大肺或正常肺的潜水员:这种差异是否合理?
Pieter-Jan Am van Ooij1,2,3, Robert A van Hulst4
1Diving Medical Centre, Royal Netherlands Navy, Den Helder, the Netherlands.
Diving and hyperbaric medicine
|March 16, 2025
概括
肺部较大 (LLs) 的潜水员不会面临更高的去压力疾病 (DCI) 或气球风险. 这项研究发现,在LL和正常肺 (NL) 的潜水员之间,DCI或泡率没有显著差异.
科学领域:
- 肺部生理学 肺部生理学
- 潜水医学是一门潜水医学.
- 放射学 放射学是一门学科.
背景情况:
- 与一般人群相比,潜水员往往表现出较大的肺体积.
- 肺巴罗创伤可能导致气泡或减压疾病 (DCI),可能在有较大的肺 (LLs) 个体中更频繁.
研究的目的:
- 为了比较肺功能,高分辨率CT (HRCT) 扫描结果,适应性潜水率,以及LLS与正常肺 (NLs) 的潜水员中DCI患病率.
主要方法:
- 从2011年到2020年进行的健身检查,肺功能测试和HRCT结果的回顾性分析.
- 潜水员被分为LL (FVC z-score >1.96) 和NL (FVC z-score ≤1.96) 的潜水员.
- 在两组之间比较水泡,DCI和不适合潜水的比率.
主要成果:
- 在1069名受试者中,65名男性潜水员符合LL标准.
- 与NL相比,LL组的FVC和FEV1z分数较高,但FEV1/FVC比率较低.
- 在LL和NL组之间,没有观察到凸骨,DCI或不适合潜水的比率有显著差异.
结论:
- 尽管LL组的FEV1/FVC比率较低,但结核和DCI率与NL组相似.
- 与NLs患者相比,LLs患者似乎没有患或DCI的风险增加.
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