【摘要】：目的探討影響老年慢性阻塞性肺疾病(COPD)急性加重頻率的因素。方法收集2010年10月至2011年6月北京大學(xué)第三醫(yī)院門診COPD穩(wěn)定期患者臨床資料,記錄患者過去1年COPD急性加重次數(shù)、肺功能、生活質(zhì)量(SGRQ)評分。根據(jù)患者過去1年COPD急性加重次數(shù),將患者分為2組:非頻發(fā)急性加重組為過去1年COPD急性加重次數(shù)≤2次,頻發(fā)急性加重組為過去1年COPD急性加重次數(shù)2次。結(jié)果頻發(fā)急性加重組年齡比非頻發(fā)急性加重組更大(P0.01),但在性別、病程、吸煙史、吸煙包年無統(tǒng)計學(xué)差異。頻發(fā)急性加重組患者吸入支氣管擴張劑后FEV1%較非頻發(fā)急性加重組患者降低(P0.01)。其他肺功能指標(biāo)差異無統(tǒng)計學(xué)意義(P0.05);頻發(fā)急性加重組患者SGRQ活動評分較非頻發(fā)急性加重組增加(P0.05),而SGRQ癥狀評分、影響評分、總分兩組之間差異無統(tǒng)計學(xué)意義(P0.05)。結(jié)論高齡、肺功能差、生活質(zhì)量活動評分增加是影響老年COPD患者急性加重頻率的主要因素。
[Abstract]:Objective to investigate the factors influencing the acute exacerbation frequency of (COPD) in elderly patients with chronic obstructive pulmonary disease (COPD). Methods the clinical data of outpatients with COPD in outpatient clinic of Peking University third Hospital from October 2010 to June 2011 were collected. The acute exacerbation times of COPD, pulmonary function and (SGRQ) score of quality of life were recorded in the past year. According to the acute exacerbation times of COPD in the past year, the patients were divided into two groups: non-frequent acute aggravation plus recombination was 鈮，

本文編號：2179172