pulmoПульмонологияPULMONOLOGIYA0869-01892541-9617Scientific and Practical Journal “PULMONOLOGIYA” LLC10.18093/0869-0189-2017-27-1-65-70pulmo-820Research ArticleОБЗОРЫREVIEWОбъемная капнография: возможности применения в пульмонологической практикеVolumetric capnography: abilities in practical pulmonologyАбросимовВ. Н.AbrosimovV. N.

д. м. н., профессор, заведующий кафедрой терапии факультета дополнительного профессионального образования с курсом семейной медицины 

Doctor of Medicine, Professor, Head of Department of Therapy, Faculty of Postgraduate Training and Family Medicine

abrosimov_r@mail.ruБяловскийЮ. Ю.ByalovskiyYu. Yu.

д. м. н., профессор, заведующий кафедрой патофизиологии 

Doctor of Medicine, Professor, Head of Department of Pathophysiology

b_uu@mail.ruСубботинС. В.SubbotinS. V.

очный аспирант кафедры терапии факультета дополнительного профессионального образования с курсом семейной медицины

Postgraduate student, Department of Therapy, Faculty of Postgraduate Training and Family Medicine

subbotinsv.89@mail.ruПономареваИ. Б.PonomarevaI. B.

к. м. н., ассистент кафедры терапии факультета дополнительного профессионального образования с курсом семейной медицины

Candidate of Medicine, Assistant Lecturer, Department of Therapy, Faculty of Postgraduate Training and Family Medicine

docib@ya.ruФедеральное государственное бюджетное образовательное учреждение высшего образования «Рязанский государственный медицинский университет имени академика И.П.Павлова» Министерства здравоохранения Российской ФедерацииРоссияI.P.Pavlov Ryazan State Medical University, Healthcare Ministry of RussiaRussian Federation2017020520172716570Copyright © Абросимов В.Н., Бяловский Ю.Ю., Субботин С.В., Пономарева И.Б., 20172017Абросимов В.Н., Бяловский Ю.Ю., Субботин С.В., Пономарева И.Б.Abrosimov V.N., Byalovskiy Y.Y., Subbotin S.V., Ponomareva I.B.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.pulmonology.ru/pulm/article/view/820

Необходимость изучения новых методов диагностики и оценки параметров дыхания пациента продиктована широким распространением заболеваний респираторной системы. Одним из перспективных инструментов оценки легочной функции является метод объемной капнографии, отражающий особенности паттерна элиминации углекислого газа (CO2) в объеме выдоха, при помощи которого анализируется динамика выделения CO2 по отношению к дыхательному объему и представляется интегральная оценка функционального состояния органов дыхания в виде следующих расчетных показателей: индекс эмфиземы, объем «мертвого» пространства, наклон фаз 2 и 3 и т. п. В обзоре освещены вопросы, касающиеся возможностей применения метода объемной капнографии в клинической практике, в частности при диагностике хронической обструктивной болезни легких (ХОБЛ), бронхиальной астмы (БА), эмфиземы и других заболеваний легких. Продемонстрировано, что неинвазивный, безопасный и простой в использовании метод объемной капнографии может использоваться для оценки параметров дыхания у пациентов с ХОБЛ, БА и эмфиземой легких, однако требуется дальнейшее изучение его диагностических возможностей с целью последующего внедрения в пульмонологическую практику.

The aim of this review was to analyze abilities of a novel diagnostic method intended to measure the lung function. Volumetric capnography is one of the most promising tools for assessing pulmonary function. This method reflects CO2 elimination pattern at the exhaled air volume. Changes in CO2 portion at the tidal volume are related to the integrated evaluation of the respiratory function and could be expressed as the following parameters: emphysema index, the dead space volume, phases 2 and 3 slopes, etc. Possible use of the volumetric capnography for diagnosis of chronic obstructive pulmonary disease, asthma, emphysema, and other respiratory diseases is discussed in the article. This method is simple, non-invasive, and safe. Diagnostic value of the volumetric capnography needs further investigation in order to implement this method in clinical practice.

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The authors declare that there are no conflicts of interest present.