支气管哮喘住院患者死亡情况调查分析  

Analysis of the death of hospitalized asthmatic patients

作　　者：谢华[1] 曾庆为[1] 宋迪[1] 刘美岑[1] 张俊丽[1] 陈萍[1] 马壮[1] 

机构地区：[1]沈阳军区总医院呼吸和变态反应疾病诊治中心,110016

出　　处：《国际呼吸杂志》2016年第2期100-103,共4页International Journal of Respiration

摘　　要：目的分析住院支气管哮喘（简称哮喘）患者死亡情况。方法采取回顾性方法，收集6年内住院哮喘患者的患者年龄、性别、所患疾病种类和住院费用等临床资料，分别进行统计和分类汇总。结果2009～2014年共有1327例哮喘患者住院治疗，死亡16例，占全部哮喘患者1．2％，其中只有1例死于哮喘的急性发作，死亡的哮喘患者倾向于高龄、病情重，多行机械通气治疗和入住ICU，共存病更多。对死亡的哮喘患者危险因素进行分析，发现年龄〉65岁、机械通气、入住ICU、出现Ⅱ型呼吸衰竭、合并肺炎、冠状动脉粥样硬化性心脏病、高血压、脑血管疾病和肾功能不全是哮喘患者死亡的高危因素。1311例住院哮喘患者人均费用为12702元，而死亡的住院哮喘患者人均费用96484元，2组患者比较，差异有统计学意义（P〈0．05）。结论高龄和合并症是导致哮喘死亡的主要原因。Objective To analysis the death of hospitalized asthmatic patients. Methods A retrospective method to collect six years of hospitalized patients of bronchial asthma （asthma） by age, sex,type of illness and hospitalization costs. Results There were 16 deaths among 1 327 hospitalized asthmatic patients from 2009 to 2014, accounting for 1.2% of all asthma patients, of which only one person died of acute exacerbation of asthma, asthma deaths tend to aged, severe illness, mechanical ventilation, stay in ICU, and more co-morbidities. Risk factors for death in patients with asthma were analyzed and found more than 65 years of age, mechanical ventilation, stay in ICU, type Ⅱ respiratory failure, pneumonia, coronary heart disease, hypertension, cerebrovascular disease, and renal insufficiency are the risk factor for asthma death. 1 311 hospitalized patients with asthma cost 12 702 yuan per patient, while the death with asthma cost 96 484 yuan, the difference was significant statistically significant （ P 〈0.05）.Conclusions Advanced age and eo-morbidities is the leading cause of asthma death.

关 键 词：哮喘 死亡 合并症 

分 类 号：R562.25[医药卫生—呼吸系统]