老年慢性阻塞性肺疾病患者高危死亡因素分析  

HIGH RISK FACTORS FOR HOSPITALIZED SENILE PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE(COPD)

作　　者：谢汉华[1] 顾学仁[1] 张琰[1] 

机构地区：[1]扬州大学第二临床学院,225001

出　　处：《中国现代医学杂志》2002年第21期18-19,共2页China Journal of Modern Medicine

摘　　要：目的 :探讨慢性阻塞性肺疾病 (COPD)老年患者的高危致死因素。方法 :回顾性研究 2 0 0 0年 1月～ 2 0 0 1年 12月间COPD老年男性住院患者 2 76例 ,缓解出院组 2 39例 ,死亡组 37例。两组进行相关因素综合分析。结果 :死亡组平均病程、平均吸烟指数、平均体重指数 (BMI)、入院首次血气PaO2 、近期反复全身使用糖皮质激素和绿脓杆菌感染 ,与缓解组比较差异均具有显著性 (P <0 .0 5 ,P <0 .0 1,P <0 .0 0 1) ,而患者年龄和入院首次血气PaCO2 在两组无显著性差异 (P >0 .0 5 )。结论 :以上六指标可作为COPD加强监护和强化治疗的指征 ,具有临床意义。Objective:To determine the high risks of senile patients with chronic obstructive pulmonary disease (COPD).Methods:Two hundred and seventy-six cases of hospitalized senile male patients with chronic obstructive pulmonary disease (COPD) from January, 2000 to December, 2001 were classed as remittent group (239 cases) and death group (37 cases) for retrospective analysis.Results:Clinical course,average smoking index,average body mass index (BMI),the PaO 2 of first blood gas analysis,lately repeated use of glucocorticoids and infection of Pseudomonas Aeruginosa were high risk factors for the hospitalized senile patients with COPD.Conclusions:Those six factors are the indexes for intensive care and treatment of patients with COPD.

关 键 词：慢性阻塞性肺疾病 吸烟指数 体重指数 老年人 高危因素 COPD 

分 类 号：R563[医药卫生—呼吸系统]