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Macrophage death induced cellular mechanisms and some regulatory pathways of macrophage death related diseases 巨噬细胞死亡诱导的细胞机制及巨噬细胞死亡相关疾病的一些调控途径
Pub Date : 2024-01-15 DOI: 10.18231/j.ijirm.2023.026
Malavika Bhattacharya, Debaleena Samanta
In mammalian physiology the dead cells of body and cellular debris could not be digested by body’s own cellular mechanism. Macrophage is a component living inside the cell sometimes engulf the unrequired cell debris by phagocytosis and became dead by its own, this type of death inside macrophage is called ‘‘Macrophage Death’’ which has been done for our good cytosolic condition. Macrophage death is about many types those have been disclosed later and referred as ‘‘Programmed Cell Death.’’Apoptosis, Autophagy, Necrophagy all are different types of cell death associated with macrophage. When cytotoxicity of a cell condition leads to a cell destroy by its own then often it’s referred as a ‘‘Cellular Suicide’’ where cells die by itself.Macrophages death is a complicated mechanism which directly involves with ER stress, oxidative stress, lost mitochondrial functional ability, lysosomal outburst and other cell particulates dysfunctioning.
在哺乳动物的生理过程中,体内死亡的细胞和细胞碎片无法被自身的细胞机制消化。巨噬细胞是生活在细胞内的一种成分,有时会通过吞噬作用吞噬掉不需要的细胞碎片,并自行死亡,这种巨噬细胞内的死亡被称为 "巨噬细胞死亡",是为了保持良好的细胞膜状态。巨噬细胞死亡有多种类型,后来被称为 "程序性细胞死亡"。巨噬细胞的死亡是一种复杂的机制,直接涉及ER应激、氧化应激、线粒体功能丧失、溶酶体爆发和其他细胞颗粒功能失调。
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引用次数: 0
Specifics of cystic fibrosis genetic spectrum in Georgia 格鲁吉亚囊性纤维化基因谱的具体情况
Pub Date : 2024-01-15 DOI: 10.18231/j.ijirm.2023.029
Ia Khurtsilava, D. Agladze, Tsitsino Parulava, L. Margvelashvili, Oleg Kvlividze
Cystic fibrosis (CF) is a life-threatening autosomal recessive disease caused by mutations in the cystic fibrosis transmembrane conductance regulator gene (CFTR). F508del is the most common mutation in the world. Other mutations are rare and population specific. The study aimed to comprehensively analyze the distribution of CFTR mutations in Georgian CF patients. Knowing the prevalence and characteristics of specific mutations can be reflected in genetic counseling and management strategies. We reviewed the data of 129 CF patients, aged < 18 years, from all parts of Georgia. 91 patients with a clinically confirmed CF diagnosis were tested for CF-causing mutations (constituting 70.5% of all currently registered CF patients in the country). These patients have been analyzed for rare CFTR variants by massively parallel sequencing of the entire CFTR coding region and adjacent introns combined with the analysis of intra-CFTR rearrangements.  CFTR gene analysis revealed 29 mutations in Georgian CF patients. The most common mutation was c.1545_1546delTA (1677delTA) with a frequency of 42.7%, while the second most common mutation, W1282X, was detected in 11.2% of all CF alleles. Another 27 CFTR mutations have low frequency, including F508del (6.7% of alleles). 3 novel mutations were found (c.708dupT; CFTRdele16_17; c.3170C>G) and reported to CFTR2 database.According to the data, the distribution of CFTR mutations in the Georgian CF population differs regarding the high frequency of mutation c.1545_1546delTA (1677delTA) and the low frequency of the predominant F508del mutation. Compared to patients with F508 del and W1282X mutations, patients with 1677delTA have typical manifestations and complications; however, the frequency of growth retardation and liver damage is 3 times, and the frequency of chronic respiratory manifestations and chronic malnutrition is 2 times lower, though pancreatic insufficiency is more severe in patients with 1677delTa. CF-associated diabetes, distal intestinal obstruction syndrome, and hemoptysis were only observed in patients with the 1677delTA mutation. The mortality rate is lower compared to patients with F508del and W1282X mutations.
