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논문 기본 정보

자료유형
학술저널
저자정보
Kim, Yu Jin (Division of Pulmonology, Department of Internal Medicine, Gachon University Gil Medical Center) Shin, Seong Hyun (Gachon University of Medicine and Science, Gachon University Gil Medical Center) Park, Jeong-Woong (Division of Pulmonology, Department of Internal Medicine, Gachon University Gil Medical Center) Kyung, Sun Young (Division of Pulmonology, Department of Internal Medicine, Gachon University Gil Medical Center) Kang, Shin Myung (Division of Pulmonology, Department of Internal Medicine, Gachon University Gil Medical Center) Lee, Sang-Pyo (Division of Pulmonology, Department of Internal Medicine, Gachon University Gil Medical Center) Sung, Yon Mi (Department of Radiology, Gachon University Gil Medical Center) Kim, Yoon Kyung (Department of Radiology, Gachon University Gil Medical Center) Jeong, Sung Hwan (Division of Pulmonology, Department of Internal Medicine, Gachon University Gil Medical Center)
저널정보
대한결핵 및 호흡기학회 Tuberculosis and Respiratory Diseases 결핵 및 호흡기 질환 제77권 제1호
발행연도
2014.1
수록면
18 - 23 (6page)

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Background: Combined pulmonary fibrosis and emphysema (CPFE) have different pulmonary function tests (PFTs) and outcomes than idiopathic pulmonary fibrosis (IPF). The intention of this study was to identify unknown differences between CPFE and IPF by a retrospective comparison of clinical data including baseline and annual changes in pulmonary function, comorbidities, laboratory findings, clinical characteristics and cause of hospitalization. Methods: This study retrospectively enrolled patients with CPFE and IPF who had undergone PFTs once or several times per year during a follow-up period of three years. Baseline clinical characteristics and the annual changes in the pulmonary function during the follow-up period were compared between 26 with CPFE and 42 patients with IPF. Results: The baseline ratio of forced expiratory volume in one second to forced vital capacity ($FEV_1$/FVC%) in patients with CPFE was lower than that in patients with IPF ($78.6{\pm}1.7$ vs. $82.9{\pm}1.1$, p=0.041). The annual decrease in $FEV_1$/FVC in the CPFE was significantly higher than in the IPF. The annual decreases in diffusion capacity of carbon monoxide and FVC showed no significant differences between the two groups. The symptom durations of cough and sputum were in the CPFE significantly lower than in the IPF. The serum erythrocyte sedimentation rate level at the acute stage was significantly higher than in the IPF. There were no significant differences in the hospitalization rate and pneumonia was the most common cause of hospitalization in both study groups. Conclusion: The annual decrease of $FEV_1$/FVC was in patients with CPFE significantly higher than in the patients with IPF.

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