诊断准确度的自发喘息测试,以区分正常与异常的螺旋计:一个双门的研究
Gustavo Périssé Moreira Veras1, Amanda Périssé Maia Veras2, Thiago Prudente Bartholo1
1Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Brazilian journal of anesthesiology (Elsevier)
|February 13, 2026
概括
自愿性喘息测试 (VBHT) 显示中等到良好的能力来识别异常的肺功能,作为一个快速的,低成本的分类工具在螺旋计之前. 最大自愿性呼吸暂停吸入时间 (MVAIT) 和呼吸时间 (MVAET) 可以帮助区分正常和异常的螺旋计结果.
科学领域:
- 肺部医学 肺部医学
- 诊断的准确性 诊断的准确性
- 生理学测试 生理学测试
背景情况:
- 自愿性呼吸暂停测试 (VBHT) 是一个简单的,床边评估自愿性呼吸暂停的持续时间.
- VBHT具有作为临床分类工具的潜力,特别是在螺旋计之前.
- 它在非胸部手术前检测异常肺功能时的准确性尚未确定.
研究的目的:
- 为了确定VBHT结果 (MVAIT和MVAET) 和螺旋计之间的相关性.
- 评估MVAIT和MVAET的诊断准确度,以区分正常与异常的螺旋计.
- 评估VBHT作为肺功能评估的初步选工具的实用性.
主要方法:
- 诊断准确性研究涉及成年人正常和异常的螺旋计.
- 参与者被分为正常和异常的螺旋测量组.
- 使用ROC曲线分析测量和分析的最大自愿性呼吸暂停吸入时间 (MVAIT) 和呼吸时间 (MVAET).
主要成果:
- 包括293名参与者;在异常螺旋计组中,MVAIT和MVAET显著较低.
- 平均MVAIT:29.32s (异常) 与47.55s (正常) 相比.
- 平均MVAET:20.40s (异常) 与28.53s (正常) 相比.
- 为了预测正常的螺旋测量,MVAIT ≥45.49s (90.43%的灵敏度,55.06%的特异性) 和MVAET ≥32.86s (90.43%的灵敏度,33.71%的特异性).
结论:
- VBHT是一种安全的,低成本的床边方法,对异常的螺旋计具有中等到良好的区分能力.
- 在正式的螺旋计之前,VBHT可以作为一个快速的初步选工具.
- 建议在手术前的患者群体进行外部验证.
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