论文部分内容阅读
目的 探讨慢性阻塞性肺疾病 (COPD)患者死亡的高危因素。方法 回顾性分析 2 5 6例住院COPD患者临床资料 ,并对两组进行相关因素分析。结果 本组缓解出院 2 2 4例 ,死亡 32例 ,死亡组平均年龄、病程、吸烟指数、体重指数 (BMI)、入院时氧合指数、pH值 (pH <7.2 6 )、合并肺心病比例及肺功能等与缓解出院组比较 ,差异均具有显著性 (P <0 .0 5 )。而患者血清清蛋白两组比较则无显著性差异 (P >0 .0 5 )。结论 测定相关指标 ,加强监护与治疗 ,对COPD患者预后具有重要意义。
Objective To investigate the risk factors of death in patients with chronic obstructive pulmonary disease (COPD). Methods A retrospective analysis of 256 cases of hospitalized patients with COPD clinical data, and analysis of the two groups related factors. Results In the present study, 224 cases were discharged and 32 died. The average age, course of disease, smoking index, body mass index (BMI), oxygenation index at admission, pH value (pH <7.2 6) Lung function and ease the discharge group, the difference was significant (P <0. 05). Serum albumin in patients with no significant difference between the two groups (P> 0.05). Conclusion Determination of relevant indicators, strengthen the monitoring and treatment of COPD patients with prognosis of great significance.