摘要
目的分析慢性阻塞性肺疾病致急性呼吸衰竭的危险因素,为临床制动防治策略提供可靠依据。方法收集我院2013年2月-2015年12月诊治的138例慢性阻塞性肺疾病患者作为研究对象,采用回顾性分析法来对所有纳入对象临床资料进行整理分析,并分别对致急性肾衰竭和预后危险因素进行梳理分析。结果 BMI、每年发作次数、尿酸、白蛋白、使用吸入用糖皮质激素概率、中度及重度慢性阻塞性肺疾病总概率、酸碱紊乱发生概率及院感发生率是致急性呼吸衰竭发生的危险因素;影响预后的危险因素有酸碱值、血清钠值、血清氯值、血压分压值、血二氧化碳分压值、医院感染概率、并发肺性脑病概率和并发心功能衰竭概率。结论慢性阻塞性肺疾病致急性呼吸衰竭的危险因素有BMI、每年发作次数、尿酸等,临床可结合危险因素制定出有效的疾病预控方案。
Objective To analyze the risk factors of chronic obstructive pulmonary disease caused by acute respiratory failure, provide a reliable basis for clinical prevention and treatment strategies. Methods In our hospital from February 2013 to December 2015, 138 cases of patients with chronic obstructive pulmonary disease as the research object, used the retrospective analysis method to analyze the clinical data of all subjects, and were on the induced acute renal failure and prognostic factors analysis. Results BMI, the annual number of episodes, uric acid, albumin, use of inhaled corticosteroids with probability of moderate and severe chronic obstructive pulmonary disease total probability, the probability of occurrence of acid-base disorders and the incidence of hospital infection is a risk factor for acute respiratory failure caused by the risk factors influencing the prognosis; there is blood pressure value of carbon dioxide, the probability of hospital infection, pulmonary encephalopathy complicated with heart failure probability and the probability. Conclusion The risk factors of acute respiratory failure caused by chronic obstructive pulmonary disease with BM1, the annual number of episodes, uric acid, can be combined with clinical risk factors to develop disease prevention program effectively.
作者
王明将
WANG Mingjiang(Department of Respiration, Suzhou Yongding Hospital, Suzhou Jiangsu 215200, China)
出处
《中国继续医学教育》
2017年第4期127-128,共2页
China Continuing Medical Education
关键词
慢性阻塞性肺疾病
急性呼吸衰竭
危险因素
chronic obstructive pulmonary disease
acute respiratory failure
risk factors
