effect of threshold inspiratory muscle training on respiratory muscle function:A Meta-analysis[J].Chin J Rehabil Theory Pract, 2019, 25(10):1150-1161.(in Chinese)
[4] 孙月,田妍卉,林碧莹,等.使用POWER-breathe进行吸气肌训练对PCI术后患者心肺功能的影响[J].中国老年保健医学,2021,19(3):21-23.
Sun Y, Tian YH, Lin BY, et al.Effect of POWER-breathe muscle training on cardiopulmonary function in patients after PCI[J].Chin J Geriatric Care, 2021,19(3):21-23.(in Chinese)
[5] 朱政,付常喜,马文超.吸气肌训练改善肥胖大学生吸气肌力量和运动能力效果分析[J].中国学校卫生,2021,42(6):838-841.
Zhu Z, Fu CX, Ma WC.Inspiratory muscle training improves inspiratory muscle strength and exercise performance in obese college students[J].Chin J Sch Health, 2021, 42(6):838-841.(in Chinese)
[6] Areias G, Luan RS, Teixeira DS, et al.Concurrent validity of the static and dynamic measures of inspiratory muscle strength:Comparison between maximal inspiratory pressure and s-index[J].Braz J Cardiovasc Surg, 2020, 35(4):459-464.
[7] Verma R, Chiang J, Qian H, et al.Maximal static respiratory and sniff pressures in healthy children.A systematic review and meta-analysis[J].Ann Am Thorac Soc, 2019, 16(4):478-487.
[8] 冯慧,付娟娟,开绍江,等.Breath-link呼吸功能评估在老年卒中人吸气肌功能评价中的应用研究[J].实用老年医学,2019,33(5):433-436.
Feng H,Fu JJ,Kai SJ, et al.Study of Breath-link respiratory function assessment on inspiratory muscle function in the elderly patients with stroke[J].Pract Geriatr, 2019, 33(5):433-436.(in Chinese)
[9] 张皓,邬宇芬,黄剑峰,等.儿童肺功能检测及评估专家共识[J].临床儿科杂志,2014, 32(2):104-114.
Zhang H, Wu YF, Huang JF, et al.Expert consensus on detection and assessment of lung function in children expert consensus on detection and assessment of lung function in children[J].J Clin Pediatr, 2014, 32(2):104-114.(in Chinese)
[10] Decrue F, Gorlanova O, Usemann J, et al.Lung functional development and asthma trajectories[J].Semin Immunopathol, 2020, 42(1):17-27.
[11] Allinson JP, Chaturvedi N, Wong A, et al.Early childhood lower respiratory tract infection and premature adult death from respiratory disease in Great Britain:A national birth cohort study[J].Lancet,2023, 401(10383):1183-1193.
[12] 中华医学会儿科学分会呼吸学组肺功能协作组.儿童肺功能系列指南(一):概述[J].中华实用儿科临床杂志,2016,31(9):653-658.
Pulmonary Function Collaboration Group, Respiratory Science Group, Pediatrics Society of Chinese Medical Association.Seriesguidelines on pulmonary function in children:Overview[J].J Applied Clin Pediatr, 2016,31(9):653-658.(in Chinese)
[13] Heinzmann-Filho JP, Vasconcellos Vidal PC, Jones MH, et al.Normal values for respiratory muscle strength in healthy preschoolers and school children[J].Respir Med, 2012, 106(12):1639-1646.
[14] Choi WH, Shin MJ, Jang MH, et al.Maximal inspiratory pressure and maximal expiratory pressure in healthy Korean children[J].Ann Rehabil Med, 2017,41(2):299-305.
[15] 王景刚,负国俊,叶天航,等.呼吸肌训练对脑瘫患儿运动功能的影响[J].中国康复, 2019, 36(7):423-426.
Wang JG, Fu GJ, Ye TH, et al.Effect of respiratory muscle training on motor function in children with cerebral palsy[J].Chin J Rehabil, 2019, 36(7):423-426.(in Chinese)
[16] Martins R, Wamosy RMG, Cardoso J, et al.Evaluation of cardiopulmonary system outcomes in children with developmental coordination disorder:A systematic review[J].Hum Mov Sci, 2021, 80:102888.
[17] 邵光花,李丽丽,刘冬云.早产儿肺功能检查的临床应用研究进展[J].发育医学电子杂志,2019,7(1):64-69.
Shao GH, Li LL, Liu DY.Progress of clinical application of lung function test in premature infants[J].J Dev Med (Electronic Version), 2019,7(1):64-69.(in Chinese)
[18] 姜源,徐红贞,陈志敏.儿童肺康复应用进展[J].中华实用儿科临床杂志, 2022, 37(18):1434-1437.
Jiang Y, Xu HZ, Chen ZM.Application of pulmonary rehabilitation in children[J].Chin J Appl Clin Pediatr, 2022, 37(18):1434-1437.(in Chinese)
[19] 李竹霞,舒畅.肺康复治疗在儿童哮喘管理中的应用[J].国际儿科学杂志, 2019, 46(12):911-914.
Li ZX, Shu C.Pulmonary rehabilitation for children with asthma[J].Int J Pediatr, 2019, 46(12):911-914.(in Chinese)
[20] 刘锐.吸气肌训练在儿童支气管哮喘中的应用前瞻性队列研究[D].重庆:重庆医科大学, 2022:5-13.
Liu R.Application of inspiratory muscle training in children withbronchial asthma:A prospective cohort study[D].Chongqing:Chongqing Medical University, 2022:5-13.(in Chinese)

南京市学龄前儿童吸气肌相关指标预计值研究

Reference values for inspiratory muscle related indexes of preschool children in Nanjing

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