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支气管扩张合并COPD患者肺功能的改变及危险因素临床分析 被引量:1

Clinical Analysis of Pulmonary Function Changes and Risk Factors in Patients with Bronchiectasis Complicated with COPD
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摘要 目的研究支气管扩张合并COPD患者肺功能的改变及危险因素.方法选取160例支气管扩张患者建立临床观察小组,并将其按COPD合并状态分为观察组与对照组,观察组患者均合并COPD,对照组患者均未合并COPD,结合其基础资料,开展临床调查.结果观察组80例患者中,均存在肺功能改变,其FEV1预计值与FVC预计值、FEV1/FVC等指标均显著低于对照组,TLC预计值显著高于对照组,同时,观察组年龄、吸烟史比例显著高于对照组,规律应用支气管扩张剂比例显著低于对照组(P<0.05).结论支气管扩张均存在肺功能改变,其中合并COPD患者的肺功能下降趋势更加明显,患者高龄(>60岁)与长期吸烟史支气管扩张合并COPD的高危因素. Objective To study the changes of lung function and risk factors in patients with bronchiectasis complicated with COPD. Methods A total of 160 patients with bronchiectasis were enrolled in the clinical observation group. The patients were divided into observation group and control group according to the combined state of COPD. The patients in the observation group were combined with COPD. The patients in the control group were not combined with COPD survey. Results Among the 80 patients in the observation group, lung function changes were observed. The FEV1 predicted value, FVC predicted value, FEV1/FVC and other indicators were significantly lower than the control group, and the TLC% predicted value was significantly higher than the control group. The age of the observation group and the smoking history were significantly higher than that of the control group, and the proportion of regular application of bronchodilator was significantly lower than that of the control group (P<0.05). Conclusion There is a change in lung function in bronchiectasis. The trend of lung function decline is more obvious in patients with COPD. The high risk factors of COPD in patients with advanced age (>60 years old) and long-term smoking history.
作者 努尔买买提江·艾合买提 仝娜娜 Nuermaimaitijiang·Aihemaiti;TONG Na-na(Kashgar Second People’s Hospital, Kashgar, Xinjiang 844000)
出处 《智慧健康》 2019年第19期96-97,共2页 Smart Healthcare
关键词 支气管扩张 慢性阻塞性肺疾病 肺功能 Bronchiectasis Chronic obstructive pulmonary disease Pulmonary function
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