ࡱ> Z\Y~{rbjbjzz.W/JJT+h.:$ H#-"?@ζe-*W80h_,B$B$B$0h<J<:h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hreshold IMT (B@5=8@>2:0 8=A?8@0B>@=KE <KHF) 8 Threshold PEP (B@5=8@>2:0 M:A?8@0B>@=KE <KHF). Threshold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hreshold PEP. "@5=065@ 8<55B ?@C68==K9 :;0?0=, :>B>@K9 A>7405B ?>;>68B5;L=>5 402;5=85 ?@8 2K4>E5. !>?@>B82;5=85 ?@C68=K ?@5>4>;5205BAO ?CB5< =0?@O65=8O M:A?8@0B>@=KE <KHF. 0?@O65=85 M:A?8@0B>@=KE <KHF ?@8 MB>< 8<55B B@5=8@>2>G=K9 MDD5:B, 2 @57C;LB0B5 G53> C25;8G8205BAO A:>@>ABL ?>B>:0 2K4KE05<>3> 2>74CE0 A:>@>ABL ?>B>:0 2K4KE05<>3> 2>74CE0 8 B5< A0<K< A=8605BAO 38?5@8=D;OF8O ?@8 D878G5A:>9 =03@C7:5. @><5 MB>3>, A>?@>B82;5=85 A>740205<>5 =0 2K4>E5 A=8605B M:A?8@0B>@=K9 :>;;0?A 1@>=E8>;, GB> B0:65 C;CGH05B DC=:F8>=0;L=>5 A>AB>O=85 @5A?8@0B>@=>9 A8AB5<K. 4=>2@5<5==> C;CGH05BAO 4@5=8@CNI0O DC=:F8O 1@>=E80;L=>3> 45@520. >:070=8O ?@8<5=5=8O 4KE0B5;L=KE B@5=065@>2 0F85=BK, :>B>@K< A;54C5B =07=0G8BL 4KE0B5;L=K5 B@5=065@K, 4>;6=K 8<5BL A@54=5-BO65;>5, BO65;>5 8;8 :@09=5-BO65;>5 B5G5=85 >A=>2=>3> 701>;520=8O, 081>;55 MDD5:B82=> 4KE0=85 G5@57 B@5=065@K C 1>;L=KE A 4>AB0B>G=> =87:8<8 ?>:070B5;O<8 $1->B 50% 8 =865, B0: :0: ?@8 B0:8E DC=:F8>=0;L=KE ?>:070B5;OE C65 ?@>O2;ONBAO ?@>1;5<K A 4KE0B5;L=>9 <CA:C;0BC@>9 8 ?@8 @01>B5 A 4KE0B5;L=K<8 B@5=065@0<8 ?0F85=BC ?@8E>48BLAO 70B@0G820BL CA8;8O. G5=L 206=> ?><=8BL, GB>, CG8BK20O ?A8E>;>38G5A:CN :0@B8=C 1>;L=KE % C4>2;5B2>@5=85 >B B5@0?88 >=8 ?>;CG0NB, 5A;8 <>3CB ?@>GC2AB2>20BL 55, ?>B@0B8BL =0 =55 4>AB0B>G=> A8;. @><5 B>3>, <=>385 1>;L=K5 % 2 A8;C >?@545;5==KE >A>15==>AB59 (BO65AB8 A>AB>O=8O, 2>7@0AB0 - % @0728205BAO C 1>;LH8=AB20 1>;L=KE ?>A;5 50 ;5B, =0@CH5=8O :>3=8B8B82=KE A?>A>1=>AB59 =5 <>3CB 70=8<0BLAO D878G5A:>9 @5018;8B0F859, =5 ?>=8<0NB 8;8 =5 <>3CB A45;0BL A0<K5 ?@>ABK5 4KE0B5;L=K5 C?@06=5=8O, E>@>H8< 2KE>4>< 4;O B0:8E ?0F85=B>2 O2;O5BAO B@5=8@>2:0 4KE0B5;L=>9 <CA:C;0BC@K ?@8 ?><>I8 B@5=065@>2 Threshold IMT, PEP. @>B82>?