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间质性肺疾病的流行病学及临床放射学特征

Epidemiology and Clinico-radiological features of Interstitial Lung Diseases.

作者信息

Jafri Saira, Ahmed Naseem, Saifullah Nausheen, Musheer Mehak

机构信息

Saira Jafri, MBBS. FCPS (Pulmonology) trainee, Jinnah Postgraduate Medical Centre, Karachi, Pakistan.

Naseem Ahmed, MBBS, FCPS. Assistant Professor, Jinnah Postgraduate Medical Centre, Karachi, Pakistan.

出版信息

Pak J Med Sci. 2020 Mar-Apr;36(3):365-370. doi: 10.12669/pjms.36.3.1046.

Abstract

OBJECTIVE

The literature on interstitial lung diseases is limited. The aim of this research was to make this entity of diseases more understandable to clinicians and general population of the region of Pakistan.

METHODS

We conducted a cross-sectional study on 253 Pakistani subjects who are a part of the hospital-based registry of JPMC. We performed statistical analyses on SPSS version 22.0. We included patients above 15 years of age who exhibited clinical clues and radiological signs of ILD during March 2016 through February 2018 and excluded those who were on tuberculosis treatment, suspected to be suffering from post-infection bronchiectasis, expectant females or had failed to follow-up.

RESULTS

There was a 2:3 male to female ratio. Mean age was 49.0±13.2 years. Majority were non-smokers. Idiopathic Pulmonary Fibrosis (IPF) was the commonest ILD (38.8%) followed by Non-Specific Interstitial Pneumonitis (NSIP) (15.1%). Most patients presented with dyspnea and dry cough and about half were clubbed (47.3%). Substantial IPF cases (52.6%) were suffering from GERD symptoms.

CONCLUSION

IPF and NSIP were the major ILDs, GERD was the only predictor of IPF. This entity of lung diseases needs to be explored further to identify patterns of presentation and to make diagnosis at a manageable stage.

摘要

目的

关于间质性肺疾病的文献有限。本研究的目的是使巴基斯坦该地区的临床医生和普通民众更易于理解这一疾病实体。

方法

我们对作为卡拉奇真纳医院基于医院登记系统一部分的253名巴基斯坦受试者进行了横断面研究。我们在SPSS 22.0版本上进行了统计分析。我们纳入了2016年3月至2018年2月期间出现间质性肺疾病临床线索和放射学征象的15岁以上患者,并排除了正在接受结核病治疗、疑似患有感染后支气管扩张、孕妇或未能随访的患者。

结果

男女比例为2:3。平均年龄为49.0±13.2岁。大多数为非吸烟者。特发性肺纤维化(IPF)是最常见的间质性肺疾病(38.8%),其次是非特异性间质性肺炎(NSIP)(15.1%)。大多数患者表现为呼吸困难和干咳,约一半患者有杵状指(47.3%)。相当一部分IPF病例(52.6%)有胃食管反流病(GERD)症状。

结论

IPF和NSIP是主要的间质性肺疾病,GERD是IPF的唯一预测因素。这一肺部疾病实体需要进一步探索,以确定其表现模式,并在可控制阶段进行诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c336/7150376/f4d4d141677f/PJMS-39-365-g001.jpg

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