Tom 4, Nr 4 (2023)
Artykuł przeglądowy
Opublikowany online: 2024-02-12
Wyświetlenia strony 156
Wyświetlenia/pobrania artykułu 12
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Eksport do Mediów Społecznościowych

Eksport do Mediów Społecznościowych

Znaczenie kliniczne i zastosowanie oscylometrii

David A. Kaminsky1, Shannon J. Simpson, Kenneth I. Berger, Peter Calverley, Pedro L. de Melo, Ronald Dandurand, Raffaele L. Dellacà, Claude S. Farah, Ramon Farré, Graham L. Hall, Iulia Ioan, Charles G. Irvin, David W. Kaczka, Gregory G. King, Hajime Kurosawa, Enrico Lombardi, Geoffrey N. Maksym, François Marchal, Ellie Oostveen, Beno W. Oppenheimer, Paul D. Robinson, Maarten van den Berge, Cindy Thamrin, Tłumaczenie: dr hab. n. med. Irena Wojsyk, dr hab. n. med. Eliza Wasilewska
DOI: 10.5603/pp.97483
Pneum Pol 2023;4(4):115-134.

Streszczenie

Ostatnio opublikowany artykuł „Techniczne standardy oscylometrii oddechowej”, zawierał fizjologiczne podstawy pomiarów oscylometrycznych, szczegóły techniczne dotyczące sprzętu, wykonywania badania, kontroli jakości i raportowania wyników. W niniejszym artykule pokazano kliniczne zastosowanie oscylometrii. Obok fizjologicznych podstaw oscylometrii przedstawiono także podstawy interpretacji badania, aktualną wiedzę na temat roli oscylometrii jako czułego markera oporu dróg oddechowych, odpowiedzi na leki rozszerzające oskrzela i czynniki prowokujące skurcz oskrzeli, a także odpowiedzi na stosowane leczenie, szczególnie u chorych na astmę i przewlekłą obturacyjną chorobę płuc (POChP). Wskazano sytuacje, w których oscylometria może przynieść znaczne korzyści, tj. kiedy nie można wykonać spirometrii, ani innych badań czynnościowych układu oddechowego, np. u niemowląt, u chorych cierpiących na choroby nerwowo-mięśniowe, bezdech senny czy przebywających na oddziałach in-tensywnej terapii. Inne potencjalne obszary zastosowania klinicznego oscylometrii obejmują wykrywanie zarostowego zapalenia oskrzelików, dysfunkcji strun głosowych oraz wpływu narażenia środowiskowego. Pomimo ogromnej nadziei związanej z oscylometrią, konieczne jest dostarczenie większej liczby dowodów, potwierdzających użytecz-ność kliniczną, zanim stanie się rutynowo stosowaną metodą, do diagnozowania lub monitorowania chorób układu oddechowego.  

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