>:070=8O 1. @87=0:8 2K@065==>9 38?>:A5<88 8 38?5@:0?=88, CB><;5=8O 4KE0B5;L=>9 <CA:C;0BC@K. 2. C;;57=0O M<D875<0 ?@8 =0;8G88 8AB>@88 =5?>A@54AB25==>3> ?=52<>B>@0:A0. 3. 0;8G85 >1>AB@5=8O BO65;KE A>?CBAB2CNI8E 701>;520=89.  G0AB=>AB8, BO65;K5 701>;520=8O A5@45G=>-A>AC48AB>9 A8AB5<K, BO65;0O 0@B5@80;L=0O 38?5@B>=8O, B0: :0: ?@8 ?@>2545=88 4KE0=8O G5@57 4KE0B5;L=K5 B@5=065@K ?0F85=B 4>;65= 70B@0G820BL 4>2>;L=> <=>3> CA8;89, GB>1K 4>18BLAO MDD5:B82=>AB8 >B 8A?>;L7>20=8O 4KE0B5;L=KE B@5=065@>2 8 C B0:8E ?0F85=B>2 <>65B 2>7=8:=CBL >1>AB@5=85 A>?CBAB2CNI53> :0@48>20A:C;O@=>3> 701>;520=8O. 5B>48:0 ?@8<5=5=8O 4KE0B5;L=KE B@5=065@>2. ;O MDD5:B82=>AB8 4KE0=8O G5@57 Threshold =5>1E>48<> ?5@54 B@5=8@>2:>9 ?@>25AB8 4@5=06 4KE0B5;L=KE ?CB59. - 5A;8 C ?0F85=B0 =01;N40NBAO ?@>1;5<K =>A>2>3> 4KE0=8O, B> >1O70B5;L=> =C6=> ?@>25AB8 ?@><K20=85 =>A>2KE E>4>2 ?@8 ?><>I8 =070;L=>3> 4CH0 A A;01K< @0AB2>@>< <>@A:>9 A>;8. - >1O70B5;L=> ?@>25AB8 4@5=06 4KE0B5;L=KE ?CB59 ?@8 ?><>I8 >BE0@:820NI8E A@54AB2 8 2-03>=8AB>2 :>@>B:>3> 459AB28O, 65;0B5;L=> ?>ABC?;5=85 ;5:0@AB2 2 4KE0B5;L=K5 ?CB8 G5@57 =51C;0975@. B=>A8BLAO : 4KE0=8N G5@57 4KE0B5;L=K5 B@5=065@K =5>1E>48<> B0: 65 :0: 8 : D878G5A:>9 @5018;8B0F88, ?>MB><C 2 >A=>25 B@5=8@>2:8 4KE0B5;L=KE <KHF ;560B B0:85 65 ?@8=F8?K :0: 8 ?@8 B@5=8@>2:5 4@C38E A:5;5B=KE <KHF; 0 8<5==> ?5@53@C7:0, A?5F8D8G=>ABL 8 >1@0B8<>ABL. !>3;0A=> @5:><5=40F8O< ?> ?@8<5=5=8N 8=A?8@0B>@=0O =03@C7:0 C B@5=065@0 Threshold IMTvxz | & B & : \  (  "(h~❩⩝❩}h*uhn%5CJ\aJ"h*uhn%5CJ\aJmH sH hn%CJaJmH sH hnCJaJh%,CJaJhgCJaJhe{CJaJh%bCJaJhM=0CJaJhM=05CJaJhn%CJaJ hHhn% hHhHhn%hH+x2 | ~ $ & D (r##### % $dha$gd $dha$gdP$dha$$dha$$a$<*,(*,."& \ ######% %+Ǽ|sjdYdh|Vh|VCJaJ h|VCJhn5CJaJh|V5CJaJh|Vh|V5CJaJh|Vhn5CJaJhedCJaJ"h*uhn%5CJ\aJmH sH h*uhn%5CJ\aJhn5CJ\aJhRhn%CJaJhPCJaJhRCJaJhn%CJaJhnCJaJhnhn5CJ\aJ!