囊性纤维化(CF)是一种危及生命的常染色体隐性遗传病,由囊性纤维化跨膜传导调节基因(CFTR)突变引起。F508del 是世界上最常见的基因突变。其他突变较为罕见,且具有人群特异性。该研究旨在全面分析格鲁吉亚 CF 患者中 CFTR 基因突变的分布情况。了解特定突变的发生率和特征可以反映在遗传咨询和管理策略中。我们回顾了来自格鲁吉亚各地的 129 名年龄小于 18 岁的 CF 患者的数据。对 91 名经临床确诊为 CF 的患者进行了 CF 致病基因突变检测(占格鲁吉亚目前登记在册的 CF 患者总数的 70.5%)。通过对整个 CFTR 编码区和相邻内含子进行大规模平行测序,并结合 CFTR 内部重排分析,对这些患者进行了罕见 CFTR 变异分析。 CFTR基因分析发现格鲁吉亚CF患者有29个基因突变。最常见的突变是c.1545_1546delTA(1677delTA),频率为42.7%,第二常见的突变是W1282X,在所有CF等位基因中占11.2%。另外 27 个 CFTR 突变的频率较低,包括 F508del(占等位基因的 6.7%)。根据这些数据,格鲁吉亚CF人群中CFTR突变的分布存在差异,其中c.1545_1546delTA(1677delTA)突变频率较高,而主要的F508del突变频率较低。与 F508 del 突变和 W1282X 突变的患者相比,1677delTA 患者具有典型的表现和并发症;但是,1677delTa 患者出现生长迟缓和肝损伤的频率是 F508 del 突变患者的 3 倍,出现慢性呼吸系统表现和慢性营养不良的频率是 F508 del 突变患者的 2 倍,但胰腺功能不全在 1677delTa 患者中更为严重。只有在 1677delTA 突变的患者中才能观察到 CF 相关性糖尿病、远端肠梗阻综合征和咯血。与 F508del 和 W1282X 突变的患者相比,其死亡率较低。
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引用次数: 0
Uncovering the diagnostic value of white blood cell profiles in H1N1 screening 揭示白细胞图谱在甲型 H1N1 流感筛查中的诊断价值
Pub Date : 2024-01-15 DOI: 10.18231/j.ijirm.2023.028
Preethiraj Ballal, Abha Pandey Mahashur, Shruthi Rai P, P. Prabhudesai
This research sought to evaluate the effectiveness of White Blood Cell (WBC) profiles as a screening method for promptly identifying H1N1 infection in individuals exhibiting symptoms of Influenza-like Illness (ILI) and undergoing throat swab testing for H1N1 through the RT-PCR technique. Seventy patients from a tertiary care hospital were included based on specific inclusion and exclusion criteria. Throat swab tests were conducted using RT-PCR, resulting in 35 positive and 35 negative cases for influenza A H1N1. Complete Blood Count (CBC) profiles, including total WBC counts, differential count, neutrophil to lymphocyte ratios, lymphocyte to monocyte ratios, and absolute monocyte count (AMC), were obtained for all subjects. Analysis of the obtained data revealed that increased symptoms, higher monocyte counts, and an Absolute Monocyte Count (AMC) exceeding 800 cells/mm³ were indicative of a higher likelihood of H1N1 positivity. The study suggests that utilizing WBC profiles, particularly the neutrophil to lymphocyte ratios, lymphocyte to monocyte ratios, and AMC, can serve as a valuable screening measure for the early detection of H1N1 infection. This approach may be especially beneficial in peripheral healthcare settings where the standard RT-PCR diagnostic method is time-consuming, enabling timely and appropriate intervention based on CBC results.
