长期吸入皮质类固醇治疗对支气管喘和慢性阻塞性肺病患者的认知功能的影响
Suikriti Sharma1, Deepika Karki, Kanivi Julitta
1Department of Pharmacy Practice, Krupanidhi College of Pharmacy, Bangalore-560 035, Karnataka, India.
长期使用吸入性皮质类固醇 (ICS) 与喘和COPD患者的认知能力下降有关. 这项研究发现ICS治疗持续时间和认知功能受损之间存在显著的关联.
科学领域:
- 肺部病理学 肺部病理学
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
背景情况:
- 吸入性皮质类固醇 (ICS) 是喘和COPD的主要治疗方法.
- 高的全身皮质类固醇水平与认知障碍有关.
研究的目的:
- 评估长期吸入性皮质类固醇 (ICS) 对喘和COPD患者认知功能的影响.
- 调查ICS治疗时间和认知表现之间的关系.
主要方法:
- 139名患有喘或COPD的住院患者根据ICS治疗持续时间分为三组:新诊断,0.5-1年和>2年.
- 用蒙特利尔认知评估 (MoCA) 尺度评估认知功能,得分≥24表示正常认知.
主要成果:
- 在62.7%的新诊断患者中,观察到认知障碍,73.5%的中期ICS治疗患者和90.3%的长期ICS患者.
- 随着ICS治疗持续时间的增加,人们注意到认知障碍的患病率更高.
结论:
- 吸入性皮质类固醇治疗的持续时间与认知功能的下降显著相关.
- 长期使用ICS可能会对患有呼吸系统疾病的患者的认知表现产生负面影响.
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