++++,, , ,,,4,6,<,>,,,,r-t-x-z---..b.p.0000 1$1*1綬禚}}uoc]W hkKCJ hCJh+0h5CJ\ h 4lCJhPCJaJh*h|V>*CJhL?h|V>*CJh|Vh|VCJh|Vh|V5CJaJ h\VXCJh|Vh|V5CJh|Vh|VCJaJh|V5CJaJhn5CJaJh|Vhn5CJaJhnCJaJ h|VCJhguh|VCJh|VCJmH sH ! %,,6,,t-00$1*12f34JJ^TVVVW(Wdhgdbs $dha$gdN $dha$gdX $dha$gd"S $dha$gd 4l $dha$gd $dha$gd|V*1.161v1x1z1~1111122 2233"3d3f34667 7T77777D|DDDDDDDDEEEEEEEFF0HŹzz hjCJUh~rh~rCJh~rCJmH sH  h~rCJ hCJ h%p>CJ h 4lCJ hXCJ h"SCJh"ShS5CJ\h"Sh"S5CJ\ hSCJhShSCJhSCJmH sH h*CJmH sH  hCJ h*CJ0 4>;6=0 A>AB02;OBL 30% >B 87<5@5==>9 A8;K 8=A?8@0B>@=KE <KHF (PI max), 0=0;>38G=> M:A?8@0B>@=0O =03@C7:0 C B@5=065@0 Threshold PEP 4>;6=0 A>AB02;OBL 30% >B 87<5@5==>9 A8;K M:A?8@0B>@=KE <KHF (Pe max). 4=0:> =0 ?@0:B8:5 87<5@8BL A8;C 8=A?8@0B>@=KE 8 M:A?8@0B>@=KE <KHF 157 A?5F80;878@>20==>9 0??0@0BC@K =52>7<>6=>. @><5 B>3>, =02O7K20BL >?@545;5==>5 A>?@>B82;5=85 =0 B@5=065@0E ?0F85=B0< % 2 A8;C BO65AB8 8E A>AB>O=8O 4>2>;L=> B@C4=>. ;8=8G5A:89 >?KB ?>:07K205B F5;5A>>1@07=>ABL =0G8=0BL 70=OB8O ?@8 ?><>I8 4KE0B5;L=KE B@5=065@>2 A A>?@>B82;5=8O :>B>@K5 ?0F85=B <>65B ?@5>4>;5BL, 70B@0G820O ?@8 MB>< CA8;8O, =5 701K20O 206=K9 D0:B, G5< 2KH5 =03@C7:0 >B=>A8B5;L=> A8;K 8=A?8@0B>@=KE 8 M:A?8@0B>@=KE <KHF ?0F85=B0, B5< 1>;LH55 C25;8G5=85 A8;K 4>AB8305BAO ?@8 B@5=8@>2:8. 5@2K9 @07 B@5=8@>2:C ?@8 ?><>I8 4KE0B5;L=KE B@5=065@>2 ?@>2>4OB ?>4 @C:>2>4AB2>< <548F8=A:>3> ?5@A>=0;0. @0G >1JOA=O5B @01>BC A B@5=065@>< 8 A>2<5AB=> A ?0F85=B>< 2KAB02;O5B A>?@>B82;5=85 1>;L=><C. !>?@>B82;5=85 2 4KE0B5;L=KE B@5=065@0E 87<5@O5BAO 2 A<. 2>4=. AB>;10 (cmH2O), C Thresholda IMT >=> A>AB02;O5B >B 7 4> 41cm H 2O, C Thresholda PEP A>AB02;O5B >B 4 4> 20 cm H2O. 0;55 :064K5 2 =545;8 B@5=8@>2:8 ?0F85=B ?>2KH05B A>?@>B82;5=85 =0 >4=C 3@040F8N. 5:><5=4C5<>5 2@5<O ?@>2545=8O B@5=8@>2:8 ?> 15 <8=CB 2 @070 2 45=L, >4=0:> 4;O <=>38E ?0F85=B>2 70=8<0BLAO 2 B5G5=85 15 <8=CB 4>AB0B>G=> B@C4=>, B5< 1>;55 =5>1E>48<> 8A?>;L7>20BL >10 B@5=065@0 8 ?0F85=BC ?@845BAO 4KH0BL, ?@5>4>;520O A>?@>B82;5=85 ?@0:B8G5A:8 2 B5G5=85 30 <8=CB, GB> 4;O 1>;L=KE % =5 2>7<>6=>. >MB><C <K @5:><5=4C5< 4KH0BL :064K< B@5=065@>< >B 5-10 <8=CB 3 @070 2 ACB:8, ?