实用临床医药杂志2024,Vol.28Issue(6) :139-142,148.DOI:10.7619/jcmp.20234154

微炎症状态与慢性阻塞性肺疾病患者病情严重程度的研究进展

Research progress of microinflammatory state and disease severity in patients with chronic obstructive pulmonary disease

陈欧丽 王桢黎
实用临床医药杂志2024,Vol.28Issue(6) :139-142,148.DOI:10.7619/jcmp.20234154

微炎症状态与慢性阻塞性肺疾病患者病情严重程度的研究进展

Research progress of microinflammatory state and disease severity in patients with chronic obstructive pulmonary disease

陈欧丽 1王桢黎1
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作者信息

  • 1. 四川大学华西医院呼吸与危重症医学科,四川成都,610041
  • 折叠

摘要

慢性阻塞性肺疾病(COPD)是一种常见的呼吸系统疾病,具有很高的发病率和病死率.目前,COPD的发病机制尚无明确定论.微炎症状态是指由于细菌、病毒、真菌感染等原因导致的某些病原体在体内生长繁殖,引起局部组织和全身性炎症反应,表现为全身循环中炎症标志蛋白及炎症细胞因子轻度持续增高.本文对微炎症状态与COPD的相关文献报道进行综述,总结微炎症状态导致机体促炎和抗炎机制,可造成肺部组织细胞的缺血和缺氧性破坏与损伤,进一步加剧肺部损伤.微炎症状态常见的C反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)以及白细胞介素(IL)等炎症因子与COPD病情严重程度密切相关,可能促进病情进展,持续影响患者肺功能、动脉血气及营养状况.

Abstract

Chronic obstructive pulmonary disease(COPD)is a common respiratory system dis-ease,with high incidence rate and mortality.So far,the pathogenesis of COPD has not been clearly determined.Microinflammatory state refers to the growth and reproduction of certain pathogens in the body due to bacteria,viruses and fungi infections,which causes inflammatory response of local tissues and the whole body,it is manifested by a slight and continuous increase of inflammatory marker pro-teins and inflammatory cytokines in systemic circulation.This article reviewed the literature on micro-inflammatory state and COPD.It is concluded that microinflammatory state will lead to the imbalance of proinflammatory and anti-inflammatory mechanisms,which can cause ischemic and hypoxic destruc-tion and injury of lung tissue cells,and further aggravate lung injury.The common inflammatory fac-tors such as C-reactive protein(CRP),tumor necrosis factor-α(TNF-α),and interleukin(IL)in microinflammatory state are closely related to the severity of COPD,which may promote disease pro-gression,continuously affect lung function,arterial blood gas and nutritional status of patients.

关键词

慢性阻塞性肺疾病/微炎症状态/病情严重程度/C反应蛋白/肿瘤坏死因子-α

Key words

chronic obstructive pulmonary disease/microinflammatory state/disease severity/C-reactive protein/tumor necrosis factor-α

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基金项目

国家重点研发计划课题(2017YFC1308504)

出版年

2024
实用临床医药杂志
扬州大学,中国高校科技期刊研究会

实用临床医药杂志

CSTPCD
影响因子:1.543
ISSN:1672-2353
参考文献量37
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