Abstract:Objective: To detect the levels of serum prealbumin (PA), albumin (ALB) and hemoglobin (HB) in patients with stable chronic obstructive pulmonary disease (COPD) and to analyze their relationships with BODE index, i.e. bodymass index (B), degree of airflow obstruction (O), dyspnea (D), exercise capacity (E). Methods: 120 patients with stable chronic obstructive pulmonary disease hospitalized in the Zhujiajiao People’s Hospital of Qingpu District in Shanghai from January 2015 to November 2018 were selected as the observation group, during the same period, 86 healthy persons who came to Zhujiajiao People’s Hospital of Qingpu District in Shanghai for physical examination were selected as the control group, the BODE index score was determined according to the BODE index score standard, serum albumin level was measured by bromocresol green method, serum prealbumin level was measured by immunoturbidimetry, the hemoglobin level was determined by high iron cyanide method, analyzed the correlations between serum prealbumin, albumin, and hemoglobin levels with BODE levels in patients with stable COPD. Results: The BODE index of the observation group was significantly higher than that of the control group (P < 0.05); the levels of serum prealbumin, albumin, and hemoglobin in the observation group were significantly lower than those in the control group (P < 0.05); the levels of serum prealbumin, albumin, and hemoglobin in patients with BODE index grade 4 were significantly lower than those in patients with grade 1, grade 2, and grade 3 (P < 0.05), the levels of serum prealbumin, albumin, and hemoglobin in grade 3 patients were significantly lower than those in grade 1 and grade 2 patients (P < 0.05), the levels of serum prealbumin, albumin, and hemoglobin in grade 2 patients were significantly lower than those in grade 1 patients (P < 0.05); serum prealbumin, albumin, and hemoglobin levels in patients with stable COPD were negatively correlated with BODE index (P < 0.05). Conclusion: The levels of serum prealbumin, albumin, and hemoglobin in patients with stable COPD were significantly decreased, serum prealbumin, albumin, and hemoglobin levels were negatively correlated with BODE index, it may be an effective index for predicting the condition of COPD patients in stable stage.
赖寿兰, 李巍立, 王卫方, 陆小芳, 彭锦贵, 张飞, 杜春玲. COPD稳定期患者血清前白蛋白白蛋白及血红蛋白水平与BODE指数的关系[J]. 河北医学, 2019, 25(11): 1809-1813.
LAI Shoulan, LI Weili, WANG Weifang, et al. Relationships Between Serum Prealbumin Albumin and Hemoglobin Levels with BODE Index in Patients with Stable COPD. HeBei Med, 2019, 25(11): 1809-1813.
[1] Borrill ZL, Houghton CM, Woodcock AA, et al. Measuring bronchodilation in COPD clinical trials[J]. Brit Clin Pharmaco, 2015, 59(4):379~384. [2] 李娟, 刘翩,黎晓强,等.40岁以上人群慢性阻塞性肺疾病患病率及危险因素研究[J].重庆医学,2016,45(3):396~398. [3] 王雪,范贤明.慢性阻塞性肺疾病患者营养评价方法的研究进展[J].广东医学,2015,36(17):2753~2755. [4] 中华人民共和国卫生部.慢性阻塞性肺疾病诊断标准[J].国际呼吸杂志,2011,31(1):1~2. [5] Vanfleteren L E, Spruit M A, Groenen M T, et al. Arterial stiffness in patients with COPD: the role of systemic inflammation and the effects of pulmonary rehabilitation.[J]. Eur Respir, 2014, 43(5):1306~1315. [6] 周洪,李秋根.COPD患者BODE指数与炎症细胞因子的相关性研究[J].实用临床医学,2016,17(5):15~17. [7] 李亮,曾明,王月丽,等.肺功能训练仪用于治疗稳定期慢性阻塞性肺疾病患者的疗效观察[J].中国康复医学杂志,2016,31(10):1117~1120. [8] 诸兴桂,叶兆萍,曾垂利,等.前白蛋白对慢性阻塞性肺疾病的诊断与病原菌感染的影响研究[J].中华医院感染学杂志,2016,26(15):3387~3388. [9] 袁燕红,王琴,张敏芳,等.血清白蛋白对IgA肾病患者肾脏预后的预测价值[J].中华肾脏病杂志,2015,31(2):102~108. [10] 宫静,陈宁,郝小梅,等.培土生金方对慢性阻塞性肺疾病稳定期患者营养状态和免疫功能的影响[J].中国中西医结合杂志,2015,35(5):534~536. [11] 李辉,杨莹.肠内营养支持治疗在慢性阻塞性肺疾病并发呼吸衰竭病人的疗效观察[J].肠外与肠内营养,2015,22(3):164~167.