晚发老年哮喘28例诊治分析  

Analysis of diagnosis and therapy for late onset elderly asthma

作　　者：郑小河[1] 余汉光[1] 肖玲[1] 郑忠生[1] 余文聘[1] 陈潮钦[1] 吴洁文[1] 

机构地区：[1]汕头大学医学院第一附属医院呼吸内科,广东省汕头515041

出　　处：《中国基层医药》2010年第16期2214-2215,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 分析晚发老年哮喘的临床特点,以提高对晚发老年哮喘的认识. 方法 回顾性分析81例晚发老年哮喘患者的临床资料,将全部患者按起病时间（首次发病年龄）分为早发老年哮喘（早发组）和晚发老年哮喘（晚发组）,对比分析各项相关指标. 结果 晚发组28例（34.6%）,与早发组相比,吸烟史、过敏史及家族史、发病病因或诱因、临床表现、基础疾病及并发症、危重症比例、疾病转归、病死率等差异均无统计学意义（均P＞0.05）;晚发组误诊误治时间明显较早发组短（P＜0.05）;晚发组的季节性比早发组明显（P＜0.05）. 结论 晚发老年哮喘患者多有基础疾病、易误诊、易并发呼吸衰竭、病死率高等特点.Objective To analyze and summarize the clinical features of delayed occurrence of senile asthma,to add the knowledge and understanding of the disease. Methods To retrospectively analyze clinical data of the cases of senile asthma treated in our hospital,all the cases were divided into groups of early onset senile asthma and delayed occurrence senile asthma,according to the age of first onset.Then related indexes were analyzed,to summarize the clinical features of group of delayed occurrence of senile asthma. Results There were 28 cases of delayed occurrence of senile asthma,accounting for 34.6% of total cases.Compared to early onset group,there was no significant difference （all P〉0.05） between two groups for the following items such as age,allergic history and positive rate of family＇s history,disease causes,clinical symptoms,basic diseases and complications,proportion of severe cases,rate of misdiagnosis and mistreatment,proportion of standardized treatment and un-standardized treatment,prognosis of diseases and mortality.Both groups had low rate of knowledge and application on PEF monitoring equipment and ACT score.The period of misdiagnosis and mistreatment for delayed occurrence group was shorter than the early onset group （P〈0.05）; the seasonal nature and day and night pattern was significant in delayed occurrence group （P〈0.05）. Conclusion Late onset elderly asthma had the features such as shorter course of the disease,relatively obvious onset rule during day and night,and obvious symptoms during night,which are different from that of early onset group.

关 键 词：哮喘 老年人 

分 类 号：R5[医药卫生—内科学]