{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T10:43:58Z","timestamp":1698403438745},"reference-count":45,"publisher":"Akademiai Kiado Zrt.","issue":"40","content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2022,10,2]]},"abstract":"<jats:p><jats:italic>Bevezet\u00e9s:<\/jats:italic> A kr\u00f3nikus obstrukt\u00edv t\u00fcd\u0151betegs\u00e9g (COPD) gyakori\n                    kr\u00f3nikus gyullad\u00e1sos betegs\u00e9g, nagy mortalit\u00e1ssal. <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n                    A vizsg\u00e1lat c\u00e9lja a COPD-ben szenved\u0151 betegek param\u00e9terei \u2013 \u00e9letkor, nemi\n                    megoszl\u00e1s, kock\u00e1zati t\u00e9nyez\u0151k (doh\u00e1nyz\u00e1s, foglalkoz\u00e1si expoz\u00edci\u00f3), a COPD\n                    s\u00falyoss\u00e1ga, testt\u00f6megindex, t\u00fcd\u0151funkci\u00f3, t\u00e1rsbetegs\u00e9gek \u00e9s sz\u00f6v\u0151dm\u00e9nyek \u2013\n                    k\u00f6z\u00f6tti \u00f6sszef\u00fcgg\u00e9sek felt\u00e1r\u00e1sa volt doh\u00e1nyz\u00f3 \u00e9s foglalkoz\u00e1si \u00e1rtalomnak kitett\n                    betegekn\u00e9l. <jats:italic>M\u00f3dszer:<\/jats:italic> 209 beteg adatait elemezt\u00fck, akiket\n                    2019-ben a marosv\u00e1s\u00e1rhelyi T\u00fcd\u0151gy\u00f3gy\u00e1szati Klinik\u00e1ra COPD-exacerbatio miatt\n                    vettek fel. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> A t\u00e1pl\u00e1lts\u00e1gi \u00e1llapot alapj\u00e1n 4\n                    csoportba soroltuk a betegeket: 50 alult\u00e1pl\u00e1lt, 53 norm\u00e1l tests\u00faly\u00fa, 53\n                    t\u00fals\u00falyos, valamint 53 elh\u00edzott p\u00e1ciens. A f\u00e9rfi : n\u0151 ar\u00e1ny 2,48 volt. Az esetek\n                    67%-a akt\u00edv, keres\u0151korban lev\u0151 p\u00e1ciens, 55,98%-a 55\u201365 \u00e9v k\u00f6z\u00f6tti volt. A\n                    betegek 10,5%-a volt 75 \u00e9v feletti. A p\u00e1ciensek jelent\u0151s r\u00e9sze (76,55%)\n                    doh\u00e1nyzott, a f\u00e9rfiak 91,9%-a \u00e9s a n\u0151k 33,8%-a. A foglalkoz\u00e1si \u00e1rtalom az esetek\n                    30,62%-\u00e1ban a doh\u00e1nyz\u00e1ssal t\u00e1rsult. A nem doh\u00e1nyz\u00f3kn\u00e1l a foglalkoz\u00e1si expoz\u00edci\u00f3\n                    volt a f\u0151 t\u00e9nyez\u0151 a COPD patogenezis\u00e9ben (81,6%). A \u201ebiomassza-t\u00fczel\u0151anyagoknak\u201d\n                    vagy a passz\u00edv doh\u00e1nyz\u00e1snak val\u00f3 expoz\u00edci\u00f3 is f\u0151leg a nem doh\u00e1nyz\u00f3 n\u0151kn\u00e9l volt\n                    megfigyelhet\u0151 (78,9%). A FEV1 \u00e1tlag\u00e9rt\u00e9kei alacsonyabbak voltak a t\u00fals\u00falyos,\n                    elh\u00edzott \u00e9s alult\u00e1pl\u00e1lt betegekben, mint a norm\u00e1l tests\u00faly\u00faakn\u00e1l. Az elh\u00edzott \u00e9s\n                    t\u00fals\u00falyos COPD-s betegek k\u00f6r\u00e9ben gyakrabban fordult el\u0151 ischaemi\u00e1s sz\u00edvbetegs\u00e9g\n                    (41,5%, illetve 43,4%), mint a norm\u00e1l s\u00faly\u00fa, illetve sov\u00e1ny betegekn\u00e9l (24%,\n                    illetve 20%). <jats:italic>Megbesz\u00e9l\u00e9s:<\/jats:italic> Adataink