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囊性纤维化患者的生存取决于突变类型和营养状况。

Survival of Patients with Cystic Fibrosis Depending on Mutation Type and Nutritional Status.

机构信息

Department of Human Biological Development, Institute of Anthropology, Faculty of Biology, Adam Mickiewicz University in Poznan, 89 Umultowska Street, 61-614, Poznan, Poland.

Department of Pulmonology, Allergology and Respiratory Oncology, Poznan University of Medical Sciences, 84 Szamarzewskiego Street, 60-569, Poznan, Poland.

出版信息

Adv Exp Med Biol. 2018;1023:65-72. doi: 10.1007/5584_2017_66.

Abstract

The purpose of the study was to evaluate the influence of nutrition and of the severity of mutation type on survival rate in cystic fibrosis (CF) patients. Data were longitudinally collected from 60 hospitalized adult CF patients, aged 18-50. The variables consisted of body mass index (BMI) ratio, Cole's BMI cut-off points, severity of mutation type, and survival rate of CF patients. We found that the mean BMI was strongly associated with the severity of mutation type and was significantly lower in patients with severe mutations of grade I and II. The mutation type significantly affected the patients' survival rate; survival was greater in patients with mild and undefined mutation types. The BMI and Cole's cut-off points also had a significant influence on survival rate. CF patients, who suffered from malnutrition and emaciation, had a shorter survival rate than those with proper nutritional status. In conclusion, the study findings confirmed a significant effect of nutritional status and of mutation type on survival rate of CF patients.

摘要

本研究旨在评估营养状况和突变类型严重程度对囊性纤维化 (CF) 患者生存率的影响。数据来自 60 名住院成年 CF 患者,年龄在 18-50 岁之间。变量包括体重指数 (BMI) 比值、Cole 的 BMI 截断值、突变类型严重程度和 CF 患者的生存率。我们发现,平均 BMI 与突变类型的严重程度密切相关,I 级和 II 级严重突变的患者 BMI 明显较低。突变类型显著影响患者的生存率;轻度和未定义突变类型的患者生存率更高。BMI 和 Cole 的截断值也对生存率有显著影响。患有营养不良和消瘦的 CF 患者的生存率比营养状况适当的患者短。总之,研究结果证实了营养状况和突变类型对 CF 患者生存率的显著影响。

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