@8G5< >G5@54=>ABL B@5=065@0 =5 8<55B 7=0G5=85. 081>;LH55 C;CGH5=85 C ?0F85=B>2 =01;N405BAO : 3  < <5AOF0<. > B@5E <5AOF52 ?0F85=BK A8AB5<0B8G5A:8 C25;8G820NB =03@C7:C, 70B5< <>65B =0ABC?8BL MDD5:B ?;0B>. 0728B85 ?;0B> >B@0605B >A=>2=>5 A2>9AB2> 040?B0F88 <KHF : A8;5 AB8<C;0 ?@8 B@5=8@>2:8, ?@8 MB>< ?0F85=B =5 4>;65= >B<5=OBL B@5=8@>2:8 A B@5=065@0<8. >AB5?5==> MDD5:B ?;0B> ?@>945B 8 ?0F85=B ?>GC2AB2C5B, GB> <>65B 40;LH5 C25;8G820BL =03@C7:C. A;8 ?0F85=B ?@8 ?@8<5=5=88 4KE0B5;L=KE B@5=065@>2 4>945B 4> :>=5G=>3> 7=0G5=8O, B> A MB8< 7=0G5=85< >= 8 1C45B B@5=8@>20BLAO 2 40;L=59H5<. A;8 ?0F85=B 4>AB8305B >?@545;5==>3> ?>@>30 A>?@>B82;5=8O, :>B>@>5 =5 <>65B ?@5>4>;5BL, B> 2 40;L=59H5< >= ?@>4>;605B B@5=8@>20BLAO =0 4>AB83=CB>< C@>2=5. @8<5@K 8A?>;L7>20=8O 4KE0B5;L=KE B@5=065@>2 @8<5@ 1. >;L=>9 A % BO65;>9 AB5?5=8, 30 <$1<50%. 0G8=05B B@5=8@>2:C A B@5=065@0 Threshold PEP #B@><, ?>A;5 2A5E 8=30;OF89, A>?@>B82;5=85 13 A<. 2  5-10 <8=. =5<, A>?@>B82;5=85 13A< 2- 5-10 <8= 5G5@><, ?>A;5 2A5E 8=30;OF89, A>?@>B82;5=85 13 A<. 2  5-10 <8=. >A;5 ?@8<5=5=8O Threshold PEP, G5@57 10, 15 <8= B@5=8@>2:0 A ?><>ILN B@5=065@0 Threshold IMT 2 B5G5=85 5-10 <8=, A>?@>B82;5=85 15 A< 2, B0: 65 3 @070 2 ACB:8. !>?@>B82;5=85 A>E@0=O5BAO 2 B5G5=85 =545;8, ?>A;5 G53> ?>2KH05BAO =0 >4=C 3@040F8N. "01;8F0 1. @8<5@ 1. >340 8A?>;L7>20BL!>?@> B82;5=85 !<.2 Threshold PEP!>?@> B82;5=85 !<.2 Threshold IMT#B@>135-10 <8=.155-10 <8=.5=L135-10 <8=.155-10 <8=.5G5@135-10 <8=.155-10 <8=. @8<5@ 2. >;L=>9 <>65B ?@5>4>;5BL A>?@>B82;5=85 Threshold PEP 15 A< 2, 2 B5G5=85 15 <8=, 70B5< >= 45;05B ?5@5@K2 =0 10 <8=. 8 70=8<05BAO A Threshold IMT, A>?@>B82;5=85 17 A< 2, B> 65 15 <8=. 0=OB85 ?@>2>48BAO 420 @070 2 45=L, CB@>< 8 25G5@>< ?>A;5 2A5E 8=30;OF89. !>?@>B82;5=85 A>E@0=O5BAO 2 B5G5=85 =545;8, ?>A;5 G53> ?>2KH05BAO =0 >4=C 3@040F8N. "01;8F0 2. @8<5@ 2. >340 8A?>;L7>20BL!>?@> B82;5=85 !<.2 Threshold PEP!>?@> B82;5=85 !