体重指数对呼吸障碍的影响以及在双边声不运动时需要进行手术的必要性
Samer T Elsamna1, Matthew E Lin2, Teagen Smith3
1Department of Otolaryngology-Head and Neck Surgery, Morsani College of Medicine of the University of South Florida, Tampa, Florida, USA.
概括
增加的身体质量指数 (BMI) 与双边声不运动 (BVFI) 患者更严重的呼吸短促和更高的手术需求相关. 体重管理咨询可能有助于改善这些患者的症状.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 肺部病理学 肺部病理学
- 手术研究的研究.
背景情况:
- 双边声麻 (BVFP) 和后喉狭窄 (PGS) 导致双边声不动 (BVFI),导致呼吸困难和潜在的手术需求.
- 增加的体重指数 (BMI) 对BVFI患者呼吸障碍和手术干预需求的影响尚不清楚.
研究的目的:
- 调查BMI与呼吸障碍严重程度之间的关联以及BVFI患者手术干预的必要性.
主要方法:
- 在美国三个学术中心进行了一项回顾性队列研究.
- 收集的数据包括人口统计,BMI,呼吸障碍指数 (DI),病因,气管切除术状态和手术干预.
- 线性回归和曼·惠特尼U测试被用于分析连续和分类结果,分别.
主要成果:
- 在121名患者中 (52名患有BVFP,69名患有PGS),在整体队列中,增加的BMI与增加的DI (β=.43,P=.016) 和需要手术干预 (OR=1.07,CI=[1.01-1.13]) 显著相关.
- 分层分析显示,BMI与BVFP中的DI显著相关 (β=.496) 和PGS中的手术干预 (OR=1.11,CI=[1.01-1.21]).
结论:
- 升高的BMI可能与恶化的呼吸障碍和在BVFI患者中增加手术干预的必要性有关.
- 减肥咨询可能是管理这种患者群体症状的有益策略.
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