180例老年慢性支气管炎10年随访研究  

A ten year follow up of 180 cases of chronic bronchitis in the elderly

作　　者：万勇[1] 魏骏[1] 陆正伟[1] 

机构地区：[1]安徽省立医院老年病科

出　　处：《安徽医科大学学报》1999年第3期222-223,共2页Acta Universitatis Medicinalis Anhui

摘　　要：目的了解老年慢性支气管炎的变化及影响因素。方法以１９８８年确诊的１８６例老年慢性支气管炎为对象，分为吸烟组与非吸烟组，反复气道炎症组与非反复气道炎症组，在１９８８年～１９９８年１２月间作随访观察。结果共演变成肺心病１７例，死亡７例。其中吸烟组６５例中肺心病１１例，１１５例非吸烟组中肺心病６例，两组相比Ｐ＜００５。反复气道炎症组７８例中肺心病１３例，１０２例非反复气道炎症组中肺心病者４例，两者相比Ｐ＜００５。１０年间失访６例。结论老年慢性支气管炎演变成肺心病机会较高，其中吸烟及反复气道感染是促进其演变的重要原因，防治中应以戒烟及控制气道炎症为主。Objective To understand the developing results of chronic bronchitis in the elderly after 10 years and the influencing factors. Methods 186 cases of chronic bronchitis in the elderly diagnosed in December 1988 were followed up to December 1998. They were divided into smoker and non smoker groups as well as those with and without repeated respiratory track infections. Results 17 cases developed to cor pulmonale and 7 died. Among 65 cases of smoker, 17 became cor pulmonale whereas only 6 among 115 non smokers progressed to this stage ( P<0 05 ). 13 of 78 cases with repeated respiratory tract infections became cor pulmonale whereas only 4 among 102 without such infections developed to cor pulmonale( P<0 05 between 2 groups). 6 cases were lost during the 10 year follow up. Conclusion The chance of developing to cor pulmonale in the elderly chronic bronchitis is relatively higher. Smoking and repeated respiratory tract infections are important promoting factors. To give up smoking and to control respiratory tract infections are of chief importance in prophylaxis.

关 键 词：支气管炎 慢性 老年人 随访 

分 类 号：R562.11[医药卫生—呼吸系统]