[糖尿病对支气管切除症的影响]
1Department of Respiratory and Critical Care Medicine, Shanghai Pulmonary Hospital, Tongji University, Shanghai 200433, China.
概括
支气管切除症患者的糖尿病与较差的营养状况,更严重的症状和急性恶化的风险增加有关. 由于这种情况,这些患者也面临更高的财务负担.
科学领域:
- 肺部病理学 肺部病理学
- 内分泌学 在内分泌学.
- 临床医学 临床医学
背景情况:
- 支气管切除症是一种慢性呼吸道疾病.
- 糖尿病是一种代谢障碍,具有显著的系统影响.
- 支气管切除症和糖尿病之间的相互作用需要进一步研究以了解临床结果.
研究的目的:
- 为了研究患有支气管切开症和并发性糖尿病的患者的临床特征和疾病严重程度.
- 为了比较支气管切除症和糖尿病患者与单独支气管切除症患者之间的结果.
- 为了确定与患有糖尿病的支气管切除症患者疾病严重程度相关的因素.
主要方法:
- 从上海肺部医院 (2017-2021) 的1310名支气管切除症住院患者的回顾性分析.
- 倾向性得分匹配 (1:4比) 用于比较78名支气管和糖尿病患者与269名无糖尿病支气管患者.
- 使用t测试,非参数测试和千平方测试对临床特征,实验室结果,感染和疾病严重程度进行比较分析.
主要成果:
- 支气管切除 - 糖尿病组年龄较大,表现出较低的前白蛋白水平,表明营养状况较差.
- 支气管切除症和糖尿病患者的医学研究委员会 (mMRC) 修改得分显著更高,因恶化而住院的频率增加,支气管切除症严重性指数 (BSI) 得分更高.
- 在支气管切除-糖尿病组中观察到更高的住院费用. 禁食血糖,尿液葡萄糖和BSI得分与疾病严重程度有积极的相关性,而前白蛋白显示出负相关性.
结论:
- 支气管切除症患者的并发性糖尿病与较差的营养状况,更严重的呼吸道症状和急性恶化风险更高有关.
- 糖尿病会加剧支气管切除症的严重程度,由较高的BSI得分和医疗保健利用率的增加表明.
- 有效的糖尿病管理对于改善治疗结果和减轻支气管病患者的负担至关重要.
更多相关视频
相关概念视频
01:26COPD: Management Using Bronchodilators and Corticosteroids
188
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
188
01:22Chronic Obstructive Pulmonary Disease
1.2K
COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
1.2K
01:20Chronic Obstructive Pulmonary Disease-II: Pathophysiology
2.7K
Chronic Obstructive Pulmonary Disease (COPD) pathophysiology is intricate and multifaceted, involving a complex interplay of physiological processes. Understanding these mechanisms is crucial for effectively managing and treating COPD. Here is an in-depth look at the critical elements in the pathophysiology of COPD:
Chronic Inflammation
Chronic Inflammation
2.7K
01:25Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
2.7K
Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
2.7K
01:23The Bronchial Tree
2.2K
The human bronchi and bronchial tree play a crucial role in the respiratory system, facilitating the exchange of oxygen and carbon dioxide. Let's delve into the intricate structure and functions of these respiratory components.
The trachea, commonly known as the windpipe, is a tube that connects the larynx (voice box) to the bronchi. At a point called the carina, it bifurcates into two primary bronchi. The right primary bronchus is wider, shorter, and more vertical than the left primary...
The trachea, commonly known as the windpipe, is a tube that connects the larynx (voice box) to the bronchi. At a point called the carina, it bifurcates into two primary bronchi. The right primary bronchus is wider, shorter, and more vertical than the left primary...
2.2K
01:29Pulmonary Tuberculosis I
225
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
225