رابطه نتایج اسپیرومتری مردان مبتلا به COPD با مصرف اوپیوئید در نخستین مراجعه به درمانگاه ریه بیمارستان افشار یزد در سال 1399

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشیار، گروه بیماری‌های داخلی، دانشکده پزشکی، دانشگاه آزاد اسلامی واحد یزد، یزد، ایران

2 دستیار تخصصی، گروه بیماری‌های داخلی، دانشکده پزشکی، دانشگاه علوم پزشکی فسا، فسا، ایران

3 دانش آموخته پزشکی عمومی، دانشکده پزشکی، دانشگاه آزاد اسلامی واحد یزد، یزد، ایران

چکیده

مقدمه: در این مطالعه به مقایسه یافته‌های اسپیرومتری مردان مبتلا به بیماری انسدادی مزمن ریه در افراد مصرف‌کننده اوپیوئید نسبت به گروه کنترل در اولین مراجعه بیماران با شکایت تنفسی به درمانگاه پرداخته شد.
روش بررسی: مطالعه حاضر مقطعی است و نمونه به‌صورت تصادفی از آقایان مراجعه‌کننده با شکایت تنفسی به درمانگاه ریه بیمارستان افشار یزد در سال 1399 انتخاب شد. نمونه به دو گروه 60 نفره دارای اعتیاد به اوپیوئید و گروه 90 نفره غیرمعتاد تقسیم و از بیماران اسپیرومتری گرفته و برای تعیین شدت تنگی نفس از معیار MMRC dyspnea scale استفاده شد. سپس داده‌ها وارد نرم‌افزار SPSS و تجزیه‌وتحلیل شد.
نتایج: در این مطالعه 150 بیمار با میانگین سنی 95/10 ± 78/59 سال حضور داشتند. 124 بیمار دارای مصرف و 26 بیمار سیگار را ترک کرده بودند. وضعیت مصرف و میزان مصرف بر اساس Pack/year، میانگین BMI و توزیع گرید شدت تنگی نفس بر اساس MMRC در دو گروه تفاوت معناداری نداشت. در دو گروه گریدهای 1 و 2 شدت تنگی نفس بیشترین فراوانی را داشته‌اند. تفاوت معناداری در میانگین FEV1 و FVC و FEV1/FVC و FEF25-75 بین دو گروه وجود داشت که در سن زیر 60 سال، وضعیت مصرف فعلی سیگار،BMI زیر 25، میزان Pack/year بالای 30 و گریدهای 1 و 2 شدت تنگی نفس بارزتر است.
نتیجه‏گیری: می‌توان نتیجه گرفت افراد دارای اعتیاد به اوپیوئید نسبت به افراد غیرمعتاد، به دلیل تأخیر در نخستین مراجعه دارای مقادیر پایین‌تر در نتایج اسپیرومتری هستند.

کلیدواژه‌ها

عنوان مقاله [English]

Evaluation of Spirometry Results in Men with COPD Consuming Opioid at First Visit to the Lung Clinic

نویسندگان [English]

  • Abolhasan Halvani 1
  • Sareh Rafatmagham 2
  • Mahmood Hamidiparsa 3
1 Associate Professor, Department of Internal Medicine, Faculty of Medicine, Islamic Azad University, Yazd Branch, Yazd, Iran
2 Internal Resident, Department of Internal Medicine, Faculty of Medicine, Fasa University of Medical Sciences, Fasa, Iran
3 Graduated from General Medicine, Faculty of Medicine, Islamic Azad University, Yazd Branch, Yazd, Iran
چکیده [English]

Introduction: In this study, the spirometry findings of men suffering from chronic obstructive pulmonary disease in opioid users were compared to the control group in the first visit of patients with respiratory complaints to the clinic.
Methods: The present study is a cross-sectional study and the sample was randomly selected from men who referred tohe lung clinic of Afshar Yazd Hospital with respiratory complaints in 2019. The sample was divided into two groups of 60 people with opioid addiction and a group of 90 non-addicted people, and spirometry was taken from the patients, and the MMRCdyspnea scale was used to determine the severity of dyspnea. Then the data was entered into SPSS software and analyzed.
Results: In this study, there were150 patients with an average age of 59.78 ± 10.95 years.124 patients were smokers and 26 patients had quit smoking.There was no significant difference in consumption status and amount of consumption based on Pack/year, averageBMI and distribution of grade of dyspnea severity based on MMRC in two groups. In two groups, grades1 and 2 have the most frequency of shortness of breath. There was a significant difference in mean FEV1 and FVC, FEV1/FVC and FEF25-75 between the two groups, in age under 60,current smoking status, BMI under 25, Pack/year rate over 30, and grades 1 and 2 of dyspnea severity. It is more obvious.
Conclusion: It can be concluded thatpeople with opioid addiction have lower values in spirometry results than non-addicted people, due to the delay in the first visit.

کلیدواژه‌ها [English]

  • Chronic Obstructive Pulmonary Disease
  • COPD
  • Opioid
  • Yazd

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مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 69، شماره 3
خرداد1405
خرداد 1405
صفحه 250-260

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