論文

査読有り 国際誌
2019年10月

Objective evaluation of wheezing in normal infants.

Pediatrics international : official journal of the Japan Pediatric Society
  • Yoshifumi Murayama
  • ,
  • Hiromi Shioya
  • ,
  • Hiromi Tadaki
  • ,
  • Manabu Miyamoto
  • ,
  • Shigemi Yoshihara
  • ,
  • Hideyuki Tabata
  • ,
  • Hiroyuki Furuya
  • ,
  • Atsushi Uchiyama
  • ,
  • Hiroyuki Mochizuki

61
10
開始ページ
956
終了ページ
961
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1111/ped.13994

BACKGROUND: To evaluate the frequency of wheezing in infants, the presence of wheezing was examined in normal infants using a breath sound analyzer, METHODS: A total of 443 infants (age range, 3-24 months) were included in the present study. The existence of audible wheezing and faint wheezing/inaudible wheezing-like noises (FW) was confirmed on chest auscultation and a sound spectrogram. The breath sound parameters of the sound spectrum, frequency limiting 99% of power spectrum (F99 ), roll-off from 600 to 1,200 Hz (slope) and spectrum curve indices, total area under the curve of dB data (A3 /AT and B4 /AT ), and ratio of power and frequency at 50% and 75% of the highest frequency of the power spectrum (RPF50 and RPF75 ) were calculated. Using an original Japanese questionnaire, we examined the characteristics of the airway condition of all infants. RESULTS: Finally, a total of 398 infants were analyzed in the present study, and 283 were in good health while 115 had acute respiratory infection (ARI) in the last 7 days. No infants had audible wheezing on auscultation. Three infants without ARI (1.1%) and 10 infants with ARI (8.7%) had FW. In the evaluation of breath sound parameters, there were no marked differences between the infants with and without FW. CONCLUSIONS: Using a breath sound analyzer, wheezing and FW were recognized in only a few infants in good health. Infants recognized to have audible wheezing in daily practice may be at risk of developing recurrent wheezing/asthma.

リンク情報
DOI
https://doi.org/10.1111/ped.13994
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/31449704
ID情報
  • DOI : 10.1111/ped.13994
  • ISSN : 1328-8067
  • PubMed ID : 31449704

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