摘要
目的:探究老年支气管哮喘病情控制现状并分析哮喘控制和发作严重程度的影响因素。方法:回顾性分析2017年4月至2018年4月我院82例支气管哮喘老年患者临床资料。记录82例支气管哮喘老年患者一般资料、哮喘控制情况及发作严重程度,并利用多因素Logistic回归分析法分析哮喘控制情况及发作严重程度的影响因素。结果:82例患者以男性居多,占比72.73%;年龄则以65~74岁最多,占比79.27%;基础疾病以糖尿病、高血压为主,占比分别为50.00%、30.49%;哮喘完全控制者有26.83%,哮喘良好控制者有47.56%,哮喘未控制则有25.61%;哮喘发作严重程度则为轻度54.88%,中度14.63%,重度25.61%,危重4.88%。性别与哮喘控制情况和哮喘发作严重程度均无关(P>0.05),而年龄、肥胖、吸烟、近2个月急性呼吸道感染为影响哮喘控制情况和哮喘发作严重程度的独立危险因素(P<0.05),规律使用吸入糖皮质激素、规律随诊为影响哮喘控制情况和哮喘发作严重程度的独立保护因素(P<0.05)。结论:我院老年支气管哮喘病情控制现状良好,但年龄、肥胖、吸烟、近2个月急性呼吸道感染、吸入糖皮质激素使用及随诊状况均为影响患者哮喘控制情况及发作严重程度的影响因素,临床应根据老年患者特点予以针对性干预措施。
Objective: To explore the control current status of elderly bronchial asthma and analyze the influencing factors for asthma control and attack severity. Methods: The clinical data of 82 elderly patients with bronchial asthma in our hospital from April 2017 to April 2018 were retrospectively analyzed. The general data, asthma control and attack severity of 82 elderly patients with bronchial asthma were recorded, and multivariate Logistic regression analysis was used to analyze the influencing factors for asthma control and attack severity. Results: Among 82 cases, males were in great proportion of 72.73%. Age was mainly 65-74 years old, accounting for 77.27%. The basic diseases were mainly diabetes and hypertension, accounting for 50.00% and 30.49% respectively. Asthma was completely controlled in 26.83% patients, well controlled in 47.56% patients and uncontrolled in 25.61% patients. The severity of asthma attack was mild in 54.88%, moderate in 14.63%, severe 25.61% and critically severe in 4.88%. Gender was not associated with asthma control and severity of asthma attack (P>0.05), but age, obesity, smoking and acute respiratory infection in the past 2 months were independent risk factors for asthma control and severity of asthma attack (P<0.05), and regular use of inhaled glucocorticoid and regular follow-up were independent protective factors affecting asthma control and severity of asthma attack (P<0.05). Conclusions: The control current status of bronchial asthma is good in our hospital, but age, obesity, smoking, acute respiratory infection in the past 2 months, use of inhaled glucocorticoid and follow-up status all are influencing factors for asthma control and attack severity. Clinically targeted interventions should be given based on the characteristics of elderly patients.
作者
李希
李林
LI Xi;LI Lin(West China Hospital of Sichuan University, Sichuan Chengdu 610041, China)
出处
《河北医学》
CAS
2019年第5期808-811,共4页
Hebei Medicine
基金
四川省科技厅科研课题,(编号:17PJ180)
关键词
支气管哮喘
老年
控制现状
发作严重程度
影响因素
Bronchial asthma
Elderly
Control current status
Attack severity
Influencing factors
