老年慢性阻塞性肺疾病合并糖尿病患者临床资料分析
The clinical analysis of elderly patients with chronic obstructive pulmonary and diabetes mellitus
祝新华1
作者信息
- 1. 432000 湖北省孝感市孝南区疾病预防控制中心
- 折叠
摘要
目的：分析老年慢性阻塞性肺疾病(COPD)合并糖尿病(DM)患者的临床特点及治疗转归。方法将96例老年COPD患者分为单纯COPD组及合并DM组，分析两组临床症状、实验室检查及治疗及转归。结果观察组下肢浮肿及静脉血栓的发生率高于对照组，(P <0.05)，D-二聚体、WBC及痰液培养阳性率高于对照组(P <0.05)，PaO2、U-ALB低于对照组(P <0.05)， PaCO2高于对照组(P >0.05)；观察组抗生素使用情况、平均住院时间多于对照组(P <0.05)；两组治疗有效率及死亡率无统计学差异(P >0.05)。结论老年急性加重期COPD合并DM可明显增加患者细菌感染的发生几率，增加血气分析指标的异常，加重呼吸衰竭的发生概率；导致患者不同程度营养不良的发生，增加抗生素使用时间，延长住院治疗时间，严重影响患者的预后，必须予以高度重视。
Abstract
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.
关键词
老年慢性阻塞性肺疾病/糖尿病/临床特点/治疗转归Key words
Elderly patients with chronic obstructive pulmonary disease/Diabetes/Clinical feature/Treatment outcomes引用本文复制引用
出版年
2013
NETL
NSTL
维普
万方数据