患者报告的肺结节患者的呼吸系统症状和相关因素
Weitao Zhuang1,2, Haijie Xu3,4, Junhan Wu1,4
1Department of Thoracic Surgery, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.
在肺结节 (PN) 患者中,呼吸道症状很常见,特别是那些有较大或多个结节的患者. 环境暴露和胸痛等症状显著增加焦虑和抑郁的风险.
科学领域:
- 肺部病理学 肺部病理学
- 放射学 放射学是一门学科.
- 精神病学是一个精神病学.
背景情况:
- 肺结节 (PNs) 通常被认为是无症状的.
- 很大一部分PN患者报告了无法解释的呼吸道症状.
- 这项研究调查了与这些症状相关的患病率和因素.
研究的目的:
- 为了探索肺结节患者的呼吸道症状.
- 确定与这些症状存在相关的因素.
- 评估PN患者呼吸系统症状对心理的影响.
主要方法:
- 对1,633名偶发PNS患者的回顾性分析.
- 评估呼吸道症状和环境因素.
- 后勤回归用于识别风险因素和心理影响,使用医院焦虑和抑郁量表.
主要成果:
- 37.2%的患者报告呼吸道症状,包括咳,胸痛和吐.
- 较大的PNS (>20毫米) 与咳和吐增加相关.
- 多个PN与更高的胸痛概率有关.
- 像被动吸烟和灰尘这样的环境因素是显著的贡献者.
- 呼吸系统症状,特别是胸痛,与焦虑和抑郁症的增加有关.
结论:
- 在PN患者中,呼吸道症状很普遍,与结节的大小/数量和环境暴露有关.
- 这些症状可以显著加剧焦虑和抑郁.
- 了解这些关联对于全面的患者护理至关重要.
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