<.2 Threshold IMT#B@>1515 <8=.1715 <8=.5G5@1515 <8=.1715 <8=. @8<5@ 3. >;L=>9 A :@09=5 BO65;>9 %, $ 1<30%. >;L=>9 <>65B B@5=8@>20BLAO =0 Threshold PEP A A>?@>B82;5=85< 8-9 A< 2 2 B5G5=88 5 <8=. 8 G5@57 10 <8= =0 Thresholde IMT A A>?@>B82;5=85< 10 A< 2. "0:CN B@5=8@>2:C ?@>2>48BL 3 @070 2 ACB:8 CB@>< ?>A;5 2A5E 8=30;OF89, 4=5< 8 25G5@>< ?>A;5 2A5E 8=30;OF89. '5@57 =545;N ?>A;5 ?@>2545=8O B@5=8@>2:8 <>6=> ?>2KH0BL A>?@>B82;5=85 =0 B@5=065@0E =0 >4=C 3@040F8N. "01;8F0 3. @8<5@ 3. >340 8A?>;L7>20BL!>?@> B82;5=85 !<.2 Threshold PEP!>?@> B82;5=85 !<.2 Threshold IMT#B@>8-95-10 <8=.105-10 <8=.5=L8-95-10105-10 <8=.5G5@8-95-10 <8=.105-10 <8=. 5B>48:0 >B:0H;820=8O ;O C;CGH5=8O >BE>645=8O <>:@>BK 8A?>;L7C5BAO Threshold PEP, ?>A;5 ?@>2545=8O >BE0@:820NI59 B5@0?88. 0F85=B 2KAB02;O5B A>?@>B82;5=85 =0 4KE0B5;L=>< B@5=065@5. 0A068205B 7068< =0 =>A 8 4KH8B @B>< G5@57 B@5=065@, ?@8 MB>< ?0F85=B 4>;65= 2K4KE0BL 2 2-3 @070 4>;LH5, G5< 24KE0BL. @>4>;605B 4KH0BL, B0:8< >1@07><, 5-10 @07. 0B5< 2K=8<05B 703C1=8: 87 @>B>2>9 ?>;>AB8 54;5==> 45;05B 3;C1>:89 24>E 8 7045@68205B 4KE0=85 5@5B 703C1=8: B@5=065@0 2 @>B 8 2K4KE05B 1KAB@> 8 M=5@38G=> (>B:0H;8205BAO). (038 3,4,5 ?>2B>@ONBAO >B 4 4> 6 @07, ?>:0 =5 ?@5:@0B8BLAO 2K45;5=85 A5:@5B0. AA;54>20=85 MDD5:B82=>AB8 4KE0B5;L=KE B@5=065@>2   C;L<>=>;>388 1K;> ?@>2545=> 3E <5AOG=>5 8AA;54>20=85 ?> ?@8<5=5=8N 4KE0B5;L=KE B@5=065@>2 C 1>;L=KE % BO65;>9 8 :@09=5 BO65;>9 AB5?5=8 BO65AB8.  B5G5=85 3E <5AOF52 C ?0F85=B>2 C<5=LH8;0AL >4KH:0 =0 1,4 10;;0 ?> H:0;5 MPC (@8A. 1), GB> 4>2>;L=> 7=0G8<> 4;O 40==>9 3@C??K ?0F85=B>2. @8 8AA;54>20=88 A8;K 8=A?8@0B>@=>9 <CA:C;0BC@K >=0 4>AB>25@=> C25;8G8;0AL =0 12%, 0 A8;0 M:A?8@0B>@=>9 <CA:C;0BC@K =0 20 % (@8A.2). @8 8AA;54>20=88 DC=:F88 2=5H=53> 4KE0=8O >B<5G5=> 4>AB>25@=>5 C;CGH5=85 ?>:070B5;59 $1 =0 11% 8 ! =0 10,3%, GB> O2;O5BAO 4>2>;L=> ACI5AB25==K< 4;O 40==>9 3@C??K ?0F85=B>2. >:070B5;8 B5AB0 6 <8=CB=>9 E>4L1K B0:65 4>AB>25@=> C;CGH8;8AL 70 3 <5AOF0 =0 60 < (P<0,001). 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