The clinical analysis of elderly patients with chronic obstructive pulmonary and diabetes mellitus
Objective To analyze the characteristics of elderly patients with chronic obstructive pulmonary and diabetes mellitus. Methods 96 cases of elderly patients with COPD were divided into the simple group(the control group) and the combined DM group(the study group). The clinical symptoms, laboratory tests and treatment and prognosis of the two groups were analyzed. Results The lower extremity edema and venous thrombosis rate of the the study group was higher than that of the control group(P <0.05). The D-dimer, WBC and sputum culture positive rate of the the study group was higher than that of the control group(P <0.05). The PaO2 and U-ALB of the the study group was lower than those of the control group(P <0.05). While the PaCO2 of the study group was higher than that of the control group(P >0.05). The antibiotics use time and average length of stay of the study group was higher than those of the control group(P <0.05). The efficiency of treatment and mortality in the two groups showed no statistically significant(P >0.05). Conclusion Elderly patients with acute exacerbation of COPD and DM could significantly increase the occurrence of bacterial infection and abnormal in blood gas analysis, increase the probability of occurrence of respiratory failure, cause varying degrees of malnutrition in patients and the antibiotic use time, prolonge the hospitalization time, which was with seriously affect for the patient's prognosis and must be highly valued.
Elderly patients with chronic obstructive pulmonary diseaseDiabetesClinical featureTreatment outcomes
NETL
NSTL
万方数据
维普
