中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
26期
78-79
,共2页
COPD%合并症%死因
COPD%閤併癥%死因
COPD%합병증%사인
Chronic obstructive pulmonary disease%Complication%Cause of death
目的：了解慢性阻塞性肺疾病(COPD)住院患者主要合并症(心血管疾病、糖尿病、肺癌、骨质疏松症、焦虑症)情况。方法：回顾性分析笔者所在医院2008年5月-2013年5月收治的514例住院COPD患者的临床资料。结果：514例患者存在合并症的为455例，无合并症为59例。其中心血管系统合并症占72.0%，糖尿病占50.0%，骨质疏松症占62.0%，焦虑症占15.0%，肺癌占12.0%。同时存在1种及以上合并症的占98.0%(445例)，存在2种及以上合并症的占85.0%(386例)，存在3种及以上合并症的占40.0%(182例)，存在4种及以上合并症的占18.0%(82例)，存在5种合并症的占9.0%(41例)。5年内死亡的162例患者中轻中度COPD患者29例，最常见的死亡原因是肺癌(45.0%)、心血管系统疾病(28.6%)。重度、极重度COPD患者133例，最常见的死亡原因是呼吸衰竭(48.0%)。结论：合并症在COPD患者中非常普遍存在，不同严重程度COPD其主要死亡原因不同。
目的：瞭解慢性阻塞性肺疾病(COPD)住院患者主要閤併癥(心血管疾病、糖尿病、肺癌、骨質疏鬆癥、焦慮癥)情況。方法：迴顧性分析筆者所在醫院2008年5月-2013年5月收治的514例住院COPD患者的臨床資料。結果：514例患者存在閤併癥的為455例，無閤併癥為59例。其中心血管繫統閤併癥佔72.0%，糖尿病佔50.0%，骨質疏鬆癥佔62.0%，焦慮癥佔15.0%，肺癌佔12.0%。同時存在1種及以上閤併癥的佔98.0%(445例)，存在2種及以上閤併癥的佔85.0%(386例)，存在3種及以上閤併癥的佔40.0%(182例)，存在4種及以上閤併癥的佔18.0%(82例)，存在5種閤併癥的佔9.0%(41例)。5年內死亡的162例患者中輕中度COPD患者29例，最常見的死亡原因是肺癌(45.0%)、心血管繫統疾病(28.6%)。重度、極重度COPD患者133例，最常見的死亡原因是呼吸衰竭(48.0%)。結論：閤併癥在COPD患者中非常普遍存在，不同嚴重程度COPD其主要死亡原因不同。
목적：료해만성조새성폐질병(COPD)주원환자주요합병증(심혈관질병、당뇨병、폐암、골질소송증、초필증)정황。방법：회고성분석필자소재의원2008년5월-2013년5월수치적514례주원COPD환자적림상자료。결과：514례환자존재합병증적위455례，무합병증위59례。기중심혈관계통합병증점72.0%，당뇨병점50.0%，골질소송증점62.0%，초필증점15.0%，폐암점12.0%。동시존재1충급이상합병증적점98.0%(445례)，존재2충급이상합병증적점85.0%(386례)，존재3충급이상합병증적점40.0%(182례)，존재4충급이상합병증적점18.0%(82례)，존재5충합병증적점9.0%(41례)。5년내사망적162례환자중경중도COPD환자29례，최상견적사망원인시폐암(45.0%)、심혈관계통질병(28.6%)。중도、겁중도COPD환자133례，최상견적사망원인시호흡쇠갈(48.0%)。결론：합병증재COPD환자중비상보편존재，불동엄중정도COPD기주요사망원인불동。
Objective:To explore the effect of chronic obstructive pulmonary disease (COPD) in patients with major complications (cardiovascular disease, diabetes,cancer,osteoporosis,anxiety).Method:Five hundred and fourteen cases of our COPD patients from May 2008 to May 2013 were reviewed and analyzed. Result:There were 455 patients out of 514 patients had different complications.The COPD patients had cardiovascular system complications accounted for 72.0%, the one had diabetes accounted for 50.0%,the one had osteoporosis accounted for 62.0%,the one had anxiety accounted for 15.0%and the one had lung cancer accounted for 12.0%.From the study,98.0%(445 cases) of the patients had 1 or more complications,85.0%(386 cases) of the patients had 2 or more complications, 40.0%(182 cases) of the patients had 3 or more complications,18.0%(82 cases) of the patients had 4 or more complications and 9.0%(41 cases) of the patients had 5 complications.In the past 5 years,29 patients out of 162 patients died from moderate COPD.The most common cause of death was lung cancer(45.0%), cardiovascular diseases (28.6%).Severe and very severe in 133 cases COPD patients,the most common cause of death was respiratory failure (48.0%). Conclusion:The complications are very common in COPR patients.The causes of COPD death were differentiated from different disease severities.
