慢性阻塞性肺疾病合并心力衰竭的临床特点及护理

Clinical Characteristics and Nursing Care of Chronic Obstructive Pulmonary Disease with Heart Failure

目的:探讨慢性阻塞性肺疾病(C0PD)合并心力衰竭(HF)的临床特点。方法:对100例COPD患者,按其原发病的不同分为:慢性支气管炎、肺气肿、慢性支气管炎合并肺气肿、支气管哮喘4组,然后对其HF发生率及功能状态进行回顾性分析。结果:100例COPD患者中,合并HF 64例,HF发生率为64%,心功能Ⅳ级者占18%,其中原发病为慢性支气管炎合并肺气肿者HF发病率最高(38%),且病情较严重。结论:COPD是临床常见病、多发病,在其合并症中以HF的发病率为最高,又以右HF为多见,病情复杂危重,护士在治疗护理、病情观察要有所侧重。

Objective： Investigation of clinical characteristics of chronic obstructive pulmonary disease （COPD） with heart failure （HF）. Methods： In this study,we classified 100 COPD patients into 4 groups by their primary diseases： chronic bronchitis group,emphysema group, chronic bronchitis with emphysema group, and bronchial asthma group. Then, we conducted a retrospective analysis of their HF incidence and functional conditions. Results ： 64 of the 100 COPD patients developed heart failure （ Incidence rate 64% ）, 18% of them had heart function degree Ⅳ. Among the 4 groups, chronic bronchitis with emphysema group had the highest HF incidence rate （ 38% ）, with more critical condition. Conclusions： COPD is a very common disease. Its major complication is HF, especially right he.art failure,in which the condition is usually cornplated and critical. Nurses should pay more attention to such patients both during the threatment and observation.