本研究旨在评估白细胞(WBC)图谱作为一种筛查方法,在出现流感样疾病(ILI)症状并通过 RT-PCR 技术接受 H1N1 喉拭子检测的患者中及时识别 H1N1 感染的有效性。根据特定的纳入和排除标准,一家三甲医院纳入了 70 名患者。采用 RT-PCR 技术进行了咽拭子检测,结果发现 35 例甲型 H1N1 流感阳性病例和 35 例阴性病例。所有受试者都进行了全血细胞计数(CBC)检查,包括白细胞总数、差值计数、中性粒细胞与淋巴细胞比率、淋巴细胞与单核细胞比率和单核细胞绝对计数(AMC)。对所获数据的分析表明,症状加重、单核细胞计数升高以及单核细胞绝对计数(AMC)超过 800 cells/mm³,表明 H1N1 阳性的可能性较高。研究表明,利用白细胞图谱,尤其是中性粒细胞与淋巴细胞比率、淋巴细胞与单核细胞比率和绝对单核细胞计数,可作为早期检测 H1N1 感染的重要筛查指标。在外围医疗机构中,标准 RT-PCR 诊断方法耗时较长,而这种方法可能特别有益,可以根据白细胞计数结果及时采取适当的干预措施。
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引用次数: 0
Clinico-mycological profile of fungal infections in a tertiary care hospital 一家三级医院真菌感染的临床霉菌学概况
Pub Date : 2024-01-15 DOI: 10.18231/j.ijirm.2023.027
Veenu Gupta, Monica Singh, Rajesh Mahajan, J. Chaudhary, Manisha Aggarwal
The fungal infections are increasing at high rate especially in immune-compromised patients and elderly population. In high risk population, antifungal resistance is becoming a major concern. Antifungal susceptibility testing is important for appropriate management and better outcome of patients. The aim of the study was to know clinico-Mycological profile of fungal infections in admitted patients.This prospective study was carried out in a tertiary care hospital. Various samples were received from patients with suspected fungal infections. All samples were inoculated on SDA except blood & body fluids which were directly inoculated into blood culture bottles and processed in BACTEK/BacTAlert system. Fungal infections were characterized and antifungal susceptibility was done for yeast isolates with VITEK-AST panel. : Out of total 19698 patients suspected of fungal infection, fungal infection was seen in 365 patients , 100% susceptibility was seen to Fluconazole and Echinocandins. Whereas in NAC (non-albicans ), 72.5% susceptibility was seen to fluconazole and Voriconazole (82.5%). Antifungal resistance is major cause of morbidity and mortality. Prompt diagnosis and antifungal susceptibility will offer the early appropriate treatment and better clinical outcome of patient.
真菌感染的发病率越来越高,尤其是在免疫力低下的患者和老年人群中。在高危人群中,抗真菌耐药性正成为一个主要问题。抗真菌药敏试验对于患者的适当管理和更好的治疗效果非常重要。本研究旨在了解入院患者真菌感染的临床-霉菌学概况。这项前瞻性研究在一家三级甲等医院进行,从疑似真菌感染的患者身上采集了各种样本。除血液和体液直接接种到血液培养瓶中并在 BACTEK/BacTAlert 系统中处理外,所有样本均接种到 SDA 上。对真菌感染进行定性,并使用 VITEK-AST 面板对酵母菌分离物进行抗真菌药敏试验。 在总计 19698 名疑似真菌感染患者中,365 名患者出现真菌感染,对氟康唑和棘白菌素类药物的药敏率为 100%。而在 NAC(非赤霉菌)中,72.5%的患者对氟康唑敏感,82.5%的患者对伏立康唑敏感。抗真菌耐药性是发病和死亡的主要原因。及时诊断并确定对抗真菌药物的敏感性,可为患者提供早期适当治疗和更好的临床疗效。
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引用次数: 0
Thymoma presenting as massive pleural effusion: An unusual presentation 胸腺瘤表现为大量胸腔积液:一种不寻常的表现
Pub Date : 2023-10-15 DOI: 10.18231/j.ijirm.2023.023
Vikas Kumar, Shweta Anand, Praveen Kumar Dubey
The mediastinum is an anatomical space between the lungs that houses the thymus, heart, large blood vessels, lymph nodes, nerves, and portions of the esophagus and trachea. It divides into anterior, middle, and posterior compartments. Mediastinal masses encompass a broad histopathological spectrum, ranging from benign to malignant. Fifty percent of mediastinal masses occur in the anterior compartment, the most common of which are thymoma, teratoma, thyroid goiter, and lymphoma. Thymoma is one of the causes of anterior mediastinal masses. The incidence of thymoma is quiet less. It is usually benign in nature. Malignant thymoma is very rare and pleural involvement is further rare. We are reporting a case of malignant thymoma presenting as massive pleural effusion.
