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Global, regional, and national burden of asthma and its attributable risk factors from 1990 to 2019: a systematic analysis for the Global Burden of Disease Study 2019.全球、区域和国家哮喘负担及其归因风险因素:2019 年全球疾病负担研究的系统分析。
Respir Res. 2023 Jun 23;24(1):169. doi: 10.1186/s12931-023-02475-6.
2
Global Disease Burden and Attributable Risk Factor Analysis of Asthma in 204 Countries and Territories From 1990 to 2019.1990年至2019年204个国家和地区哮喘的全球疾病负担及归因风险因素分析
Allergy Asthma Immunol Res. 2023 Jul;15(4):473-495. doi: 10.4168/aair.2023.15.4.473. Epub 2023 Apr 21.
3
Global, regional, and national prevalence of asthma in 2019: a systematic analysis and modelling study.2019 年全球、区域和国家哮喘流行率:系统分析和建模研究。
J Glob Health. 2022 Jun 29;12:04052. doi: 10.7189/jogh.12.04052.
4
Gender differences in asthma perception and its impact on quality of life: a post hoc analysis of the PROXIMA (Patient Reported Outcomes and Xolair In the Management of Asthma) study.哮喘认知中的性别差异及其对生活质量的影响:PROXIMA(哮喘管理中的患者报告结局与奥马珠单抗)研究的事后分析
Allergy Asthma Clin Immunol. 2019 Nov 6;15:65. doi: 10.1186/s13223-019-0380-z. eCollection 2019.
5
Trajectory and mortality of preserved ratio impaired spirometry: the Rotterdam Study.肺活量测定值保存比例受损的轨迹与死亡率:鹿特丹研究
Eur Respir J. 2020 Jan 2;55(1). doi: 10.1183/13993003.01217-2019. Print 2020 Jan.
6
Age- and gender-specific incidence of new asthma diagnosis from childhood to late adulthood.从儿童期到成年后期,新哮喘诊断的年龄和性别特异性发生率。
Respir Med. 2019 Jul-Aug;154:56-62. doi: 10.1016/j.rmed.2019.06.003. Epub 2019 Jun 8.
7
Restrictive Spirometry Pattern, Cardiac Structure and Function, and Incident Heart Failure in African Americans. The Jackson Heart Study.限制性肺通气功能模式、心脏结构和功能与非裔美国人心力衰竭的发生。杰克逊心脏研究。
Ann Am Thorac Soc. 2018 Oct;15(10):1186-1196. doi: 10.1513/AnnalsATS.201803-184OC.
8
Asthma control, lung function, nutritional status, and health-related quality of life: differences between adult males and females with asthma.哮喘控制、肺功能、营养状况及与健康相关的生活质量:成年男性和女性哮喘患者之间的差异
J Bras Pneumol. 2018 Jul-Aug;44(4):273-278. doi: 10.1590/S1806-37562017000000216. Epub 2018 Jun 25.
9
Clinical application of spirometry in asthma: Why, when and how often?肺量计在哮喘中的临床应用:为何、何时以及多久应用一次?
Lung India. 2015 Nov-Dec;32(6):635-7. doi: 10.4103/0970-2113.168139.
10
Asthma under/misdiagnosis in primary care setting: an observational community-based study in Italy.基层医疗环境中哮喘的漏诊/误诊:意大利一项基于社区的观察性研究
Clin Mol Allergy. 2015 Nov 16;13:26. doi: 10.1186/s12948-015-0032-x. eCollection 2015.

哮喘患者肺功能测试的肺量计评估

Spirometric Assessment of Pulmonary Function Tests in Asthma Patients.

作者信息

Rathod Mitali B, Budensab Amal, Bhalla Sarvasv, Mahesh Neethi Kavi, Alex Elizabeth, Jesudas Mariam

机构信息

Department of General Medicine, NAMO Medical College and Research Centre, Silvassa, IND.

Department of General Medicine, SDM (Shri Dharmasthala Manjunatheshwara) College of Medical Sciences and Hospital, Dharwad, IND.

出版信息

Cureus. 2024 Feb 26;16(2):e54979. doi: 10.7759/cureus.54979. eCollection 2024 Feb.

DOI:10.7759/cureus.54979
PMID:38550448
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10972697/
Abstract

BACKGROUND AND AIMS

Asthma is a chronic airway inflammatory disorder that imposes substantial morbidity and mortality. Spirometry is a significant tool for the objective measurement of obstruction among asthmatics. The present study was conducted to assess the pulmonary function test parameters among asthmatics and compare the observed and predicted values.

MATERIALS AND METHODS

This cross-sectional research was performed on 120 asthmatic patients who attended a tertiary care healthcare center and underwent spirometry evaluation. The spirometry indices such as forced vital capacity (FVC), forced expiratory volume in one second (FEV1), FEV1/FVC ratio, peak expiratory flow rate (PEFR), and maximal voluntary ventilation (MVV) were recorded. Further, a gender-wise comparison of spirometry indices was also done.

RESULTS

There was a substantial decrease in FVC (2.05 ± 0.12 vs. 2.75 ± 0.24 L/sec; p = 0.02), FEV1 (1.78 ± 0.16 vs. 2.38 ± 0.32 L/sec; p = 0.01), FEV1/FVC ratio (74 ± 4.38 vs. 83 ± 5.76 %; p = 0.01), PEFR (4.76 ± 0.42 vs. 5.82 ± 0.65 L/sec; p = 0.03), and MVV (78.65 ± 28.45 vs. 115.87 ± 32.15 L/min; p = 0.001) for observed and predicted values. Female asthmatic patients displayed a substantial decline in FVC (p = 0.001), FEV1 (p = 0.006), FEV1/FVC (p = 0.001), and MVV (p = 0.01) when compared to males.

CONCLUSION

This study suggests that asthmatic individuals had impaired lung function upon initial assessment. Female asthmatic patients studied are at increased risk of asthma severity when compared to males.

摘要

背景与目的

哮喘是一种慢性气道炎症性疾病,会导致严重的发病率和死亡率。肺活量测定是客观测量哮喘患者气道阻塞的重要工具。本研究旨在评估哮喘患者的肺功能测试参数,并比较观察值和预测值。

材料与方法

本横断面研究对120名到三级医疗保健中心就诊并接受肺活量测定评估的哮喘患者进行。记录肺活量测定指标,如用力肺活量(FVC)、一秒用力呼气容积(FEV1)、FEV1/FVC比值、呼气峰值流速(PEFR)和最大自主通气量(MVV)。此外,还按性别对肺活量测定指标进行了比较。

结果

观察值与预测值相比,FVC(2.05±0.12对2.75±0.24升/秒;p=0.02)、FEV1(1.78±0.16对2.38±0.32升/秒;p=0.01)、FEV1/FVC比值(74±4.38对83±5.76%;p=0.01)、PEFR(4.76±0.42对5.82±0.65升/秒;p=0.03)和MVV(78.65±28.45对115.87±32.15升/分钟;p=0.001)均有显著下降。与男性相比,女性哮喘患者的FVC(p=0.001)、FEV1(p=0.006)、FEV1/FVC(p=0.001)和MVV(p=0.01)有显著下降。

结论

本研究表明,哮喘患者在初次评估时肺功能受损。与男性相比,所研究的女性哮喘患者哮喘严重程度增加的风险更高。