白求恩军医学院学报
白求恩軍醫學院學報
백구은군의학원학보
JOURNAL OF BETHUNE MILITARY MEDICAL COLLEGE
2013年
6期
487-488
,共2页
刘美描%王蓉%张静%林士军%吴贤仁
劉美描%王蓉%張靜%林士軍%吳賢仁
류미묘%왕용%장정%림사군%오현인
慢性阻塞性肺疾病%复发%单因素%Logistic分析
慢性阻塞性肺疾病%複髮%單因素%Logistic分析
만성조새성폐질병%복발%단인소%Logistic분석
Chronic obstructive pulmonary disease%Recurrence%Single factor%Binary logistic
目的：探讨影响5年内慢性阻塞性肺疾病（ chronic obstructive pulmonary disease ，COPD）复发的相关因素。方法以218例COPD患者为研究对象，观察组患者为5年内未每年复发1次，且复发次数＜5次者；对照组患者为5年内每年至少复发1次者。对患者一般情况进行单因素分析及二元Logistic分析。结果单因素分析结果表明，COPD复发与患者的病程、吸烟、饮酒、长期氧疗、是否坚持药物治疗、是否合并SAS及SDS有关；二元Logistic分析结果表明，吸烟OR＝5．018，95％CI：3．173～12．610，饮酒OR＝4．162，95％CI：1．540～6．189，COPD病程OR＝0．435，95％CI：0．183～1．033，坚持药物治疗OR＝0．322，95％CI：0．136～0．759，抑郁OR＝0．226，95％CI：0．098～0．525，焦虑OR＝0．625，95％CI：0．267～1．461。结论吸烟、饮酒、COPD病程长、合并SDS是COPD复发的危险因素，而患者长期坚持氧疗、坚持药物治疗是COPD复发的保护性因素。
目的：探討影響5年內慢性阻塞性肺疾病（ chronic obstructive pulmonary disease ，COPD）複髮的相關因素。方法以218例COPD患者為研究對象，觀察組患者為5年內未每年複髮1次，且複髮次數＜5次者；對照組患者為5年內每年至少複髮1次者。對患者一般情況進行單因素分析及二元Logistic分析。結果單因素分析結果錶明，COPD複髮與患者的病程、吸煙、飲酒、長期氧療、是否堅持藥物治療、是否閤併SAS及SDS有關；二元Logistic分析結果錶明，吸煙OR＝5．018，95％CI：3．173～12．610，飲酒OR＝4．162，95％CI：1．540～6．189，COPD病程OR＝0．435，95％CI：0．183～1．033，堅持藥物治療OR＝0．322，95％CI：0．136～0．759，抑鬱OR＝0．226，95％CI：0．098～0．525，焦慮OR＝0．625，95％CI：0．267～1．461。結論吸煙、飲酒、COPD病程長、閤併SDS是COPD複髮的危險因素，而患者長期堅持氧療、堅持藥物治療是COPD複髮的保護性因素。
목적：탐토영향5년내만성조새성폐질병（ chronic obstructive pulmonary disease ，COPD）복발적상관인소。방법이218례COPD환자위연구대상，관찰조환자위5년내미매년복발1차，차복발차수＜5차자；대조조환자위5년내매년지소복발1차자。대환자일반정황진행단인소분석급이원Logistic분석。결과단인소분석결과표명，COPD복발여환자적병정、흡연、음주、장기양료、시부견지약물치료、시부합병SAS급SDS유관；이원Logistic분석결과표명，흡연OR＝5．018，95％CI：3．173～12．610，음주OR＝4．162，95％CI：1．540～6．189，COPD병정OR＝0．435，95％CI：0．183～1．033，견지약물치료OR＝0．322，95％CI：0．136～0．759，억욱OR＝0．226，95％CI：0．098～0．525，초필OR＝0．625，95％CI：0．267～1．461。결론흡연、음주、COPD병정장、합병SDS시COPD복발적위험인소，이환자장기견지양료、견지약물치료시COPD복발적보호성인소。
Objective To investigate the relevant factors affecting the recurrence chronic obstructive pulmonary disease ( COPD) within five years .Methods 218 cases of COPD in our hospital were chosen as the research objects ,the observation group had no yearly recurrence within 5 years and relapse frequency <5,the control group relapsed at least once a year in five years ,and single factor analysis and binary logistic analysis of COPD were carried out .Results Single factor analysis showed that smoking ,drinking, long-term oxygen therapy ,drug treatment status ,and combination with SAS and SDS were affecting factors of recurrence and binary lo -gistic analysis showed that affecting factors were smoking OR =5.018,95% CI(3.173 -12.610),drinking OR =4.162,95% CI (1.540-6.189),COPD disease course OR=0.435,95%CI (0.183-1.033),adhere to drug therapy OR=0.322,95%CI(0.136-0.759),depression OR=0.226,95%CI (0.098-0.525),anxiety OR=0.625,95% CI(0.267-1.461).Conclusion Smok-ing,drinking,COPD duration,SDS are high risk factors for recurrence of COPD ,long-term oxygen therapy and consistant drug therapy were protective factors for recurrence in COPD patients .