纵隔是肺之间的解剖空间,容纳胸腺、心脏、大血管、淋巴结、神经以及部分食道和气管。它分为前室、中室和后室。纵隔肿块包括广泛的组织病理谱,从良性到恶性不等。50%的纵隔肿块发生在前房室,其中最常见的是胸腺瘤、畸胎瘤、甲状腺肿和淋巴瘤。胸腺瘤是前纵隔肿块的病因之一。胸腺瘤的发病率较低。它通常是良性的。恶性胸腺瘤非常罕见,胸膜受累更是罕见。我们报告一例恶性胸腺瘤,表现为大量胸腔积液。
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引用次数: 0
Pulmonary melioidosis misdiagnosed as pulmonary tuberculosis 肺类melidosis误诊为肺结核
Pub Date : 2023-10-15 DOI: 10.18231/j.ijirm.2023.024
Chandan Kumar Sheet, Saibal Ghosh, Subhankar Chatterjee, Biplab Chandra
is a facultative Gram-negative saprophytic bacterium commonly found in soil or contaminated water causing melioidosis. Melioidosis can mimic various other disease due to its heterogenous clinical manifestations and different organ involvement. Because of its versatility it is called as “the great imitator” and remains challenging to diagnose. We report a case of melioidosis misdiagnosed and treated as pulmonary tuberculosis. A 54-year-old male non-smoker with history of diabetes admitted with persistent cough, breathlessness and hemoptysis for 5 months. Initially there was pleuritic chest pain and high-grade fever. He was treated with multiple intravenous broad-spectrum antibiotics and anti-tubercular therapy multiple times in the local hospitals based on clinical symptoms and radiological manifestation though Sputum examination for AFB and Gene xpert for Mycobacterium tuberculosis was negative. Chest radiology showed multiple thick-walled cavities with pericavitary consolidation along with patchy infiltrative opacities. BALF culture identified . The respiratory morbidity was resolved using antibiotics based on antibiotic susceptibility tests. This case study described a case of melioidosis in adult male with diabetes and engaged in farming presented with diverse and indistinct clinical manifestations that mimics many other diseases. Definitive diagnosis was made by isolation , in culture collected through bronchoscopic examination.
是一种兼性革兰氏阴性腐生菌,常见于土壤或受污染的水中,可引起类melidosis。类鼻疽因其异质的临床表现和不同的器官受累而与其他疾病相似。由于它的多功能性,它被称为“伟大的模仿者”,诊断仍然具有挑战性。我们报告一例被误诊为肺结核的类鼻疽病。54岁男性,不吸烟,有糖尿病病史,因持续咳嗽、呼吸困难、咯血5个月入院。最初有胸膜炎性胸痛和高烧。痰液AFB和结核分枝杆菌基因专家检查均阴性,但根据临床症状和影像学表现,多次在当地医院静脉注射广谱抗生素和抗结核治疗。胸片示多发厚壁腔伴腔周实变及斑片状浸润性混浊。确定了half文化。采用抗生素敏感性试验解决呼吸道疾病。本病例研究描述了一例患有糖尿病并从事农业的成年男性类鼻疽,其临床表现多样且不明确,与许多其他疾病相似。通过支气管镜检查收集的培养物进行分离,明确诊断。
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引用次数: 0
Clinical, radiological and microbiological profile of patients with bronchiectasis in a tertiary care center in South Kerala 喀拉拉邦南部三级保健中心支气管扩张患者的临床、放射学和微生物学概况
Pub Date : 2023-10-15 DOI: 10.18231/j.ijirm.2023.018
Stephen Sunny, Mathew Ninan
Bronchiectasis is a common but neglected chronic lung disease. There is paucity of data from Southern India regarding the clinical, radiological and microbiological profile of patients with bronchiectasis. To study the clinical profile, radiological pattern and microbiological flora in patients with bronchiectasis in a tertiary care center in South Kerala. A descriptive cross-sectional study done in 41 patients over 1 year. This study comprised 41 patients, of whom 18 were males (44%) and 23 were females (56.1 %), with a predominant population pertaining to 61-70 years (51.2%). Majority were non-smokers (65%, N=27). Most common cause was post-TB bronchiectasis (34%, N=14). Predominant symptoms were cough (73.2%, N=30) and sputum production (70.7%, N=29), predominant clinical sign was crepitation (73.1%, N=30). Majority had PFT showing obstruction (60.97%, N=25), among which 48% (N=12) had severe obstruction. Radiologically, most common CT pattern was cystic bronchiectasis (46.3%, N=19), predominantly located in lower lobes (63.4%, N=26) with bilateral involvement (65.9%, N=27). was the most frequently isolated organism (43.9%, N=18) followed by (29.3, N=12). Most of our patients were females and post TB bronchiectasis was the leading cause of bronchiectasis. Cough and sputum production were the most common symptoms. was the commonest pathogen isolated from sputum samples. Spirometry showed obstructive pattern in majority of patients and cystic bronchiectasis being most common radiological pattern.
