慢阻肺急性加重期患者预后的影响因素分析

目的分析并研究慢性阻塞性肺疾病急性加重期患者的预后影响因素.方法选取我院在 2015 年 4月到 2015 年12 月收治的64 例慢性阻塞性肺疾病患者作为研究对象,对所有患者的临床资料进行回顾性分析,研究患者可能影响其预后的相关性因素,进行单因素分析,并采用Logistic多元逐步回归进行多因素分析,对患者影响预后的独立性危险因素进行筛选.结果 分析患者的单因素结果,并将其纳入Logistic回归进行分析,得出患者合并呼吸衰竭、气促程度、白细胞计数、APACHE Ⅱ、慢性阻塞性肺疾病的治疗依从性、采用抗氧化剂等均为患者预后不佳的独立因素.结论 在临床上根据慢性阻塞性肺疾病加重期患者的预后独立危险影响因素对患者的病情作出及早判断,并选择合适的后续治疗方案进行治疗,可以有效地提高患者的生存率和生存质量,值得在临床上推广使用.

ObjectiveAnalysis and study of patients with acute exacerbation of chronic obstructive pulmonary disease prognosis.MethodsOf 64 cases admitted to hospital in April 2015 to December 2015 as the object of study in patients with chronic obstructive pulmonary disease and analysis of clinical data of all studied factors affecting the prognosis of patient with, and multivariate Logistic regression analysis, influence and independence of factors related to prognosis of patients with.Result Analyze the results of the univariate, and included in the Logistic regression analysis, concluded that patients with respiratory failure and shortness of levels, white blood cell count, APACHE II, chronic obstructive pulmonary disease treatment compliance, the use of antioxidants are independent factors of patients with poor prognosis.Conclusion Clinical needs according to the chronic obstructive pulmonary disease and independent prognostic factors of patients with patients with early judgment, treating with proper treatment, improve the survival rate of patients should be promoted.