慢性阻塞性肺疾病在女性和男性中是否不同?

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL
Rita Bothara, M. Holay
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引用次数: 0

摘要

背景:近年来,慢性阻塞性肺病(COPD)的性别特征发生了重大变化。在印度,虽然吸烟仍然是一个重要的风险因素,但由于非吸烟原因(如生物质暴露)导致的COPD占所有COPD病例的30%-50%。在印度,缺乏关于接触生物质烟雾的女性COPD患者的特征以及她们与男性COPD患者的差异程度的研究。目的:研究女性COPD的临床特征、危险因素和严重程度,并与男性COPD进行比较。材料和方法:将100例COPD患者分为两组——50名女性和50名男性,并进一步分析其临床特征,并根据GOLD标准和BODE指数进行分级。结果:女性的平均发病年龄为62岁。生物质烟雾暴露是女性最常见的风险因素,而男性则是吸烟。与男性相比,女性有更严重的呼吸困难(P=0.022)。女性(平均4.5)和男性(平均3.58)在6分钟步行测试的表现(P=0.005)和过去一年的恶化次数(P=0.034)方面存在显著的统计学差异。大多数女性患者属于GOLD组B和D。女性的平均BODE指数为4.98,男性为4.24,结论:COPD的危险性、进展和转归存在性别相关差异。与男性相比,女性有更多的症状、更严重的阻塞、更多的恶化次数和更多的功能残疾。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Is chronic obstructive pulmonary disease different in females as compared to males?
Background: Recent years have witnessed a major shift in the sex profile of the chronic obstructive lung disease (COPD). In India, while smoking remains a significant risk factor, COPD due to nonsmoking causes (like biomass exposure) accounts for 30%–50% of all COPD cases. There is a lack of studies on characteristics of women with COPD exposed to biomass smoke and the degree to which they differ from COPD in men from the Indian context. Aim: The aim was to study clinical profile, risk factors, and severity of COPD in females and compare the same with COPD in males. Materials and Methods: 100 cases of COPD were divided into two groups – 50 Females and 50 males and were analyzed further for clinical profile and were graded as per the GOLD criteria and BODE index. Results: The mean age of presentation in females was 62 years. Biomass smoke exposure was the most common risk factor in females and that in males was smoking. Females had more severe dyspnea as compared to males (P = 0.022). There was a significant statistical difference in the performance of 6-min walk test (P = 0.005) and number of exacerbations in the past year in females (mean 4.5) and males (mean 3.58) (P = 0.034). Majority of female patients belonged to GOLD Groups B and D. Mean BODE index was 4.98 in females and 4.24 in males, and the difference was statistically significant (P = 0.014). Conclusion: There are gender-related differences in COPD risk, progression, and outcomes. Females have more symptoms, more severe obstruction, more number of exacerbations, and more functional disability as compared to males.
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来源期刊
Indian Journal of Medical Specialities
Indian Journal of Medical Specialities MEDICINE, GENERAL & INTERNAL-
自引率
16.70%
发文量
51
期刊介绍: The Indian Journal of Medical Specialities is an all-encompassing peer-reviewed quarterly journal. The journal publishes scholarly articles, reviews, case reports and original research papers from medical specialities specially pertaining to clinical patterns and epidemiological profile of diseases. An important highlight is the emphasis on undergraduate and postgraduate medical education including various aspects of scientific paper-writing. The journal gives priority to research originating from the developing world, including from the tropical regions of the world. The journal also publishes special issues on health topics of current interest. The Indian Journal of Medical Specialities is one of the very few quality multispeciality scientific medical journals.
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