支气管扩张是一种常见但被忽视的慢性肺部疾病。印度南部缺乏关于支气管扩张患者的临床、放射学和微生物学资料。研究喀拉拉邦南部一家三级保健中心支气管扩张患者的临床特征、放射学模式和微生物菌群。对41例患者进行了为期一年的描述性横断面研究。本研究共纳入41例患者,其中男性18例(44%),女性23例(56.1%),主要年龄在61-70岁之间(51.2%)。大多数为非吸烟者(65%,N=27)。最常见的原因是结核后支气管扩张(34%,N=14)。主要症状为咳嗽(73.2%,N=30)和咳痰(70.7%,N=29),主要临床症状为咯噔(73.1%,N=30)。PFT以梗阻为主(60.97%,N=25),其中重度梗阻占48% (N=12)。影像学上,最常见的CT表现为囊性支气管扩张(46.3%,N=19),主要位于下肺叶(63.4%,N=26),累及双侧(65.9%,N=27)。最常见的分离菌为(43.9%,N=18),其次为(29.3,N=12)。大多数患者为女性,结核后支气管扩张是支气管扩张的主要原因。咳嗽和咳痰是最常见的症状。是痰样本中最常见的病原体。肺活量测定显示大多数患者为阻塞性,最常见的影像学表现为囊性支气管扩张。
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引用次数: 0
Tuberculosis of the wrist joint: Unmasking an uncommon challenge 手腕结核:揭露一个不寻常的挑战
Pub Date : 2023-10-15 DOI: 10.18231/j.ijirm.2023.017
Sankalp Yadav
Tuberculosis of the wrist joint: Unmasking an uncommon challenge - IJIRM- Print ISSN No: - 2581-4214 Online ISSN No:- 2581-4222 Article DOI No:- 10.18231/j.ijirm.2023.017, IP Indian Journal of Immunology and Respiratory Medicine-IP Indian J Immunol Respir Med
手腕关节结核:揭示一个不寻常的挑战- IJIRM- Print ISSN No:- 2581-4214 Online ISSN No:- 2581-4222文章DOI:- 10.18231/j.ijirm.2023.017, IP印度免疫学与呼吸医学杂志-IP印度J免疫呼吸医学
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引用次数: 0
Bacterial screening associated with respiratory infection and the synergistic effect of ginger and garlic tea extract conducted at assulfan herbal research center 在苏凡草药研究中心进行了与呼吸道感染相关的细菌筛选和姜蒜茶提取物的协同作用
Pub Date : 2023-10-15 DOI: 10.18231/j.ijirm.2023.021
Khalid Ibrahim Yahaya, Musbahu Abdullahi Abubakar, Muhyiddin Muhd Haruna, Musbahu Sani Abubakar
Respiratory tract infection are the most common infectious diseases in human due to its common mode of transmission and leading a heavy burden to Public Health. The study was aimed to isolate the bacterial pathogens that are associated with respiratory infection and using synergistic effect to evaluate the antibacterial activity of ginger and garlic tea extract of potential isolates. The present study revealed the presence of 41 isolates of respiratory pathogens out of 200 Sample collected from sputum and swab throat. The isolation and identification of target pathogens were done using Cultural and biochemical Characterizations. 7(17.07%), 16(39.02%), 14(34.15%), 3(07.39%) and 1(02.44%) are positive of respectively. For the synergistic antibacterial effect of both methanolic and ethanolic extracts of garlic and ginger tea, all respiratory pathogens that were isolated in the present study were showed the great antibacterial effect except has highest activity of 17±0.7mm at 150mg/ml in methanolic while in ethanolic with 15±0.2 at 100mg/ml. Lowest activity was found to be 07±0.2mm at 50mg/ml for both and .
