慢性阻塞性肺疾病合并症的分布情况及相关危险因素分析

发布时间：2018-04-30 05:28

本文选题：慢性阻塞性肺疾病 + 合并症　；参考：《吉林医学》2017年08期

【摘要】：目的:探讨慢性阻塞性肺疾病(COPD)住院患者合并症的分布情况及相关危险因素分析。方法:收集COPD患者493例,统计患者合并症的分布情况,并对相关危险因素进行多因素回归分析。结果:493例患者中,男330例(66.9%),女163例(33.1%);平均年龄(75.4±8.2)岁;排在前5位的合并症有:高血压疾病、肺结核、冠状动脉粥样硬化性心脏病、糖尿病、支气管扩张,分别占49.5%、46.2%、45.8%、18.7%及15.4%。男、女两组患者合并高血压疾病的比例分别为46.1%、56.4%(P=0.030),合并心力衰竭的比例分别为9.7%、16.0%(P=0.043)。职业粉尘接触史(OR=2.198,P=0.001)、全身使用糖皮质激素(OR=1.916,P=0.036)是COPD合并肺结核的独立危险因素。结论:不同COPD人群合并症的分布有差异,职业粉尘接触史、全身用糖皮质激素是COPD合并肺结核的独立危险因素。
[Abstract]:Objective: to investigate the distribution and risk factors of comorbidity in patients with chronic obstructive pulmonary disease (COPD). Methods: 493 patients with COPD were collected. The distribution of complications was analyzed and the risk factors were analyzed by multivariate regression analysis. Results among the 493 patients, 330 males (66.9%) and 163 females (33.1%) had an average age of 75.4 卤8.2 years. The top 5 complications were hypertension, pulmonary tuberculosis, coronary atherosclerotic heart disease, diabetes mellitus and bronchiectasis, accounting for 49.5% and 15.447%, respectively. The proportion of male and female patients with hypertension were 46.1% and 56.4%, respectively, and the proportion of patients with heart failure were 9.70.16.0% and 0.043%, respectively. Occupational dust exposure history (2. 198) and the use of glucocorticoid 1. 916 (P0. 036) were independent risk factors for COPD complicated with pulmonary tuberculosis. Conclusion: the distribution of complications in different COPD population is different. The history of occupational dust exposure and systemic use of glucocorticoid are independent risk factors for COPD complicated with pulmonary tuberculosis.
【作者单位】：石河子大学;石河子大学医学院第一附属医院呼吸一科;
【基金】：一氧化氮测定仪在慢性阻塞性肺疾病病情评估中的应用研究(项目编号:2014AB030)
【分类号】：R563.9

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