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在一家三级保健中心进行肺功能检查的患者中的阻塞性肺病:一项描述性横断面研究。

Obstructive Lung Disease among Patients Performing Spirometry in a Tertiary Care Centre: A Descriptive Cross-sectional Study.

机构信息

Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.

Department of Internal Medicine, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2022 Sep 1;60(253):777-780. doi: 10.31729/jnma.7455.

Abstract

INTRODUCTION

Obstructive lung disease is a leading cause of morbidity and mortality worldwide which causes economic and social burdens. Spirometry is a standard test for screening and evaluating patients with symptoms of chronic respiratory diseases and is the investigation of choice for identifying airflow obstruction. Chronic obstructive lung disease prevalence, mortality, and morbidity vary across different countries. The study aimed to find out the prevalence of obstructive lung disease among the patients performing spirometry in a tertiary care centre.

METHODS

A descriptive cross-sectional study was conducted in the pulmonary function test clinic of the Department of Internal Medicine of a tertiary care hospital between 1 October 2021 and 31 March 2022 from hospital records. Ethical approval was taken from the Institutional Review Committee (Reference number: 200320203). Convenience sampling was done. Point estimate and 95% Confidence Interval were calculated.

RESULTS

Among 401 patients, obstructive lung disease was present in 173 (43.14%) (38.29-47.99, 95% Confidence Interval). The mean age was 55.78±18.54 years. The most common symptom for referral was dyspnea seen in 151 (87.30%).

CONCLUSIONS

The prevalence of obstructive lung disease in our study was higher compared to other studies from the similar setting. Spirometry should be used more frequently for diagnosis and to stratify patients for appropriate treatment.

摘要

简介

阻塞性肺疾病是全球发病率和死亡率的主要原因,给经济和社会带来负担。肺量计检查是筛查和评估有慢性呼吸道疾病症状患者的标准检查,也是识别气流阻塞的首选检查。慢性阻塞性肺疾病的患病率、死亡率和发病率在不同国家有所不同。本研究旨在了解三级护理中心进行肺量计检查的患者中阻塞性肺疾病的患病率。

方法

这是一项在 2021 年 10 月 1 日至 2022 年 3 月 31 日期间在一家三级医院内科肺功能检查诊所进行的描述性横断面研究,从医院记录中获取数据。该研究获得了机构审查委员会的伦理批准(参考编号:200320203)。采用方便抽样法。计算了点估计值和 95%置信区间。

结果

在 401 名患者中,173 名(43.14%)(38.29-47.99,95%置信区间)患有阻塞性肺疾病。平均年龄为 55.78±18.54 岁。最常见的转诊症状是呼吸困难,有 151 例(87.30%)。

结论

与类似环境下的其他研究相比,本研究中阻塞性肺疾病的患病率更高。应更频繁地使用肺量计检查进行诊断,并对患者进行分层,以进行适当的治疗。

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