Plasma Fibrinogen Level in Chronic Obstructive Pulmonary Disease and Its Correlation with GOLD Severity Staging

Achyut Gyawali, N. Bam, P. Pant, S. Das
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Abstract

Results A total of 80 patients were enrolled. The mean age of the patient was 67.87±11.60 years. Plasma fibrinogen level was 159±12.72 mg/dl in mild COPD, 273.52±62.34 mg/dl in moderate COPD, 312.30±103.67 mg/dl in severe COPD, and 487±102.76 mg/dl in very severe COPD. The comparison between groups showed significant difference in plasma fibrinogen level (p<0.001). There was significant negative correlation between plasma fibrinogen level and forced expiratory volume in one second (FEV1%) predicted (r=-0.71, p=0.01). Conclusion High plasma fibrinogen level on discharge was found in COPD patients with severe airflow obstruction, frequent exacerbations and severe level of dyspnoea during AECOPD.
慢性阻塞性肺疾病患者血浆纤维蛋白原水平及其与GOLD严重程度分期的相关性
结果共有80例患者入选。患者的平均年龄为67.87±11.60岁。轻度COPD的血浆纤维蛋白原水平为159±12.72 mg/dl,中度COPD为273.52±62.34 mg/dl,重度COPD为312.30±103.67 mg/dl,极重度COPD为487±102.76 mg/dl。血浆纤维蛋白原水平组间比较有显著性差异(p<0.001),血浆纤维蛋白蛋白原水平与预测的1秒用力呼气量(FEV1%)呈显著负相关(r=-0.71,p=0.01),AECOPD期间的频繁恶化和严重的呼吸困难。
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