慢性阻塞性肺疾病合并糖尿病患者临床特点及相关因素分析  

Analysis of Clinical Characteristics and Related Factors in Patients with Chronic Obstructive Pulmonary Disease and Diabetes

作　　者：哈斯棍 Hasigun(Department of Respiratory Medicine,Mongolian Medicine and Traditional Chinese Medicine Hospital,Baotou,Inner Mongolia Autonomous Region,014040 China)

机构地区：[1]内蒙古包头市蒙医中医医院呼吸内科,内蒙古包头014040

出　　处：《糖尿病新世界》2021年第9期35-38,共4页Diabetes New World Magazine

摘　　要：目的分析慢性阻塞性肺疾病(COPD)合并糖尿病(DM)患者相关因素及临床特点。方法于2019年1月—2020年10月为时限,以接受治疗的COPD合并DM者100例为研究组,以同期单纯COPD者100例为参照组。收集分析参照组和研究组相关临床资料,对比参照组和研究组临床特点及营养状况,分析COPD合并DM的相关因素。结果参照组和研究组对比激素和抗生素治疗时间、肺源性心脏病、Ⅱ型呼吸衰竭、≥2种致病菌、IL-6、CRP、FEV1/FVC、FVC/预计值、FEV1/预计值等水平的数据差异有统计学意义(P<0.05)。参照组和研究组对比三酰甘油、高密度脂蛋白、血红蛋白、白蛋白、总蛋白等水平的数据表明差异有统计学意义(P<0.05)。Logistic多因素回归分析表明:COPD合并DM的影响因素包括激素和抗生素等治疗时间、肺源性心脏病、Ⅱ型呼吸衰竭、致病菌、炎症水平、肺功能异常(P<0.05)。结论在COPD合并DM患者治疗中需对其激素、抗生素治疗时间、致病菌感染情况、炎症反应、肺功能状况、营养状况等予以重点关注。Objective To analyze the relevant factors and clinical characteristics of patients with chronic obstructive pulmonary disease(COPD) and diabetes(DM). Methods From January 2019 to October 2020 as the time limit, 100 patients with COPD and DM who received treatment were taken as the study group, and 100 patients with simple COPD during the same period were taken as the reference group. Collected and analyzed relevant clinical data of the reference group and the study group, compared the clinical characteristics and nutritional status of the reference group and the study group, and analyze the related factors of COPD and DM. Results The reference group and the study group compared the treatment time of hormones and antibiotics, pulmonary heart disease, type Ⅱ respiratory failure, ≥2 pathogens, IL-6, CRP, FEV1/FVC,FVC/predicted value, FEV1/predicted data at the same level of value showed that the difference was statistically significant(P<0.05). The comparison of the levels of triacylglycerol, high-density lipoprotein, hemoglobin, albumin, total protein, etc.between the reference group and the study group showed statistically significant differences(P<0.05). Logistic multivariate regression analysis showed that the influencing factors of COPD and DM included hormones and antibiotics treatment time,cor pulmonale, type Ⅱ respiratory failure, pathogenic bacteria, inflammation level, pulmonary function abnormality(P<0.05).Conclusion In the treatment of COPD patients with DM, it is necessary to pay attention to their hormones, antibiotic treatment time, pathogenic infection, inflammation, lung function status, nutritional status, etc.

关 键 词：慢性阻塞性肺疾病 糖尿病 相关因素 临床特点 

分 类 号：R563.9[医药卫生—呼吸系统] R587.1[医药卫生—内科学]