Rathod Mitali B, Budensab Amal, Bhalla Sarvasv, Mahesh Neethi Kavi, Alex Elizabeth, Jesudas Mariam
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.
Cureus. 2024 Feb 26;16(2):e54979. doi: 10.7759/cureus.54979. eCollection 2024 Feb.
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.
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.
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.
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.
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。
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。
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。
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。