慢阻肺月报202211

文摘   科学   2022-11-25 16:51   上海  


Lancet Respiratory Medicine. 2022 Oct 13; PMID: 36244396

Lifetime spirometry patterns of obstruction and restriction, and their risk factors and outcomes: a prospective cohort study.

Shyamali C Dharmage, Dinh S Bui, Eugene H Walters, et al

这是首个同时关注阻塞性通气功能障碍和限制性通气功能障碍时间轨迹的研究,可见肺功能受损与多种疾病和亚健康状态有关,尤其是限制性通气功能障碍也值得关注。



Thorax. 2022 Oct 25; PMID: 36283827

Selective androgen receptor modulation for muscle weakness in chronic obstructive pulmonary disease: a randomised control trial.

Divya Mohan, Harry Rossiter, Henrik Watz, et al



Thorax. 2022 Oct 31; PMID: 36316117

Frequency and severity of respiratory infections prior to COPD diagnosis and risk of subsequent postdiagnosis COPD exacerbations and mortality: EXACOS-UK health care data study.

Hannah Whittaker, Clementine Nordon, Annalisa Rubino, et al

一直说既往急性加重是最重要的急性加重预测因子,那么为什么会发生这些急性加重?首先,要鉴别是否真的是急性加重,由于是回顾性判断,很难区别仅仅是一次呼吸道感染,还是感染诱发了急性加重,还是其他诱因所致的急性加重,或者根本是肺外问题导致的呼吸系统症状加重(比如心血管疾病)等等;其次,急性加重的原因,是下呼吸道致病微生物负荷升高,是气道炎症水平升高,是胃食管返流等合并症没有控制好,还是药物没有好好用?等等。不同的原因应该有不同的应对方式,ICS一招鲜显然有点过于简单了,有时甚至南辕北辙。

Chest. 2022 Nov 4; PMID: 36343688

Clinical implications of low absolute blood eosinophil count in the SPIROMICS COPD cohort.

W Blake LeMaster, P Miguel Quibrera, David Couper, et al

低EOS且疾病负担较重的COPD群体应该是一个研究重点,有哪些致病机制,有哪些有潜力的治疗方法。

American Journal of Respiratory and Critical Care Medicine. 2022 Oct 26; PMID: 36288428

Indoor Air Pollution and Impaired Cardiac Autonomic Function in Chronic Obstructive Pulmonary Disease.

Sarath Raju, Han Woo, Kirsten Koehler, et al



Chest. 2022 Nov 10; PMID: 36372304

Preserved Ratio Impaired Spirometry in Relation to Cardiovascular Outcomes: A Large Prospective Cohort Study.

Jiazhen Zheng, Rui Zhou, Yingchai Zhang, et al



Journal of Allergy and Clinical Immunology. 2022 Nov 15; PMID: 36400177

Maternal vitamin D status modifies the effects of early life tobacco exposure on child lung function.

Hanna M Knihtilä, Mengna Huang, Nicole Prince, et al



Chest. 2022 Nov 14; PMID: 36395858

Bronchodilator Responsiveness in Tobacco-Exposed Persons with or without COPD.

Spyridon Fortis, Pedro M Quibrera, Alejandro P Comellas, et al

慢阻肺手抄本
To cure technically, to comfort psychologically, to relieve morally