r\u00e1vil\u00e1g\u00edtanak a k\u00e1rosodott\n                    t\u00fcd\u0151funkci\u00f3 s\u00falyoss\u00e1g\u00e1ra mind a cachexi\u00e1s, mind az elh\u00edzott betegekn\u00e9l, \u00e9s\n                    al\u00e1t\u00e1masztj\u00e1k a testmozg\u00e1s, a t\u00e1pl\u00e1lkoz\u00e1s-ellen\u0151rz\u00e9s, a l\u00e9gz\u0151funkci\u00f3k sz\u0171r\u00e9se \u00e9s\n                    az \u00e1ltal\u00e1nos rehabilit\u00e1ci\u00f3 sz\u00fcks\u00e9gess\u00e9g\u00e9t a COPD-s betegek t\u00fcd\u0151kapacit\u00e1s\u00e1nak\n                    jav\u00edt\u00e1sa \u00e9rdek\u00e9ben. <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic> A COPD multidiszciplin\u00e1ris\n                    megk\u00f6zel\u00edt\u00e9se mind diagnosztikai m\u00f3dszerk\u00e9nt, mind a COPD-t\u00e1rsbetegs\u00e9gek helyes\n                    kezel\u00e9s\u00e9hez sz\u00fcks\u00e9ges. Orv Hetil. 2022; 163(40): 1597\u20131605.<\/jats:p>","DOI":"10.1556\/650.2022.32585","type":"journal-article","created":{"date-parts":[[2022,11,19]],"date-time":"2022-11-19T03:15:16Z","timestamp":1668827716000},"page":"1597-1605","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":0,"title":["S\u00falyos kr\u00f3nikus obstrukt\u00edv t\u00fcd\u0151betegs\u00e9gben szenved\u0151 betegek t\u00fcd\u0151funkci\u00f3ja \u00e9s t\u00e1rsbetegs\u00e9gei a marosv\u00e1s\u00e1rhelyi T\u00fcd\u0151gy\u00f3gy\u00e1szati Klinik\u00e1n"],"prefix":"10.1556","volume":"163","author":[{"given":"Mioara","family":"Szathmary","sequence":"first","affiliation":[{"name":"Marosv\u00e1s\u00e1rhelyi \u201eGeorge Emil Palade\u201d Orvosi, Gy\u00f3gyszer\u00e9szeti, Tudom\u00e1ny \u00e9s Technol\u00f3giai Egyetem, T\u00fcd\u0151gy\u00f3gy\u00e1szat Tansz\u00e9k Marosv\u00e1s\u00e1rhely Rom\u00e1nia"},{"name":"Marosv\u00e1s\u00e1rhelyi \u201eGeorge Emil Palade\u201d Orvosi, Gy\u00f3gyszer\u00e9szeti, Tudom\u00e1ny \u00e9s Technol\u00f3giai Egyetem, Doktori Iskola Marosv\u00e1s\u00e1rhely Rom\u00e1nia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H\u00e9di-Katalin","family":"S\u00e1rk\u00f6zi","sequence":"additional","affiliation":[{"name":"Marosv\u00e1s\u00e1rhelyi \u201eGeorge Emil Palade\u201d Orvosi, Gy\u00f3gyszer\u00e9szeti, Tudom\u00e1ny \u00e9s Technol\u00f3giai Egyetem, T\u00fcd\u0151gy\u00f3gy\u00e1szat Tansz\u00e9k Marosv\u00e1s\u00e1rhely Rom\u00e1nia"},{"name":"Marosv\u00e1s\u00e1rhelyi \u201eGeorge Emil Palade\u201d Orvosi, Gy\u00f3gyszer\u00e9szeti, Tudom\u00e1ny \u00e9s Technol\u00f3giai Egyetem, Doktori Iskola Marosv\u00e1s\u00e1rhely Rom\u00e1nia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edith Simona","family":"Iano\u0219i","sequence":"additional","affiliation":[{"name":"Marosv\u00e1s\u00e1rhelyi \u201eGeorge Emil Palade\u201d Orvosi, Gy\u00f3gyszer\u00e9szeti, Tudom\u00e1ny \u00e9s Technol\u00f3giai Egyetem, T\u00fcd\u0151gy\u00f3gy\u00e1szat Tansz\u00e9k Marosv\u00e1s\u00e1rhely Rom\u00e1nia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zsuzsanna","family":"G\u00e1ll","sequence":"additional","affiliation":[{"name":"Marosv\u00e1s\u00e1rhelyi \u201eGeorge Emil Palade\u201d Orvosi, Gy\u00f3gyszer\u00e9szeti, Tudom\u00e1ny \u00e9s Technol\u00f3giai Egyetem, IV. 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