摘要
目的分析胸部CT肺动脉与主动脉比值(PA∶A)对慢性阻塞性肺疾病急性加重期(AECOPD)再入院风险的预测价值。方法以2018年2月~2019年2月乐山市人民医院呼吸内科174例AECOPD住院患者为研究对象,以PA∶A为依据分为PA∶A≥1组及PA∶A<1组,比较分析入组时临床特点及出院后30d、90d再入院率、1年内再入院次数和再入院时间间隔。结果与PA∶A<1组比较,PA∶A≥1组下肢水肿发生率高,住院时间更长,住院花费高,肺功能FVC值偏低(P<0.05)。相较于PA∶A<1组,PA∶A≥1组90d再入院率较高(28.8%vs.13.9%),再入院时间更短,其1年内再入院次数显著增加(P<0.05)。PA∶A≥1是AECOPD再住院次数的危险因素。结论胸部CT PA∶A≥1提示AECOPD再入院风险升高。
Objective To analyze the predictive value of CT pulmonary artery to aorta ratio(PA∶A)in readmission risk of acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods A total of 174 inpatients with AECOPD admitted to respiratory department of the People's Hospital of Leshan from February 2018 to February 2019 were divided into the PA∶A≥1 group and the PA∶A<1 group based on PA∶A values.The clinical features at the time of inclusion,readmission rates at 30 days and 90 days after discharge,readmission times within one year and readmission time interval were compared and analyzed.Results Compared with the PA∶A<1 group,the PA∶A≥1 group was higher in the incidence of lower limbs edema,longer in hospitalization time,higher in hospitalization cost and lower in FVC value of pulmonary function(P<0.05).Meanwhile,compared with the PA∶A<1 group,the PA∶A≥1 group was higher in the readmission rate in 90 days after discharge(28.8%vs.13.9%),shorter in readmission time and its readmission times in one year significantly increased(P<0.05).PA∶A≥1 was the risk factor for readmission times of AECOPD.Conclusion In chest CT,PA∶A≥1 suggests that the risk of readmission of AECOPD increased.
作者
何兵
袁鑫慧
毕乙瑶
魏海龙
HE Bing;YUAN Xinhui;BI Yiyao;WEI Hailong(Department of Respiratory and Critical Care Medicine,the People's Hospital of Leshan,Sichuan,Leshan 614000,China;Department of Ultrasound Imaging,the People's Hospital of Leshan,Sichuan,Leshan 614000,China)
出处
《中国医药科学》
2020年第18期189-191,共3页
China Medicine And Pharmacy
关键词
慢性阻塞性肺疾病急性加重期
再入院
胸部CT
肺动脉
Acute exacerbation of chronic obstructive pulmonary disease
Readmission
Chest CT
Pulmonary artery