慢性阻塞性肺疾病急性加重合并衰弱患者恢复期再入院的危险因素分析  

Analysis of Risk Factors for Readmission during Recovery in Patients with Acute Exacerbation of Chronic Obstructive Pulmonary Disease Combined with Debilitation

作　　者：钟志超[1] 梁欢雅 陈鸿浩 Zhong Zhichao;Liang Huanya;Chen Honghao(Department of Respiratory and Critical Care Medicine,Huizhou Boluo County People's Hospital,Huizhou 516100,Guangdong Province,China)

机构地区：[1]惠州市博罗县人民医院呼吸与危重症医学科,广东惠州516100

出　　处：《中外医药研究》2024年第21期43-45,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析慢性阻塞性肺疾病(简称慢阻肺)急性加重合并衰弱患者恢复期再入院的危险因素。方法:选取2021年1月—2022年12月惠州市博罗县人民医院收治的慢阻肺急性加重患者330例作为研究对象,收集患者基本资料、基本病史等,使用衰弱调查量表评估患者衰弱程度,采用单因素和多因素分析慢阻肺急性加重合衰弱患者恢复期再次住院的危险因素。结果:330例慢阻肺急性加重患者中合并衰弱30例(作为衰弱组),未合并衰弱为300例(作为非衰弱组)。衰弱组和非衰弱组年龄、首次住院天数、合并低钾血症、合并肺心病、肺功能分级、动脉血二氧化碳分压、中性粒细胞数比较,差异有统计学意义(P<0.05)。Logistic回归分析结果显示,高龄、肺功能分级中重度、高动脉血二氧化碳分压、高中性粒细胞数是慢阻肺急性加重合并衰弱患者恢复期再入院的独立危险因素(P<0.05)。结论:慢阻肺急性加重合并衰弱患者恢复期再入院的危险因素包括高龄、肺功能分级中重度、高动脉血二氧化碳分压、高中性粒细胞数。Objective:To analyze the risk factors for readmission during the recovery period in patients with acute exacerbation of chronic obstructive pulmonary disease combined with debilitation.Methods:Three hundred and thirty patients with acute exacerbation of chronic obstructive pulmonary disease admitted to Huizhou Boluo County People's Hospital from January 2021 to December 2022 were selected as the study subjects.The basic data and basic medical history of patients were collected,the degree of debility of patients was assessed using the Debilitation Survey Scale,and the risk factors for re-hospitalization during the recovery period of patients with acute exacerbation of chronic obstructive pulmonary combined debilitation were analyzed by using univariate and multivariate factors.Results:Among three hundred and thirty patients with acute exacerbation of chronic obstructive pulmonary disease,there were thirty cases of combined debility(as the debilitated group)and three hundred cases of uncomplicated debility(as the non-debilitated group).The age,days of the first hospitalization,combined hypokalemia,combined pulmonary heart disease,pulmonary function classification,arterial blood carbon dioxide partial pressure,and neutrophil counts of the debilitated group were compared to those of the non-debilitated group,and the differences were statistically significant(P<0.05).Logistic regression analysis showed that advanced age,moderately severe pulmonary function classification,high arterial blood carbon dioxide partial pressure,and high neutrophil count were independent risk factors for readmission during the recovery period in patients with acute exacerbation of chronic obstructive pulmonary disease combined with debilitation(P<0.05).Conclusion:Risk factors for readmission during the recovery period in patients with acute exacerbation of chronic obstructive pulmonary disease combined with debilitation include advanced age,moderately severe pulmonary function classification,high arterial blood carbon dioxide partial pressur

关 键 词：衰弱 慢性阻塞性肺疾病 恢复期 再入院 肺功能 

分 类 号：R563.9[医药卫生—呼吸系统]