沈阳地区慢性阻塞性肺疾病住院患者的初步分析

摘要

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.%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.