低骨肌量和慢性阻塞性肺部疾病的临床结果
Yong Jun Choi1, Hye Jung Park1, Jae Hwa Cho1
1Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.
Tuberculosis and respiratory diseases
|August 15, 2023
概括
低肌肉质量在慢性阻塞性肺病 (COPD) 患者中很常见,但很少测量. 肌肉质量影响COPD的预后和恶化,因此需要标准化查协议来检测.
科学领域:
- 肺部医学 肺部医学
- 老年病的医生 老年病的医生
- 临床营养学 临床营养学
背景情况:
- 肌肉质量下降 (sarcopenia) 是慢性阻塞性肺病 (COPD) 患者经常出现的并发症.
- 在临床实践中,对COPD患者的肌肉质量进行现实评估是非常罕见的.
研究的目的:
- 评估COPD患者肌肉质量测量的性能率.
- 分析肌肉质量,临床参数和COPD预后之间的相关性.
主要方法:
- 对于在2011-2021年期间接受生物电阻分析 (BIA) 的COPD患者的电子病历的回顾性审查.
- 分析肌肉质量测量率和与临床数据和COPD结果的相关性.
主要成果:
- 只有1.1% (270/24,502) 的COPD患者接受了肌肉质量测量.
- 骨肌肉质量指数与专辑蛋白,ALT和肌素/囊素C比率有显著的相关性.
- 男性的骨干肌肉质量指数 (TSMI) 与COPD急性恶化 (AECOPD) 有显著的相关性;TSMI和cystatin C被确定为AECOPD的危险因素.
结论:
- 低肌肉质量会对COPD患者的临床结果产生不利影响.
- 尽管具有临床意义,但肌肉质量测量在COPD治疗中未得到充分利用.
- 建议在COPD患者中建立对皮病查的协议和准则.
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