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老年慢性阻塞性肺疾病急性加重频率的影响因素

发布时间:2018-08-12 13:19
【摘要】:目的探讨影响老年慢性阻塞性肺疾病(COPD)急性加重频率的因素。方法收集2010年10月至2011年6月北京大学第三医院门诊COPD稳定期患者临床资料,记录患者过去1年COPD急性加重次数、肺功能、生活质量(SGRQ)评分。根据患者过去1年COPD急性加重次数,将患者分为2组:非频发急性加重组为过去1年COPD急性加重次数≤2次,频发急性加重组为过去1年COPD急性加重次数2次。结果频发急性加重组年龄比非频发急性加重组更大(P0.01),但在性别、病程、吸烟史、吸烟包年无统计学差异。频发急性加重组患者吸入支气管扩张剂后FEV1%较非频发急性加重组患者降低(P0.01)。其他肺功能指标差异无统计学意义(P0.05);频发急性加重组患者SGRQ活动评分较非频发急性加重组增加(P0.05),而SGRQ症状评分、影响评分、总分两组之间差异无统计学意义(P0.05)。结论高龄、肺功能差、生活质量活动评分增加是影响老年COPD患者急性加重频率的主要因素。
[Abstract]:Objective to investigate the factors influencing the acute exacerbation frequency of (COPD) in elderly patients with chronic obstructive pulmonary disease (COPD). Methods the clinical data of outpatients with COPD in outpatient clinic of Peking University third Hospital from October 2010 to June 2011 were collected. The acute exacerbation times of COPD, pulmonary function and (SGRQ) score of quality of life were recorded in the past year. According to the acute exacerbation times of COPD in the past year, the patients were divided into two groups: non-frequent acute aggravation plus recombination was 鈮,

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