LACTATE LEVEL IN STABLE COPD PATIENTS
نویسندگان
چکیده
Amaç
 Morbidite ve mortalitesi yüksek olan KOAH’da, prognostik
 belirteçlerin saptanması önemlidir. Plazma laktat
 düzeyi, doku oksijen ihtiyacını gösteren kolay
 ulaşılabilen bir tetkiktir. Çalışmamızın amacı; stabil
 KOAH olgularında plazma laktat düzeyi ile GOLD
 kategorisi, FEV1, ataklar hipoksemi arasındaki
 ilişkiyi incelemektir.
 Gereç Yöntem
 Göğüs Hastalıkları Polikliniği’ne başvuran stabil dönemdeki
 olguları retrospektif olarak değerlendirildi.
 Demografik özellikler, arter kan gazı analizleri,
 yıllık atak sayıları, GOLD kategorisine göre;
 A,B,C,D sınıfları, spirometrik parametreler, evde uzun
 süreli tedavisi (USOT) non-invaziv mekanik
 ventilasyon (NİMV) kullanıp kullanmadıkları kaydedildi.
 Bulgular
 Toplam 103 olgusu (E/K: 90/13, ortalama
 yaş: 66.8±8.0/yıl) çalışmaya dahil edildi. Olguların
 FEV1:%45.7±20.2, FVC:%63.5±22.2, Pa-
 O2:66.3±15.0mmHg, PaCO2:43.9±8.3mmHg, laktat:
 1.5±0.6 mmol/L idi. On iki olgu(%11.7) A, 16 olgu
 (%15.5) B, 25 olgu (%24.3) C, 50 (%48.5) D grubunda
 Olguların %47.6’sı (n=49) USOT, %37.3’ü
 (n=28) NİMV kullanmakta kategorisindeki olgularda
 C sınıflarına göre belirgin
 yüksekti (p
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ژورنال
عنوان ژورنال: Süleyman Demirel Üniversitesi T?p Fakültesi dergisi
سال: 2021
ISSN: ['1300-7416', '2602-2109']
DOI: https://doi.org/10.17343/sdutfd.822908