呼吸道感染是人类最常见的传染病,其传播方式普遍,给公共卫生带来沉重负担。本研究旨在分离与呼吸道感染相关的病原菌,并利用协同效应评价潜在分离株姜蒜茶提取物的抑菌活性。本研究发现,从痰和咽拭子采集的200份样本中存在41株呼吸道病原体。经培养和生化鉴定分离鉴定目标病原菌,分别阳性7例(17.07%)、16例(39.02%)、14例(34.15%)、3例(07.39%)和1例(02.44%)。在大蒜姜茶醇提物与乙醇提物的协同抑菌作用方面,本研究分离得到的呼吸道病原菌除乙醇在150mg/ml时活性最高,为17±0.7mm外,其余均表现出较强的抑菌作用,乙醇在100mg/ml时活性最高,为15±0.2 mm。在50mg/ml时,两者的活性最低为07±0.2mm。
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引用次数: 0
A study on association of obstructive airway disease in previously treated pulmonary tuberculosis patients 先前治疗过的肺结核患者与阻塞性气道疾病的相关性研究
Pub Date : 2023-10-15 DOI: 10.18231/j.ijirm.2023.020
Vijay Kumar K Shettar, M Sandhya, Sreelatha J, LakshmiDevi B P, Reshma Cleetus, Nandish Kumar K, Srinivasan S
Pulmonary tuberculosis (TB) and obstructive airway disease are of growing concern in a developing country akin to India. A considerable number of TB patients develop post-tubercular respiratory disease. There are few Indian studies assessing the relationship between antecedents of PTB and COPD. PTB has a considerable impact on quality of life. To evaluate the prevalence of obstructive airway disease in previously treated pulmonary tuberculosis patients and to evaluate the impact of post TB obstructive airway disease on QOL using SGRQ-C. A prospective, observational cross-sectional study was conducted in a tertiary care health centre over six months, enrolling 116 study subjects who met the inclusion criteria included after acquiring Informed consent. Study subjects had been categorized primarily based on prior history of PTB. Therefore, this study involved two groups of study subjects, PTB associated COPD and COPD. Subjects were assessed for PFT through the aid of MIR Spirobank smart App and QOL using SGRQ-C scale. Of 116 patients, 19(22.6%) women and 65(77.4%) men and 5(15.6%) women and 27(84.4%) men were diagnosed as PTB associated COPD and COPD respectively. Dyspnea and cough with sputum were the most common symptoms presented by 76(94.04%) and 62(71.42%) patients respectively. The effect of airflow limitation (FEV1) was slightly increased in PTB associated COPD patients (25.65%) compared to COPD patients (26.4%) and study endpoint showed noteworthy decrease in QOL of PTB associated COPD(72%) patients compared to COPD(66.4%). PTB-associated COPD constitutes a significant proportion of COPD within clinical setting. It is an independent risk factor for OAD in extensive TB burden countries. The results indicated that early diagnosis, appropriate management and control of TB are as critical as smoking cessation for reducing OAD. Early identification of Post tubercular COPD and early initiation of treatment in these patients improve the QOL and reduces morbidity and mortality.
肺结核(TB)和阻塞性气道疾病在印度这样的发展中国家日益受到关注。相当多的结核病患者发展为结核后呼吸道疾病。很少有印度的研究评估肺结核和慢性阻塞性肺病之间的关系。肺结核对生活质量有相当大的影响。应用SGRQ-C评价既往治疗的肺结核患者阻塞性气道疾病的患病率,评价结核后阻塞性气道疾病对生活质量的影响。在一家三级保健中心进行了为期6个月的前瞻性、观察性横断面研究,纳入了116名在获得知情同意后符合纳入标准的研究对象。研究对象主要根据既往肺结核病史进行分类。因此,本研究涉及两组研究对象,PTB相关性COPD和COPD。通过MIR Spirobank智能应用程序评估受试者的PFT,使用SGRQ-C量表评估受试者的生活质量。116例患者中,女性19例(22.6%),男性65例(77.4%),女性5例(15.6%),男性27例(84.4%)被诊断为PTB相关COPD和COPD。呼吸困难76例(94.04%),咳嗽带痰62例(71.42%)。与COPD患者(26.4%)相比,PTB相关COPD患者的气流限制效应(FEV1)略有增加(25.65%),研究终点显示PTB相关COPD患者的生活质量(72%)明显低于COPD患者(66.4%)。ptb相关的COPD在临床环境中占COPD的很大比例。在广泛的结核病负担国家,它是OAD的一个独立危险因素。结果表明,早期诊断、适当管理和控制结核病与戒烟对减少OAD同样重要。早期发现结核后慢性阻塞性肺病并尽早开始治疗可改善患者的生活质量,降低发病率和死亡率。
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引用次数: 0
期刊
IP Indian Journal of Immunology and Respiratory Medicine
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