首页|成人慢性呼吸系统疾病急性加重频率与锌缺乏关系的研究分析

成人慢性呼吸系统疾病急性加重频率与锌缺乏关系的研究分析

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目的:探讨锌缺乏与成人慢性呼吸系统疾病单位时间内急性加重次数之间的关系。方法:回顾性选择 2022年 1 月—2023年12月佛山市南海区第七人民医院呼吸与危重症医学科收治的49例患者资料为研究对象,根据病案资料及辅助检查结果将其分为试验组(n=26)和对照组(n=23)。试验组为慢性呼吸系统疾病患者,对照组为非慢性呼吸系统疾病患者。对两组进行血清锌含量检测,根据结果在两组中各自分成锌缺乏亚组与锌正常亚组,并统计所有患者在研究期间罹患呼吸道感染且需要抗生素或抗病毒药物干预的次数(以下简称急性感染次数)与锌缺乏的关系。结果:在 49例患者中,总缺锌39例(79。59%)。试验组中缺锌 4例(15。38%),边缘性缺锌 17例(65。38%);对照组缺锌 8例(34。78%),边缘性缺锌10例(43。48%),两组锌缺乏情况比较,差异无统计学意义(P>0。05)。试验组急性感染次数多于对照组,差异有统计学意义(P<0。05)。试验组锌缺乏亚组感染次数多于锌正常亚组,差异有统计学意义(P<0。05);对照组锌缺乏亚组与锌正常亚组感染次数比较,差异无统计学意义(P>0。05)。结论:锌缺乏会导致机体免疫力下降,进而容易引起呼吸道感染,其在有慢性呼吸道基础疾病患者中尤为明显,在慢性呼吸道疾病患者的日常管理中,需要更加注重维持微量元素锌的稳态。
Study on the Relationship Between Acute Exacerbation Frequency of Chronic Respiratory Diseases and Zinc Deficiency in Adults
Objective:To investigate the relationship between zinc deficiency and acute exacerbation freguency of chronic respiratory diseases in adults.Methods:A total of 49 respiratory and critical care patients treated in the Nanhai District Seventh People's Hospital of Foshan City from January 2022 to December 2023 were retrospectively selected as the study objects,and were divided into an experimental group(n=26)and a control group(n=23)according to medical records and auxiliary examination results.The experimental group was chronic respiratory disease patients,and the control group was non-chronic respiratory disease patients.The serum zinc content of the two groups was measured,and the two groups were divided into a zinc deficiency subgroup and a zincnormal subgroup according to the results.The number of respiratory tract infections that required antibiotic or antiviral intervention during the study period was counted(hereinafter referred to as the number of acute infections).Results:Among the 49 patients,39 cases(79.59%)had a total zinc deficiency.In the experimental group,there were 4 cases(15.38%)of zinc deficiency and 17 cases(65.38%)of marginal zinc deficiency.There were 8 cases(34.78%)of zinc deficiency in control group and 10 cases(43.48%)of marginal zinc deficiency.There were no statistical significances in zinc deficiency between the two groups(P>0.05).The number of acute infection in experimental group was higher than that in control group,the difference was statistically significant(P<0.05).The infection frequency of zinc deficiency subgroup was higher than that of normal zinc subgroup,the difference was statistically significant(P<0.05).There was no significant difference in infection frequency zincbetween deficiency subgroup and zinc normal subgroup(P>0.05).Conclusion:Zinc deficiency can lead to the decline of immunity,and then easy to cause respiratory infection,which is especially obvious in patients with chronic respiratory diseases.In the daily management of patients with chronic respiratory diseases,more attention should be paid to maintaining the homeostasis of trace element zinc.

Chronic respiratory diseasesZinc deficiencyMarginal zinc deficiency

梁捷恒、邓蕴琦、傅志钢、冼小玲、邓军丽

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广东省佛山市南海区第七人民医院呼吸与危重症医学科,广东 佛山 528247

慢性呼吸系统疾病 锌缺乏 边缘性缺锌

佛山市卫生健康局医学科研项目

20220142

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(13)