LIU Dong-guo1ZHANG Li-wei2ZHANG Zhen3XIA Kun-gang1TAO Ying-xiu1WEI Jing-liang1LI De-zheng1▲
1.Department of Respiratory Medicine,Shouguang People′s Hospital Affiliated to Weifang Medical College,Shandong Province,Shouguang 262700,China;2.Department of Gastroenterology,Shouguang People′s Hospital Affiliated to Weifang Medical College,Shandong Province,Shouguang 262700,China;3.Department of Neurosurgery,Shouguang People′s Hospital Affiliated to Weifang Medical College,Shandong Province,Shouguang 262700,China
Abstract:Objective To investigate the changes of central respiratory drive during acute exacerbation in patients with chronic obstructive pulmonary disease (COPD)without respiratory failure.Methods A total of 88 patients with COPD treated in our hospital from April 2015 to May 2016 were selected as the subjects.None of the patients had respiratory failure.The patients′oral blocking pressure was measured on admission day and after remission,and data analysis was then performed.Results Both in awake and asleep states,the oral obstruction pressure (P0.1)of patients with COPD during acute exacerbation was significantly higher than that in remission,and the difference was statistically significant(P<0.05).The P0.1 in sleep state was lower than that in awake state,and the difference was statistically significant(P<0.05).Conclusion Central respiratory drive of patients with COPD is at a high output in the acute episode,meaning that central respiratory drive is increased in patients with COPD during acute exacerbations,and is weakened in sleep state.
Thomsen M,Ingebrigtsen TS,Marott JL,et al.Inflammatory biomarkers and exacerbations in chronic obstructive pulmonary disease[J].JAMA,2013,309(22)2353-2361.
[5]
Loukides S,Bartziokas K,Vestbo J,et al.Novel anti-inflammtory agents in COPD:targeting lung and systemic inflammation[J].Curr Drug Targets,2013,14(2):235-245.
[6]
Mcdonald VM,Higgins I,Wood LG,et al.Multidimensional assessment and tailored interventions for COPD:respiratory utopia or common sense[J].Thorax,2013,68(7):691-694.
Maltais F,Decramer M,Casaburi R,et al.An official American thoraic society/european respiratory society statement:update on limb muscle dysfunction in chronic obstructive pulmonarydisease[J].AmJRespirCritCareMed,2014,189(9):el5-e62.
[9]
Van den Borst B,Slot IG,Hellwig VA,et al.Loss of quadriceps muscle oxidative phenotype and decreased endurance in patients with mild-to-moderate COPD[J].J Appl Physiol(1985),2013,114(9):1319-1328.
[10]
Jolley CJ,Luo YM,Steier J,et al.Neural respiratory drive in healthysubjectsandinCOPD[J].EurRespirJ,2009,33(2):289-297.
Qin YY,Steier C,Jolley C,et al.Efficiency of neural drive during exercise in patients with COPD and healthy subjects[J].Chest,2010,138(2):1309-1315.
[13]
Kent BD,Mitchell PD,McNicholas WT.Hyppxemia in patients with COPD:cause,effects,and disease progression[J].Int J Chron Obstruct Pulmon Dis,2011,6(2):199-208.
[14]
Valipour A,Lavie P,Lothaler H,et al.Sleep profile and symptoms of sleep disorders in patients with stable mild to moderate chronic obstructive pulmonary disease[J].Sleep Med,2011,12(4):367-372.
[15]
SANKARI A,BADR M S.Sleep-disordered breathing in patients with chronic obstructive pulmonary disease[J].Ann Am Thorac Soc,2015,12(9):1419-1420.
[16]
Yang H,Sawyer AM.The effort of adaptive servo ventilation(ASV)on objective and subjective outcomes in Cheyne-Stokes respiration(CSR),with central sleep apnea(CSA)in heart failure(HF):a systematic review[J].Heart Lung,2016,45(3):199-201.
[17]
Hong Y,Lee JS,Yoo KH,et al.Implications of emphysema and lung function for the development of pneumonia in patients with chronic obstructive pulmonary disease[J].Tuberc Respir Dis(Seoul),2016,79(2):91-93.