体重指数会影响慢性阻塞性肺病和喘患者的螺旋计指数
Xiaohu Wang1, Hui Gan2, Yimin Wang2
1Department of Respiratory and Critical Care Medicine, People's Hospital of Yangjiang, Yangjiang, China.
Frontiers in physiology
|December 18, 2023
概括
身体质量指数 (BMI) 显著影响COPD和喘患者的精神测量结果. 体重不足和肥胖都会影响疾病的诊断和严重程度,需要在患者管理中加以考虑.
科学领域:
- 肺部医学 肺部医学
- 呼吸系统生理学 呼吸系统生理学
- 临床诊断 临床诊断 临床诊断
背景情况:
- 身体质量指数 (BMI) 是影响精神测量结果的已知因素.
- 在慢性阻塞性肺病 (COPD) 和喘中,BMI对螺旋计的具体影响需要进一步调查.
研究的目的:
- 在被诊断患有COPD或喘的患者中调查不同BMI类别和螺旋计指数之间的关联.
- 确定体重不足,正常体重,超重和肥胖如何影响这些患者群体的呼吸功能测量.
主要方法:
- 对3891名COPD和1208名喘患者的回顾性审查,这些患者接受了带有支气管扩展剂测试的螺旋计 (2017-2021年).
- 患者被分为体重不足 (BMI <18.5公斤/米2),正常体重 (18.524.9公斤/米2),超重 (2529.9公斤/米2) 和肥胖 (≥30公斤/米2).
- 在BMI类别中比较支气管扩展前和后的螺旋体指数 (FEV1,FVC,FEV1/FVC).
主要成果:
- 体重不足的COPD患者与正常体重患者相比,FEV1,FVC和FEV1/FVC值显著降低.
- 超重和肥胖的COPD患者表现出明显更高的FEV1,FVC和FEV1/FVC值.
- 体重不足的喘患者的FEV1,FVC和FEV1/FVC较低,而肥胖的喘患者的FEV1/FVC比率较高.
结论:
- 在COPD和喘患者的BMI类别之间,螺旋计指数存在显著差异.
- 体重不足和肥胖状态都会影响COPD和喘的准确诊断和严重程度评估.
- 临床医生在解释螺旋计结果时应考虑BMI,以改善患者管理和诊断.
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