在接受灵活支气管镜检查的复发性多合体炎患者中,与严重不良事件相关的危险因素
Shao-Ting Wang1,2, Jinglan Wang1,2, Xiaoxing Gao1,2
1Department of Pulmonary and Critical Care Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, #1 Shuaifuyuan Hutong, Beijing, 100730, China.
Orphanet journal of rare diseases
|February 9, 2024
概括
经过支气管镜检查的复发性多重合体炎 (RP) 患者面临风险. 低强迫生命能力 (FVC) 或FVC%表明严重不良事件的可能性更高,需要仔细的程序前评估.
科学领域:
- 肺部病理学 肺部病理学
- 类风湿病学 类风湿病学
- 医疗程序 医疗程序
背景情况:
- 复发性多重合体炎 (RP) 可以导致气道损害.
- 支气管镜检查对于诊断RP患者的呼吸道问题至关重要.
- 识别RP中支气管镜检查期间发生不良事件的风险至关重要.
研究的目的:
- 为了确定在患有复发性多合体炎的患者的支气管镜检查期间严重不良反应的危险因素.
- 为了比较RP患者在支气管镜检查期间出现或没有严重不良反应的临床特征和疾病模式.
主要方法:
- 对82名复发性多重体炎患者进行了回顾性队列研究.
- 临床特征和疾病模式的比较.
- 二元物流回归分析以确定严重不良事件的风险因素.
主要成果:
- 严重的不良影响与明显降低的强迫生命能力 (FVC),预测的FVC百分比 (FVC%) 和峰值呼气流量有关.
- 低FVC% (赔率比,0.930;P=0.009) 被确定为严重不良事件的独立风险因素.
结论:
- 减少FVC或FVC%预测在RP患者的支气管镜检查期间存在严重副作用的高风险.
- 对高风险患者来说,精心进行支气管检查前的评估和为紧急气道管理做好准备至关重要.
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