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| 沈阳地区慢性阻塞性肺疾病住院患者的初步分析 |
| 作者：宫建1 杨传家2 陈德才3 陈雨牵4 于嵩5 毛勇6 王健7 |
| 单位：1. 沈阳药科大学 生命科学与生物制药学院, 辽宁 沈阳 110016; 2. 中国医科大学 附属盛京医院, 辽宁 沈阳 110004; 3. 沈阳市第七人民医院, 辽宁 沈阳 110000; 4. 南通大学 公共卫生学院, 江苏 南通 226019; 5. 辽宁中医药大学, 辽宁 沈阳 110847; 6. 沈阳市苏 |
| 关键词：慢性阻塞性肺疾病 住院患者 肺部感染性疾病 哮喘 |
| 分类号：R563 |
| 出版年·卷·期（页码）：2017·36·第三期（365-368） |
| 摘要： |
目的：初步分析沈阳地区慢性阻塞性肺疾病（COPD）住院患者的特征，为探讨COPD住院患者的合理用药提供客观依据。方法：采用方便抽样选取沈阳市三级甲等医院3所，随机抽取COPD住院患者2 400例，收集患者的临床特征进行分析。结果：患者男1 480例，女920例；平均年龄（72.1±18.3）岁，71~80岁的构成比（36.92%）最高；GOLDⅠ级者占12.25%，Ⅱ级29.42%，Ⅲ级38.33%，Ⅳ级20.00%；吸烟者占64.25%，非吸烟者35.75%；伴发疾病16种，合计3 902例次，人均1.6种伴发疾病，伴肺部感染性疾病者占42.21%。结论：沈阳地区COPD住院患者生存质量的提高有赖于加强对老年患者的治疗和宣传教育。 |
Objective:To study the clinical features of inpatients with chronic obstructive pulmonary disease(COPD)in order to provide reference and basis for rational drug use. Methods:Two thousand four hundred inpatients with COPD were randomly selected in 3 third-grade class-A hospitals in Shenyang. The clinical data of the patients were analyzed. Results:Among the COPD inpatients, there were 1 480 males(61.67%)and 920 females(38.33%)with an average age of(72.1±18.3)years old, 71 to 80 years old patients accounting for 36.92%. Mild spirometric grade, global initiative for chronic obstructive lung disease(GOLDⅠ), moderate spirometric grade(GOLDⅡ), severe spirometric grade(GOLDⅢ)and very severe spirometric grade(GOLDⅣ)were respectively 12.25%, 29.42%, 38.33% and 20.00%. Smokers and non-smokers accounted for 64.25% and 35.75% respectively. Sixteen kinds of concomitant diseases occurred with an average of 1.6 kinds in each case and 42.21% cases of lung infection. Conclusion:The quality of life in hospitalized patients with COPD can be improved by early treatment and health education. |
| 参考文献： |
[1] 中华医学会呼吸病学分会慢性阻塞性肺疾病学组.慢性阻塞性肺疾病诊治指南(2013修订版)[J].中华结核和呼吸杂志,2013,36(4):255-264. |
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