CAJ | 학술논문

目的 ①了解我院COPD患者按照GOLD 2014分类方法A～D组患者的分布情况及与合并症之间的关系;②对GOLD 2014与GOLD 2007 COPD的评估方法进行比较,观察二者的优缺点.方法对我院109例COPD患者分别依据GOLD 2014与GOLD 2007进行分级,并比较2种评估方法.结果 COPD患者分布情况为:D组46例(42.2％),B组30例(27.5％),A组22例(20.1％),C组11例(10.1％);主要合并症依次为:高血压46.8％、冠状动脉粥样硬化性心脏病33.9％、高脂血症23.9％、糖尿病11.9％.D组合并冠状动脉粥样硬化性心脏病明显高于A组和C组,差异有统计学意义(P=0.012,P =0.002).应用GOLD 2014分类方法,严重的D组46例,而应用GOLD 2007分级方法,最严重的GOLD 4级为10例.结论按照GOLD 2014新分类方法,COPD患者以D组和B组为主,合并症以心血管疾病为主,且D组的冠状动脉粥样硬化性心脏病者最多;GOLD 2014分级方法较GOLD 2007分级方法对患者的病情评估更全面.
목적 ①료해아원COPD환자안조GOLD 2014분류방법A～D조환자적분포정황급여합병증지간적관계;②대GOLD 2014여GOLD 2007 COPD적평고방법진행비교,관찰이자적우결점.방법 대아원109례COPD환자분별의거GOLD 2014여GOLD 2007진행분급,병비교2충평고방법.결과 COPD환자분포정황위:D조46례(42.2％),B조30례(27.5％),A조22례(20.1％),C조11례(10.1％);주요합병증의차위:고혈압46.8％、관상동맥죽양경화성심장병33.9％、고지혈증23.9％、당뇨병11.9％.D조합병관상동맥죽양경화성심장병명현고우A조화C조,차이유통계학의의(P=0.012,P =0.002).응용GOLD 2014분류방법,엄중적D조46례,이응용GOLD 2007분급방법,최엄중적GOLD 4급위10례.결론 안조GOLD 2014신분류방법,COPD환자이D조화B조위주,합병증이심혈관질병위주,차D조적관상동맥죽양경화성심장병자최다;GOLD 2014분급방법교GOLD 2007분급방법대환자적병정평고경전면.
Objective This study aimed to determine chronic obstructive pulmonary disease (COPD) patients distribution (group A-D) by the new Global Initiative for Chronic Obstructive Lung Disease (GOLD) update (2014) and evaluate their relationships with comorbid diseases.Furthermore,the new 2014GOLD grading was compared with 2007 GOLD staging in order to investigate the advantages and disadvantages.Methods We obtained data of 109 patients with COPD in our hospital.Data of patients with COPD were used to distribute and compare the abilities of the old stratification(GOLD 2007) and the new stratification (GOLD 2014).Results Of 109 patients,46 (42.2％) were in new GOLD 2014 patient group D,30 (27.5％) were B,22 (20.1％) were A,and 11 (10.1％) were C.There were several important comorbid disease in COPD.Hypertension,coronary atherosclerotic heart disease,hyperlipemia,and diabetes were present in 46.8％,33.9％,23.9％ and 11.9％,respectively.Analyses showed that a higher risk of coronary atherosclerotic heart disease in group D was than in group A and C (P =0.012,P =0.002),respectively.The new classification results in more individuals belongs to the most severe group,group D,in the 2014 (n =46) in comparison with only 10 individuals belonging to the most severe group,group 4,in the 2007 classification.Conclusions The 2014 GOLD grading produces mainly in D and B patient groups.Cardiovascular disease is the most important comorbidities.In addition,coronary atherosclerotic heart disease is frequently seen in group D.Compared with the old stratification (GOLD 2007),the new stratification(GOLD 2014) provides better assessment.