在患有1型糖尿病的儿童中,早期的肺扩散异常和呼吸道炎症
Pierachille Santus1,2, Marina Saad3, Elisa Giani4
1Division of Respiratory Diseases, Ospedale L. Sacco, ASST Fatebenefratelli-Sacco, Milan, Italy. pierachille.santus@unimi.it.
Acta diabetologica
|October 19, 2023
概括
儿童的1型糖尿病会损害肺功能和运动能力,由扩散性肺容量减少和有氧健身不佳表明. 在儿科T1D患者中存在早期肺部异常.
科学领域:
- 儿科肺病学 儿科肺病学
- 儿科内分泌学 儿科内分泌学
- 运动生理学 运动生理学
背景情况:
- 已知1型糖尿病 (T1D) 会影响成年人的肺功能和运动能力.
- 关于T1D对儿童肺功能和心肺呼吸能力的影响的研究有限.
- 与T1D相关的炎症和血管损伤可能会导致早期的肺部变化.
研究的目的:
- 为了研究T1D儿童的肺功能和心肺呼吸能力.
- 为了比较T1D儿童在运动前和运动后的肺功能,与健康对照对比.
- 为了确定儿科T1D的早期肺部异常.
主要方法:
- 研究包括24名T1D儿童和20名健康对照.
- 进行了肺功能测试 (体囊造影,一氧化碳的扩散肺容量,部分呼出的氧化).
- 测试是在休息状态和心肺运动测试后进行的.
主要成果:
- 与对照组相比,患有T1D的儿童对一氧化碳的总肺容量和扩散肺容量降低了基线值.
- T1D组表现出较低的运动能力和有氧健身.
- 对一氧化碳的扩散肺容量在对照人群中随着运动增加,但在T1D患者中没有增加.
- 在T1D患者中,分量呼出的氧化在基线时较高,并在运动时增加,与对照组不同.
结论:
- 患有T1D的儿童对一氧化碳的扩散肺容量发生变化,呼吸中氧化分数增加.
- 儿童T1D有氧健身不良表明运动限制.
- 这些发现表明1型糖尿病儿童的早期肺部异常.
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