成年人中螺旋测试失败的患病率,危险因素和临床影响:NHANES 2007-2012年的结果
Cuiqiong Dai1, Lifei Lu1, Zihui Wang1
1State Key Laboratory of Respiratory Disease & National Clinical Research Center for Respiratory Disease & Guangzhou Institute of Respiratory Health & National Center for Respiratory Medicine & Department of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, Guangdong, China.
Pulmonology
|October 14, 2025
概括
失败的螺旋测量是常见的,影响4.8%的成年人. 这种情况与更多的呼吸道症状和更高的死亡风险有关,类似于COPD,突出需要专注的医疗护理.
科学领域:
- 肺部医学 肺部医学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 螺旋测量是诊断呼吸系统疾病的关键工具.
- 一部分参与者可能会在螺旋测量测试中失败,因此需要了解其影响.
研究的目的:
- 为了确定失败的螺旋测量 (FS) 的患病率.
- 确定与FS相关的风险因素.
- 评估FS患者的临床结果,包括呼吸系统症状和全因死亡率,与合格的螺旋测量患者相比.
主要方法:
- 利用了2007-2012年国家健康和营养检查调查 (NHANES) 的数据.
- 参与者被分为三个组:失败的螺旋计 (FS-参与者),没有COPD的合格螺旋计 (QS-非COPD) 和有COPD的合格螺旋计 (QS-COPD).
- 评估了风险因素,并比较了各组的临床影响.
主要成果:
- 螺旋测量失败的患病率为4.8%.
- 螺旋测量失败的危险因素包括年龄较大,男性性别,黑人种族,较低的社会经济地位,自我报告的肺气和脆弱性.
- 失败的螺旋计与呼吸短促,喘息和夜间干咳的几率增加有关.
- 螺旋测量失败的个体具有明显更高的全因死亡风险 (HR: 1.51),与COPD患者相比.
结论:
- 失败的螺旋计是成年人群中普遍存在的问题.
- 它与增加的呼吸道症状和类似于COPD的死亡风险有关.
- 这些发现强调了识别和解决失败的螺旋计的重要性,以改善患者的治疗结果.
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