沈阳地区慢性阻塞性肺疾病住院患者的初步分析

Clinical features of inpatients with chronic obstructive pulmonary disease in Shenyang

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。

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.