心血管合并症对老年慢阻肺患者死亡风险影响  

Cardiovascular complications on mortality in elderly patients with COPD

作　　者：蒋宏亮[1] JIANG Hong-liang(Haikou People’s Hospital,Haikou,Hainan　570208,China)

机构地区：[1]海口市人民医院,海南海口570208

出　　处：《临床肺科杂志》2018年第5期850-852,共3页Journal of Clinical Pulmonary Medicine

摘　　要：目的观察合并心血管疾病的老年慢性阻塞性肺疾病(慢阻肺)患者1年内急性加重及死亡风险,探讨心血管疾病对老年慢阻肺患者预后的影响。方法选择医院收治的老年慢阻肺患者,依据是否合并心血管疾病分为A、B组,A组合并心血管疾病100例,B组无心血管疾病合并症31例,A组根据不同心血管疾病分为四个亚组A1冠心病组(n=27)、A2心力衰竭组(n=24)、A3心律失常组(n=20)、A4高血压组(n=29),随访1年,比较不同组之间死亡率等。结果 A组1年内急性加重次数、死亡率均明显高于B组(P<0.05);1年内急性加重次数、死亡率在A组四个亚组间比较,A2组>A1组>A3组>A4组(P<0.05)。结论合并心血管疾病有可能增加老年慢阻肺患者1年内死亡率,其中心力衰竭的影响最为明显。Objective To observe the risk of acute exacerbation and death in elderly patients with COPD complicated with cardiovascular disease within 1 years,and to investigate the effect of cardiovascular disease on the prognosis of elderly patients with COPD.Methods The elderly patients with COPD treated in our hospital were divided into four groups.According to whether combined with cardiovascular disease they were divided into the group A and the group B,a total of 100 cases in the group A with cardiovascular disease and 31 without cardiovascular complications in the group B.According to different cardiovascular diseases,the A group was divided into the A1 coronary heart disease group(n=27),the A2 heart failure group(n=24),the A3 arrhythmia group(n=20)and the A4 hypertension group(n=29).All the patients were followed up for 1 years,and the mortality among different groups were compared.Results The number of acute exacerbation and mortality in the group A was significantly higher than that in the group B in 1 year(P<0.05).The number of exacerbations and mortality in 1 year in the group A was the group A2>the group A1>the group A3>the group A4(P<0.05).Conclusion Cardiovascular disease may increase mortality in elderly patients with COPD within 1 year,especially heart failure.

关 键 词：慢性阻塞性肺疾病 心血管疾病 死亡风险 

分 类 号：R54[医药卫生—心血管疾病] R563.9[医药卫生—内科学]